Peds 2 Flashcards

1
Q

a) Toddler, recommend activity?
b) Pre-schooler recommend activity?
c) Bord game activity?

A

a) Pushing a toy lawn mower
(push-pull toy)
b) Jumping rope
c) school-age

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2
Q

BMI
a) normal
b) overweight
c) obese

A

a) 18.5-24.9
b) 25-29.9
c) over 30

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3
Q

a) what is the reason for administering Naloxone?
b) a child who has a leg cast. what parents should do?
c) diper dermatitis, what to do?

A

a) respiratory depression for reverse opioid d/t post-ope
b) check the color of toes q4r
c) leave the zinc oxide ointment(Diaper rash)
disposable diaper should use

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4
Q

a) what is pertussis?
b) epistaxis,what action?
c) adolescent sleeps 10hr on weekends, is this OK?

A

a) whooping cough, droplet precautions
b) Continuous pressure to the lower part of the nose
at least 10min
c) OK, they need more sleep d/t rapid growth

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5
Q

a) 4Y burns over 50%, which meal action should take?
b) who needs pancrelipase on each meal?

A

a) supplement the feedings with enteral feedings
excess of 25% of total burm needs enteral supplementation
Do not change dressing before meal
b) cystic fibrosis

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6
Q

Normal range
a) potassium
b) sodium
c) chloride

A

a) 4.1-5.3
b) 134-150
c) 90-110

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7
Q

a) IM injection to a 2M, which site should inject?
b) IM injection to deltoid for what age?
c) 6Y who os encopresis.what action should be taken?
d) what is encopresis?

A

a) Vastus lateralis
b) older than 18M
c) determine if there is any stressor in the environment
stool softener daily for 2M, attempt BM 2 times
d) resists having bowel movements, causing impacted stool to collect in the colon and rectum and lead to leakage.

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8
Q

a) autism spectrum disorder, what benefit?
b) adolescent DM type 1 managing hypoglycemia, what the pt should take?
c) what is Nasopharyngitis?

A

a) structured routine
b) 4oz OJ
6oz soft drink
4 glucose tablets
2 tsp of sugar
c) common cold

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9
Q

a) 12Y during check-up. what findings should be reported?
b) school age growth height and weight?
c) toddler enterobiasis, what teaching should be given?
d) what is enterbiasis?

A

a) Hyperopia (遠視)
should not seen after 7Y
b) H-5cm/ year W-3kg/year
c) keep child’s nails trimmed short
NO bath, one piece PJ, recurrent is common
d) pinworm infection

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10
Q

a) Infant who has HF and takes digoxin, what teaching?
b) preschooler has recurrent otitis media. what question should ask?
c) what is otitis media?

A

a) HR less than 110 or vomiting(toxic)
b) Does anyone smoke around in the same hours as a child?
c) infection of the middle ear

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11
Q

a) discharge education who has hypospadias repair?
b) hypospadias repair?
c) manifestation of stage 1 Hodgkin’s disease?
d) what is Hodgkin’s disease?

A

a) antibacterial ointment to the infant’s penis once per day
b) surgery to fix the location of the opening in the penis when it is not in the right place
c) enlarged lymph nodes
d) a type of cancer that affects the lymphatic system

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12
Q

a) oxycodone which is experiencing a vaso-occlusive crisis. what teaching?
b) what walker is recommended for infants?
c) what food is most cause allergens to infants?

A

a) causes nausea
constipation
orthostatic hypotension
dry mouth
b) stationary walker
c) cow milk

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13
Q

a) primary dentition is complete age by?
b) what is primary dentition?
c) hoping on the one-foot
d) birth wieht double? triple?
e) stated name first and last

A

a) by 30M(2.5Y)
b) the first teeth to erupt
c) 4Y
d) double-6M triple-12M
e) by 30M(2.5Y)

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14
Q

a) what phytonadione used for?
b) 8Y who has sickle cell anemia. What care?
c) develop anaphylaxis? manifestations
d) what is stridor?

A

a) warfarin overdose
b) give popsicle
Maintaining hydration with a child who has sickle cell anemia is important to prevent sickling.
c) Nausea,urticaria,stridor
tachycardia,hypotension,dyspnea
d) noisy breathing that occurs due to obstructed air flow through a narrowed airway

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15
Q

a) varicella manifestations
b) tetanus manifestations
c) fifth diseas
d) measles

A

a) maculopapular rash that progresses to vesicles on erythematous bases that eventually rupture and crust over.
b) lockjaw and muscle rigidity/ no rash, DTaP to prevent
c) bright red cheeks producing a “slapped-cheek” appearance
d) Koplik spots

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16
Q

A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take?

A

Keep thermometer in the toddler’s room
Avoid exposure to tobacco smoke, cold air and air pollutants is also beneficial to long-term recovery from RSV bronchiolitis.

17
Q

A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

A

Decreased stridor

18
Q

A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?

a. Transport the child tom radiology for a chest x-ray.
b. Obtain a throat culture
c. Place the child in an upright position.
d. Visualize the epiglottitis with a tongue depressor.

A

c

19
Q

A nurse is monitoring a former preterm infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. This nurse should recognize these findings are associated with which of the following diagnosis?

A

Bronchiolitis
cessation of breathing for 20 seconds or longer

20
Q

A nurse is teaching an assistive personnel to measure a newborn’s respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

A

The rate and rhythm of breath are irregular in newborns.”

21
Q

A 4Y experiencing the separation anxiety stage of despair.
First to thirs stage?

A

1-crying and screaming/attempting to escape to find them
2-sucking his thumb and refusing to eat or drink,inactive
3-Denial, or detachment

22
Q

A nurse is caring for a group of infants who have congenital heart defects. For which of the following defects should the nurse expect to observe cyanosis?

A

Transposition of great arteries
reversal of the anatomic position of the aorta and pulmonary artery allows venous blood to enter the systemic circulation without oxygenation.

23
Q

A nurse is reviewing the medical record of a 2-month-old infant who has rotavirus. The nurse notes a hemoglobin level of 12g/dL and a hematocrit of 51%. Which of the following statements by the nurse indicates an understanding of the laboratory values?

A

The infant might be dehydrated
An increased hematocrit level indicates dehydration.
heg 11-15
hematocrit 35- 44%

24
Q

A school nurse is assessing an adolescent child who returned to school following a case of mononucleosis. The child has a note from his provider excusing him from gym class. Which of the following findings should the nurse identify as the reason for this excusal?

A

Potential for sustaining abdominal trauma
in trauma to the enlarged spleen.

25
Q

A nurse is caring for a 6-month-old infant who has intussusception. Which of the following actions should the nurse take?

A

Prepare the child for a barium enema

26
Q

A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?

A

I need to apply paste to the back of the wafer of my child’s applianceThe parent should apply stoma paste to the back of the wafer on the appliance, as well as around the stoma, to act as a sealant to prevent skin breakdown.

27
Q

a) Give potassium as a rapid IV bolus is contraindicated because?
b) Which disease need to get albumin q8hr?
c) rheumatic fever kids can take what med for joint pain?

A

a) result in cardiac arrest
b) nephrotic syndrome
c) asprin

28
Q

Types of parenting
a) Authoritarian
b) Authoritative
c) Permissive
d) Indifferent/Passive

A

a) Strict, high control,tarrrible
b) Ideal, flexible rules, Authoritative (give and take)
c) Low control
d) Neglet

29
Q

a) IM injuection, what site is contraindication?
b) when administer med indfant, what position?
c) administer med toddler, how to identify?
d) how to administer ear med to infant?

A

a) Dorsogluteal
b) Semi-reclining
also do not use universal dropper
c) Ask toddler or check the band
offer juice after med is OK
d) pull down and straight back

30
Q

a) pain scale
oucher
b) s/s infant in pain?
c) Infant and toddler pain manegment

A

a) 3-13Y
b) open mouth squaire shape
Loud cry
Lowered eyebrow
Rigid body
reflex withdrawl
c) infant
-pacifier
-use swadding
-kangaroo care
toddler
-Explain procedure with their toy
-allow child choice
-lidocaine