Peds 3 Flashcards

1
Q

a) preschool refre hospitalization as?
b) s/s toddler hospitalization?
c) head and chest circumference should be equal by?

A

a) punishment
b) separation anxiety
intense emotion
regressive begaviors
c) by 1-2 years

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2
Q

A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide?
Availability of firearms
Family conflict
Homosexuality
Active psychiatric disorder

A

Active psychiatric disorder

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3
Q

A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
1) “My child will take the enzymes to improve her metabolism.”
2) “My child will take the enzymes following meals.”
3) “My child will take the enzymes to help digest the fat in foods.”
4) “My child will take the enzymes 2 hours before meals.”

A

3) “My child will take the enzymes to help digest the fat in foods.”

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4
Q

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

A. Trendelenburg.
B. Sitting on a nurses lap leaning forward.
C. Supine.
D. Sitting on a nurses lap leaning backwards.

A

A
a technique that involves laying/ sitting in certain positions to drain secretions from your airways using gravity.

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5
Q

About death
a) Preschool (3-6)
b) School-age (6-12)
c) Adolescent (12-20)

A

a) resulting in guilt and shame
sepration from parents as punishment for bad behavior
View dying as temporary
b) have adult concept of death
Fear often displayed through uncooperative behavior
c) have adult-like concept of death
have difficulty accepting death

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6
Q

a) undergoing tympanostomy tubes. What statment should include?
b) a child who has sicle cell animia and has a vaso-occlusive cirisis.
What is a serious complication s/s?
c) what are expecting findings of vaso-oculusive?

A

a) the tube should sty in place untill it fall out on therir own
tube in ear
b) Slurrend speech indicate stroke
c) Low hemoglobin below 10
hematuria
Severe pain

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7
Q

a) dysmenorrhea alternative therapie?
b) What is dysmenorrhea?
c) Seizure, what position?

A

a) Herbal medication
Exercise
Therapeutic touch
b) severe and frequent menstrual cramps and pain during period
c) Sim’s positon(side)

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8
Q

a) discharge teaching to parent whose infant had a ventriculoperitoneal shunt placement for the treatment of hydrocephlus.
b) goal of DKA glucosce level?
c) how to suction tracheostomy?

A

a) notify the doc right away if a child has a fever
infection is a risk,espicially after 1-2M
seizure might occur d/t infection(so prevent infection first!)
b) below 240
c) remove the cathter while applying intermittent suction
do not suction more than 3 times

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9
Q

a) after anaphylatic reaction, what to educate about epinephrine?
b) how to check infant’s visual acuity?
c) What statment from asthma parent is correct?

A

a) need inc dose as gain weight
ephinephroin is a weight based(IM)
b) move bright colored toy from side to side
c) I will encourage my chid to participate in sports
DO NOT give asprin(reys syndrome)

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10
Q

a) when infant should start soild food? afeter what reflex?
b) what s/s of celiac disease?
c) 6M cardiac catherterization possible heart defect.what findings need to report?

A

a) extrusion reflec has diminished
pushes solid food out of their mouth using their tongue
b) Steatorrhea
c) Cool toes on the right foot
this can be obstraction of an antery

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11
Q

a) what infant condintion is contraindication of breastfeeding?
b) 6M moderate dehydration s/s?
c) providing education of surgery for 8Y, how?

A

a) galactosemia
cannot metabolize lactose
b) dry moucous membranes
lethargy is severe dehydration
c) uses doll
educate 1 day before
no longer 20 mins

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12
Q

how old?
a) standing on 1 foot for several seconds?
b) walking backward while mobing heel to toe
c) using scissors to cut out shapes
d) printing letter with pencile
e) hop to one foot
f) able to name day of week

A

a) 3Y
b) 5Y
c) 4Y
d) 5Y
e) 4Y
f) 5Y

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13
Q

a) 4W, who is 2 weeks post-ope following surgical correction of biliary atresia. what findings indication the surgery was
success?
b) amoxicillin ADR?
c) s/s digoxin toxicity?

A

a) bilirubin level 0.3(normal 0.3-1.0)
Gain weight
Stoll turn yellow
a blockage in the tubes (ducts) that carry bile from the liver to the gallbladder.
b) oral candidias
wash mouth after breastfeeding with water
administer antifungal after brastfeeding
c) Vomiting

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14
Q

how old?
a) stacking 10 blocks
b) printing 1 letter
c) tying shoelaces
d) using 7 word sentence
e) put shose on
f) identify left and right
g) speaking 2-3 sentence

A

a) 3Y
b) 5Y
c) 5Y
d) 5Y
e) 3Y
f) 6Y
g) 4Y

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15
Q

a) what s/s? high picthed cry,irritability,vomiting?
b) when toddler has fever, which med?
c) s/s blood tranfusion reaction?

A

a) bacteria miningitis
seizure preautions, padding the side rails of the bed. doloplet precaution
Do not spine, slight elecated
b) acetaminophen rather than aspirin(reyr syndrome)
c) chills and flank pain

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16
Q

a) Inc intracranial pressure(ICP), what findings?
b) what food contains high fiber?
c) child who has strabismus.what way to prevent the develop pf amblyopia?

A

a) high-pitched cry
bulging fontanel
bradycardia
inc sleep
b) pinto beans
c) patch the inaffected eye

17
Q

a) ADHD med,methyilhendidate, what to teach?
b) diately teaching a toddler who has phenylketonuria.what food?
c) Chronic otitis media effect what?
d) a 8M infant born at 32weeks. what developmental ages should expect?

A

a) give an hour before breakfast
b) cooked carrots(low proteine)
c) speech patterns
d) 6M
because infant was born 8 weeks prematurely(40 weeks)

18
Q

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?

A. Depressed fontanels
B. Brisk pupillary reaction to light
C. Tachycardia
D. Increased sleeping

A

d

19
Q

a nurse is assessing an 11 month old infant. which of the following manifestations is associated with a CNS infection?

Oliguria
Bulging fontanel
Negative Brudzinski sign
Jaundice

A

Bulging fontanel

A CNS infection causes increased intracranial pressure. Therefore, a bulging fontanel is a manifestation of a CNS infection.

20
Q

A nurse is caring for an adolescent who has Spina bifida and is paralyzed from the waist down. which of the following statements by the client should indicate a need for further teaching?
A. “I only need to straight catheterize myself twice every day”
B. “I carry a water bottle with me because i drink a lot of water.”
C. “I use a suppository every night to have a bowel movement.”
D. “ I do wheelchair exercises while watching TV.”

A

A

21
Q

A nurse is caring for a child who is postoperative following ventriculoperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client?

Semi-Fowler’s
On the unoperated side
Prone
TrendelenburgOn the unoperated side
(The nurse should position the child flat on the on operated side to prevent a rapid reduction of intracranial fluid and to protect the child from injuring the operative site)

A

On the unoperated side
(The nurse should position the child flat on the on operated side to prevent a rapid reduction of intracranial fluid and to protect the child from injuring the operative site)

22
Q

A nurse is orienting a newly licensed nurse in the care of an infant who has myelomeningocele. Which of the following actions by the new nurse indicates the teaching has been effective?
A. Perform ROM on the infant’s hip
B. Maintains a dry dressing over the sac
C. Takes an axillary temperature
D. Places the infection in a side-lying position

A

c
Myelomeningocele is a severe form of spina bifida
spinal cord and nerves develop outside of the body

23
Q

Reye Syndrome
a) causes?
b) potistion to pt
c) med?

A

a) Viral illness
-influenza, gastroenertitis,varcella
b) avoid extreme fletion, extension, or rotation
c) mannitol

24
Q

a) High risk of being maltreated?
b) acute post-streptococcal glomerulonephritis, s/s?
c) bacteria conjunctivitis, teaching?

A

a) born prematurely
b) Hematuria
c) conjunctiva becomes inflamed
avoid left warm cover
avoid pressure after eye drop
clean outer to downward

25
Q

a) why this is correct?
I will continue to take my med when my peak flow rate is in the green zone
b) impetigo? teaching
c) toddler can have how much juice?

A

a) means the current treatment has been effective, so should continue
b) wash clothes with hot water
bacteria skin infection so it will reoccur
c) 4-6oz

26
Q

a) newborn heel puncture, what action to take?
b) age, standing one foot?
c) hopping one foot?
d) skipping?
e) throwing a ball

A

a) administer tolmetin prior
b) 3Y
c-e) 4Y

27
Q

a) opioid ADR?
b) hemophilia contraindicate med?
c) following a lumber puncture 意味

A

a) pruritus(itchiness)
b) aspirin
participate in physical exercises is important
c) lumber puncture に続いて

28
Q

a) HIV s/s
b) expecting from 24M
c) ileostomy, teaching?

A

a) chronic diarrhea
b) build a tower of 6 blocks
slightly bowed or curved leg appearance
c) check the bad for stool every 4 hr
replace appliance once a week

29
Q

Fracture s/s

A

Crepitus
edema
pain
ecchymosis
(bleeding underthe skin)
NOT FEVER

30
Q

HF s/s

A

Tachycardia
Cool extremities
Peripheral eddema
Dec urine output
Nasal flaring

31
Q

A plastic anemia. what action?
adolescent sick cell anemia s/s

A

protective-environment isolation with a positive air, no flower
because of WBC, RMC, and high risk of infections and bleeding
Apply pressure for 5min after puncture

Enlarge heart
Enuresis(Urinary incontinence)
leg ulcers
retinal detachment(an emergency situation on eye)

32
Q

School-age child education for cardiac surgery
How long?
When?
Use what term or word?
Use photographs?

A

10-15mins
not more than 1day prior
use medical term
use photographs to help

33
Q

a) LSA testing for HIV is older than what age?
b) tetralogy of Fallot, what lab is always abnormal?
c) appendix ruptured,what position to be?
d) Hep B should get from birth to when?

A

a) 18M
b) always high,RBC 4-5.5
c) Semi-fowler’s
d) till 2 weeks