peds exam 2 4 SAMMY RAK Flashcards
A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
Projectile vomiting after feedings
A nurse working at a clinic speaks on the telephone with the parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
“Bring your infant into the clinic today to be seen.”
A nurse is reinforcing teaching with the parent of a child scheduled for the initial surgery to treat Hirschsprung’s disease. The nurse knows that the parent understands the goal of the surgery when the parent states,
“I’m glad that the ostomy is only temporary.”
A nurse is talking to a parent who is concerned about her hospitalized 5-year-old child’s behavior and asks the nurse if it is “normal.” The nurse explains that regression is common in hospitalized children and may manifest by which of the following?
Bedwetting several times a day
A school-age child is brought to the emergency department with a 2-day history of nausea, vomiting, and report of severe right lower quadrant pain. The child’s WBC is 17,000/mm3 so appendicitis is suspected. Which of the following statements made by the child is most concerning to the nurse?
My belly doesn’t hurt anymore.”
A nurse is collecting data from an infant. Which of the following is clinical manifestation of a large patent ductus arteriosus?
Machinery-like murmur (question will ask u which has a machine like murmur and answer is PDA)
A nurse is caring for a pre-school age child who has a epiglottitis with a barking cough. Which of the following is an appropriate nursing action?
Apply oxygen. (answer will say monitor oxygen)
A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching?
Administer the medication with meals and snacks.
A nurse is reinforcing teaching to an assistive personnel to count respiration rate on a newborn. Which of the following statements indicate understanding of why the respiratory rate should be counted for a complete minute?
The rate and rhythm are irregular in newborns.”
A nurse is collecting data from an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect?
Projectile vomiting
A nurse is caring for a 6 month old who is posteroperative following a myringotomy. Which of the following is an appropriate method to determine the infant’s pain level?
FLACC pain scale
A nurse caring for a child who has tetralogy of Fallot and notes that the child is easily fatigued. The nurse understands that the etiology of the fatigue is which of the following?
Inadequate oxygenation for supporting energy metabolism
coarctation of aorta question
different blood pressures on top and bottom of body (just rem high bp on top of body, low bp on bottom)
A nurse is caring for a child with Kawasaki disease. Which of the following is the primary system involved with this diagnosis?
Cardiovascular
A nurse is caring for a 6 month old who is posteroperative following a myringotomy. Which of the following is an appropriate method to determine the infant’s pain level?
FLACC pain scale
A nurse is assisting with the discharge of a child with sickle cell anemia after an acute crisis episode. Which of the following should the nurse reinforce with the child’s parents?
Encourage the child to drink lots of fluids.
A nurse is preparing to administer acetaminophen (Tylenol) to a child for fever. The order states to administer 10 mg/kg/dose. The child weighs 28 pounds. The label on the bottle reads 120 mg/5 mL. How many milliliters should the nurse administer? (Round to the nearest tenth.)
5.3 mL (question has diff med but same numbers, ur gonna do it in ur head anyways but enjoy the answer regardless lmao)
hand washing question
put 4-5ml of soap
cleft lip restraint
elbow (*restrain someone elbow so they don’t bust ur lip)
what’s VSD
hole in ventricle that shunts blood
how to assess if parents ready to learn (not the exact question but answer is close enough)
assess parents anxiety and willing to learn
epiglottitis resolved
clear unlabored breathing
tetralogy of fallot child with tachypnea during feeding, etc SATA
morphine
digoxin
knee to chest
how to give ear drops and why do ou pull ears down
to open hole more and let all the meds go in
A nurse is caring for a child with a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will the nurse prepare the child for to confirm the diagnosis?
Sweat chloride test
A nurse is caring for an adolescent who is admitted with sickle cell crisis. Which of the following nursing actions should be performed?
Administer oxygen via nasal cannula.
A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, “She never wets the bed at home. I am so embarrassed.” Which of the following responses should the nurse make?
“It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better.”
