ummm yeah Flashcards
The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse’s response should be based on knowledge that this is:
Acceptable to encourage head control and turning over (These parents are implementing the guidelines to reduce the risk of SIDS)
It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent:
acute rheumatic fever.
Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39 C (102.2 F), is crying inconsolably, and is tugging at the ears. A diagnosis of otitis media (OM) is made. In addition to antibiotic therapy, the nurse practitioner would instruct the parents to use:
benzocaine ear drops for topical pain relief; Aspirin is contraindicated in young children because of the association with Reye syndrome.
A 4-year-old girl is brought to the emergency department. She has a “froglike” croaking sound on inspiration, is agitated, and is drooling. She insists on sitting upright. The nurse should do which of the following?
Notify the physician immediately and be prepared to assist with a tracheostomy or intubation. (This child is exhibiting signs of respiratory distress and possible epiglottitis)
The nurse is assessing a child with croup in the emergency department. The child has a sore throat and is drooling. Examining the child’s throat using a tongue depressor might precipitate which of the following?
Complete obstruction; If a child has acute epiglottitis, examination of the throat may cause complete obstruction and should be performed only when immediate intubation can take place. Sore throat and pain on swallowing are early
The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His temperature is 37° C (98.6° F). The nurse suspects mild croup and should recommend which of the following?
Provide fluids that the child likes and use comfort measures- In mild croup, therapeutic interventions include adequate hydration (as long as the child can easily drink) and comfort measures to minimize distress.
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside as much as possible. The nurse’s rationale for this action is primarily which of the following?
The mother’s presence will reduce anxiety and ease child’s respiratory efforts.
An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires the following isolation:
Contact Precautions.
The mother of a 7-month-old infant newly diagnosed with cystic fibrosis is rooming in with her infant. She is breast-feeding and provides all the care except for the medication administration. The nurse includes in the care plan:
ensuring that the mother has time away from the infant; The mother needs sufficient rest and nutrition so she can be effective as a caregiver.
A 13-year-old child with cystic fibrosis (CF) is a frequent patient on the pediatric unit. This admission, she is sleeping during the daytime and unable to sleep at night. A beneficial strategy for this child would be to:
Negotiate a daily schedule that incorporates hospital routine, therapy, and free time.
The leading cause of chronic illness in children is:
Asthma
Cystic fibrosis (CF) may affect single or multiple systems of the body. The primary factor responsible for possible multiple clinical manifestations is which of the following?
Mechanical obstruction caused by increased viscosity of mucous gland secretions; The mucous glands produce a thick mucoprotein that accumulates and results in dilation. Small passages in organs such as the pancreas and bronchioles become obstructed as secretions form concretions in the glands and ducts.
What is the earliest recognizable clinical manifestation(s) of cystic fibrosis (CF)?
Meconium ileus
Which of the following tests aids in the diagnosis of cystic fibrosis (CF)?
Sweat test, stool for fat, chest x-ray films
When caring for a newborn with Down Syndrome, the nurse should be aware that the most common congenital anomaly associated with Down Syndrome is what?
Congenital Heart Disease.
What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
Give small amounts of favorite fluids frequently to prevent dehydration.
A child is diagnosed with influenza, probably type A disease. Management includes what?
Amantadine hydrochloride to reduce symptoms.
What type of croup is always considered a medical emergency?
Epiglottis.
School-age child has an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of what?
Bronchitis
A child has chronic non-productive cough and diffuse wheezing during the expiratory phase of respiration. This suggests what?
asthma
It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because what may develop?
slowed growth
What drugs is usually given first in the emergency treatment of an acute, severe asthma episode in a young child?
Short acting Beta2 agonists.
Pancreatic enzymes are administered to the child with CF. Nursing considerations should include what?
Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.
In providing nourishment for a child with CF, which of the following factors should the nurse keep in mind?
Children with CF require a well-balanced, high-protein, high-calorie diet because of impaired intestinal absorption.
The nurse is teaching a mother how to perform chest physical therapy and postural drainage on her 3-year-old child, who has cystic fibrosis. To perform percussion, the nurse should instruct her to:
Cover the skin with a shirt or gown before percussing
An immediate intervention when an infant chokes on a piece of food would be to do which of the following?
Position infant in a head-down, prone position, and administer five quick blows between the shoulder blades; This is the correct position and procedure for an infant who had choked on a piece of food or another object
A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because it:
Soothes inflamed mucous membranes; Warm or cold mist is useful to soothe the inflamed mucous membranes. Humidification is most useful when hoarseness or laryngeal involvement occurs.
What is an appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?
Give small amounts of favorite fluids frequently to prevent dehydration.
When planning care for a 4-month-old child admitted with respiratory distress caused by respiratory syncytial virus (RSV) and bronchiolitis, it is essential to include which of the following?
Ensure hydration status. When respiratory distress is present, hydration is an essential consideration
An appropriate nursing intervention when caring for a child with pneumonia is which of the following?
Cluster care to conserve energy.
Nursing interventions for the child after a cardiac catheterization would include which of the following?
Assess the affected extremity for temperature and color. The involved extremity is carefully assessed for signs of complications.
Nursing care of the infant and child with congestive heart failure would include which of the following?
Organize activities to allow for uninterrupted sleep. The child needs to be well rested before feeding. The child’s needs should be met as quickly as possible to minimize crying.
Which of the following heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation?
Tetralogy of Fallot is a cardiac defect that has a mixed blood circulation.
Coarctation of the aorta
An obstructive defect. There is no mixing of oxygenated and unoxygenated blood.
