Final Review Flashcards
What priority assessment does the nurse complete when evaluating a patient immediately post-op following lower extremity knee to hip cast placement.
neurovascular - pulses, color, temp,
A 14-year-old patient has been diagnosed with Ewing sarcoma. Which statement by the patient indicates an understanding of the treatment for his or her tumor?
A
“I will need to apply moisturizer prior to my radiation treatments.”
B
“I will need to wear loose clothes over the area where I receive radiation.”
C
“My hair will not fall out because I will not need chemotherapy.”
D
“My leg will be amputated and I will not be able to play soccer.”
B
“I will need to wear loose clothes over the area where I receive radiation.”
Which factor should the nurse include when teaching a parent about the care of a newborn in a Pavlik harness?
A
The harness may be removed with every diaper change.
B
The harness is used to maintain the infant’s hips in flexion and abduction and external rotation.
C
The harness is only the first step of treatment.
D
The harness is worn for 2 weeks.
B
The harness is used to maintain the infant’s hips in flexion and abduction and external rotation.
nursing interventions: skin check, you want it close to the body
A 10 month old is admitted after receiving a ventriculoperitoneal shunt. Which assessment would indicate malfunction in this shunt? The infant… A cries but quiets when held B is irritable and vomiting C has an increased abdominal girth D has a fontanel that is full and soft
B
is irritable and vomiting
this is a sign of increased ICP, or bulging fontanel
high pitched cry is neuro
Use this with hydrocephalus
A mother arrives at an emergency room with her 6 year-old child. The mother states
that the child fell from the monkey bars in the playground . A head injury is suspected,
and a nurse is assessing the child continously for signs of increased intracranial
pressure (ICP). What clinical finding would inicate a late sign of increased ICP in this
child?
A
Bulging fontanel.
B
Bradycardia.
C
Nausea.
D
Dilated scalp veins.
B
Bradycardia.
A 3 year child ,admitted to the pediatric floor for seizure control, has a generalized tonic–clonic seizure. The initial action the nurse should perform is:
A
Place child on his side and assess the child.
B
Take off the child’s clothes and administer oxygen.
C
Hold the child down and try to communicate with the patient.
D
Call the MD.
A
Place child on his side and assess the child.
A 10 year old has cellulitis of the calf. Which of the following interventions should the nurse educate the parents to implement?
A
Have the child use crutches when ambulating.
B
Locate and culture the item that punctured the child’s skin.
C
Apply warm compresses to the inflamed area.
D
Measure the depth of edema each day the child is on antibiotics.
C
Apply warm compresses to the inflamed area.
better answer
A child was diagnosed with impetigo. Which of the following information should be included when educating the parents about the condition?
A
Child should refrain form bathing until the lesions are completely healed.
B
Child must be on antibiotics for at least 72 hours before returning to school.
C
Wash the skin with clean gauze and antiseptic soap every day.
D
Wash sheets, pillowcases, and blankets daily in cold water.
C
Wash the skin with clean gauze and antiseptic soap every day.
24-48 hours
The nurse observes white patches adhering to the mucosa of an infant's mouth. The nurse should: A Obtain a swab culture of the patches. B Scrape off the patches with a tongue blade. C Document and move on. D Apply neomycin ointment with pink swab.
A
Obtain a swab culture of the patches.
we want to see what it is
To hasten drying of the lesions and relieving the itch in a child with chickenpox, the nurse suggests that the caregiver try:
A
Rubbing bacitracin ointment on the lesions.
B
Patting the lesions with calamine lotion.
C
Using wet to dry saline dressings to cover lesions.
D
Having the child wear mittens.
B
Patting the lesions with calamine lotion.
What are the priority nursing actions for the nurse when managing a child who sprained their ankle? Select all that apply Multiple answers: A Turn the child every 1 to 2 hours. B Assist with range-of-motion exercises every 2 hours. C Apply ice to the affected ankle. D Wrap the ankle with an Ace bandage. E Elevate affected extremity
C Apply ice to the affected ankle. D Wrap the ankle with an Ace bandage. E Elevate affected extremity
What statement made by a parent indicates an understanding about the management of a child with cellulitis?
A
“I am supposed to continue the antibiotic until the redness and swelling disappear.”
B
“I have been putting ice on my son’s arm to relieve the swelling.”
C
I should call the doctor if the redness disappears.”
D
I have been putting a warm soak on my son’s arm every 4 hours.”
D
I have been putting a warm soak on my son’s arm every 4 hours.”
A nurse is teaching a parent of a child who has a fracture of the epiphyseal plate. Which of the following is an appropriate statement by the nurse?
A
“The blood supply to the bone is disrupted.”
B
“Normal bone growth can be affected.”
C
“Bone marrow can be lost though the fracture.”
D
“The healing process will take longer.”
B
“Normal bone growth can be affected.”
A nurse in a family health clinic is performing a routine physical examination of a client who is about to enter high school. The nurse observes an abnormal lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders? A Ankylosis B Scoliosis C Lordosis D Kyphosis
B
Scoliosis
A baby is being monitored after closure of a myelomeningocele. Which patient care goals should the nurse include in her nursing plan? The baby will: A maintain supine positioning. B exhibit a normal startle reflex. C have normal elimination patterns. D consume feedings and gain weight.
C
have normal elimination patterns.
