peds final comprehensive + 34-36,40-44,46-48 Flashcards
(159 cards)
1
Q
Which statement accurately describes physical development during the school-age years?
A
A child grows an average of 2 inches per year
2
Q
Generally the earliest age at which puberty begins is:
A
10 years in girls, 12 years in boys.
3
Q
What describes the cognitive abilities of school-age children?
A
Have the ability to classify, group and sort, and hold a concept in their minds while making
decisions based on that concept
4
Q
What describes moral development in younger school-age children?
A
They know the rules and behaviors expected of them but do not understand the reasons behind
them.
5
Q
Which statement characterizes moral development in older school-age children?
A
They are able to judge an act by the intentions that prompted it rather than just by the
consequences.
6
Q
What is descriptive of the play of school-age children?
A
Knowing the rules of a game gives an important sense of belonging
7
Q
The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting fat. Ryans body
mass index for age is at the 60th percentile. The most appropriate nursing action is to:
A
Explain that this is typical of the growth pattern of boys at this age.
8
Q
The ability to mentally understand that 1 + 3 = 4 and 4-3 = 1 occurs in which stage of cognitive development?
A
Concrete operations stage
9
Q
Identify the statement that is the most accurate about moral development in the 9-year-old school-age child
A
The school-age child conforms to rules to please others.
10
Q
A nurse is assessing an older school-age child recently admitted to the hospital. Which assessment
indicates that the child is in an appropriate stage of cognitive development?
A
The childs ability to classify
11
Q
A school nurse is teaching dental health practices to a group of sixth-grade children. How often should the
nurse recommend the children brush their teeth?
A
After meals and snacks, and at bedtime
12
Q
- Which demonstrates the school-age childs developing logic in the stage of concrete operations (select all
that apply)?
a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.
b. The school-age child understands the principles of adding, subtracting, and reversibility.
c. The school-age child understands the principles of adding, subtracting, and reversibility.
d. The school-age child has thinking that is characterized by egocentrism and animism.
A
A,B,C
13
Q
In girls, the initial indication of puberty is:
A
breast developement
14
Q
Steve, 14 years old, mentions that he now has to use deodorant but never had to before. The nurses response should be based on knowledge that:
A
Apocrine sweat glands reach secretory capacity during puberty
15
Q
According to Erikson, the psychosocial task of adolescence is developing:
A
Identity
16
Q
According to Piaget, the adolescent is in the fourth stage of cognitive development, or period of:
A
Formal operations.
17
Q
Which aspect of cognition develops during adolescence?
A
Capability to use a future time perspective
18
Q
The most common cause of death in the adolescent age-group involves:
A
Motor vehicles
19
Q
Which statement is true about smoking in adolescence?
A
Smoking is related to other high-risk behaviors
20
Q
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurses discussion
of this should be based on knowing that:
A
This is usually benign and temporary.
21
Q
Which statement is correct about childhood obesity?
A
Heredity is an important factor in the development of obesity.
22
Q
Which statement is most descriptive of bulimia during adolescence?
A
Weight that can be normal, slightly above normal, or below normal
23
Q
The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed
to be the drug involved. Data collection should include the:
A
Mode of administration
24
Q
Which behavior suggests appropriate psychosocial development in the adolescent?
A
The adolescent is self-absorbed and self-centered and has sudden mood swings
25
A 17-year-old tells the nurse that he is not having sex because it would make his parents very angry. This
response indicates that the adolescent has a developmental lag in which area?
Moral development
26
A nurse is teaching adolescent boys about pubertal changes. The first sign of pubertal change seen with
boys is:
Testicular enlargement
27
A nurse is reviewing hormone changes that occur during adolescence. The hormone that is responsible for the growth of beard, mustache, and body hair in the male is:
Androgen.
28
The school nurse is discussing testicular self-examination with adolescent boys. Why is this important?
Testicular tumors during adolescence are generally malignant
29
Young people with anorexia nervosa are often described as being:
conforming
30
A teen asks a nurse, What is physical dependence in substance abuse? Which is the correct response by the
nurse?
Involuntary physiologic response to drug
31
```
A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide
should the nurse include in the teaching session?
```
Gay and lesbian adolescents are at a particularly high risk for suicide
32
Which is the most commonly used method in completed suicides?
fire arms
33
Research has shown that the most successful smoking cessation programs among teens include (select all
that apply):
a. Peer-led education and support.
b. Information on the long-term effects of smoking.
c. Programs including the media.
d. School-based programs.
e. Information on the immediate effects of smoking.
A,C,D,E
34
Injuries claim many lives during adolescence. Which factors contribute to early adolescents engaging in
risk-taking behaviors (select all that apply)?
a. Peer pressure
b. A desire to master their environment
c. Engagement in the process of separation from their parents
d. A belief that they are invulnerable
e. Impulsivity
A,D,E
35
Families progress through various stages of reactions when a child is diagnosed with a chronic illness or
disability. After the shock phase, a period of adjustment usually follows. This is often characterized by:
guilty and anger
36
The nurse comes into the room of a child who was just diagnosed with a chronic disability. The childs
parents begin to yell at the nurse about a variety of concerns. The nurses best response is:
Being angry is only natural.
37
It is generally recommended that a child with acute streptococcal pharyngitis can return to school:
after using antibiotic for 24 hours
38
A child is diagnosed with influenza, probably type A disease. Management includes:
Amantadine hydrochloride to reduce symptoms
39
Asthma in infants is usually triggered by:
a viral infection
40
A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase). This drug
May cause voice alterations
41
A nurse is charting that a hospitalized child has labored breathing. Which describes labored breathing?
dyspnea
42
Which consideration is the most important in managing tuberculosis (TB) in children?
Pharmacotherapy
43
An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes
which of the following? (Select all that apply).
a. Cluster care to conserve energy
b. Round-the-clock administration of antitussive agents
c. Strict intake and output to avoid congestive heart failure
d. Administration of antibiotics
e. Placement in a mist tent
A,D
44
The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which
interventions should be included in the childs care (Select all that apply)?
a. Administer antibiotics.
b. Administer cough syrup.
c. Encourage infant to drink 8 ounces of formula every 4 hours.
d. Institute cluster care to encourage adequate rest.
e. Place on noninvasive oxygen monitoring
C,D,E
45
Which information should the nurse teach families about reducing exposure to pollens and dust (Select all
that apply)?
a. Replace wall-to-wall carpeting with wood and tile floors.
b. Use an air conditioner.
c. Put dust-proof covers on pillows and mattresses.
d. Keep humidity in the house above 60%.
e. Keep pets outside
A,B,C
46
Which type of dehydration results from water loss in excess of electrolyte loss?
Hypertonic dehydration
47
A parasite that causes acute diarrhea is:
Giardia lamblia.
48
A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea
and vomiting. Therapeutic management of this child will begin with:
intravenous fluids
49
What is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal
(GI) tract from mouth to anus?
crohn's disease
50
What is used to treat moderate-to-severe inflammatory bowel disease?
Corticosteroids
51
Which statement best characterizes hepatitis A?
Onset is usually rapid and acute
52
Caring for the newborn with a cleft lip and palate before surgical repair includes:
Providing satisfaction of sucking needs.
53
The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should include
Elevating the head but giving nothing by mouth.
54
The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would
indicate pyloric stenosis?
Visible peristalsis and weight loss
55
An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and
gastrostomy feedings. Nursing care should include:
Teaching the family signs of central venous catheter infection
56
What should the nurse stress in a teaching plan for the mother of an 11-year-old boy with ulcerative colitis?
Coping with stress and avoiding triggers
57
Which statements regarding hepatitis B are correct (Select all that apply)?
a. Hepatitis B cannot exist in a carrier state.
b. Hepatitis B can be prevented by hepatitis B virus vaccine.
c. Hepatitis B can be transferred to an infant of a breastfeeding mother.
d. The onset of hepatitis B is insidious.
e. Immunity to hepatitis B occurs after one attack.
B,C,D,E
58
The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed
orders should the nurse anticipate implementing (Select all that apply)?
a. Nothing by mouth for 24 hours
b. Administration of analgesics for pain
c. Ice bag to the incisional area
d. Intravenous (IV) fluids continued until tolerating fluids by mouth
e. Clear liquids as the first feeding
B,D,E
59
Which defect results in increased pulmonary blood flow?
Atrial septal defect
60
Which structural defects constitute tetralogy of Fallot?
Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
61
What is best described as the inability of the heart to pump an adequate amount of blood to the systemic
circulation at normal filling pressures?
Congestive heart failure
62
A beneficial effect of administering digoxin (Lanoxin) is that it:
Decreases edema
63
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes
that a risk of cerebrovascular accidents (strokes) exists. An important objective to decrease this risk is to:
Prevent dehydration
64
Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other
children because of possible overexertion. The nurses reply should be based on knowing that:
The child needs opportunities to play with peers.
65
An important nursing consideration when suctioning a young child who has had heart surgery is to:
Administer supplemental oxygen before and after suctioning
66
The most common causative agent of bacterial endocarditis is:
Streptococcus viridans
67
Which painful, tender, pea-sized nodules may appear on the pads of the fingers or toes in bacterial
endocarditis?
Oslers nodes
68
The primary nursing intervention necessary to prevent bacterial endocarditis is to:
Counsel parents of high risk children about prophylactic antibiotics
69
A common, serious complication of rheumatic fever is:
cardiac valve damage
70
A major clinical manifestation of rheumatic fever is:
polyarthritis
71
When caring for the child with Kawasaki disease, the nurse should understand that:
Therapeutic management includes administration of gamma globulin and aspirin
72
Which clinical changes occur as a result of septic shock?
Increased cardiac output
73
In which situation is there the greatest risk that a newborn infant will have a congenital heart defect
(CHD)?
Trisomy 21 detected on amniocentesis
74
The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This
finding is associated with which congenital heart defect?
Patent ductus arteriosus
75
What is the nurses first action when planning to teach the parents of an infant with a congenital heart defect
(CHD)?
Assess the parents anxiety level and readiness to learn
76
An adolescent being seen by the nurse practitioner for a sports physical is identified as having
hypertension. On further testing, it is discovered the child has a cardiac abnormality. The initial treatment of
secondary hypertension initially involves:
Treating the underlying disease.
77
The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the
adolescent would indicate a need for further teaching?
I have to stay on strict bed rest for 3 days.
78
Surgical closure of the ductus arteriosus would:
Prevent the return of oxygenated blood to the lungs
79
A nurse is teaching nursing students the physiology of congenital heart defects. Which defect results in
decreased pulmonary blood flow?
Tetralogy of Fallot
80
The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement
about feeding the child is correct?
You may need to increase the caloric density of your infants formula.
81
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse
expect to implement?
Administering penicillin
82
Which action by the school nurse is important in the prevention of rheumatic fever?
Refer children with sore throats for throat cultures
83
A preschool child is scheduled for an echocardiogram. Parents ask the nurse whether they can hold the
child during the procedure. The nurse should answer with which response?
Your child must lie quietly; sometimes a mild sedative is administered before the procedure.
84
Nursing interventions for the child after a cardiac catheterization include which of the following (Select all
that apply)?
a. Allow ambulation as tolerated.
b. Monitor vital signs every 2 hours.
c. Assess the affected extremity for temperature and color.
d. Check pulses above the catheterization site for equality and symmetry.
e. Remove pressure dressing after 4 hours.
f. Maintain a patent peripheral intravenous catheter until discharge.
C,F
85
Which clinical manifestations would the nurse expect to see as shock progresses in a child and becomes
decompensated shock (Select all that apply)?
a. Thirst and diminished urinary output
b. Irritability and apprehension
c. Cool extremities and decreased skin turgor
d. Confusion and somnolence
e. Normal blood pressure and narrowing pulse pressure
f. Tachypnea and poor capillary refill time
C,D,F
86
A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse make
to the child and the childs parents (Select all that apply)?
a. Replace whole milk with 2% or 1% milk
b. Increase servings of red meat
c. Increase servings of fish
d. Avoid excessive intake of fruit juices
e. Limit servings of whole grain
A,C,D
87
```
The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an
infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include (Select all that
apply)?
a. Warm flushed extremities
b. Weight loss
c. Decreased urinary output
d. Sweating (inappropriate)
e. Fatigue
```
C,D,E
88
When teaching the mother of a 9-month-old infant about administering liquid iron preparations, the nurse
should include that:
Adequate dosage will turn the stools a tarry green color.
89
The nurse is recommending how to prevent iron deficiency anemia in a healthy, term, breastfed infant. What should she or he suggest?
Iron-fortified infant cereal can be introduced at approximately 6 months of age.
90
A condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin
is:
sickle cell anemia
91
Which statement best describes b-thalassemia major (Cooleys anemia)?
Increased incidence occurs in families of Mediterranean extraction
92
As related to inherited disorders, which statement is descriptive of most cases of hemophilia?
X-linked recessive inherited disorder in which a blood-clotting factor is deficient
93
An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial
pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most
suggestive of:
Circulatory overload
94
The parents of a child with cancer tell the nurse that a bone marrow transplant (BMT) may be necessary.
What should the nurse recognize as important when discussing this with the family?
Finding a suitable donor involves matching antigens from the human leukocyte antigen (HLA)
system.
95
An adolescent will receive a bone marrow transplant (BMT). The nurse should explain that the bone
marrow will be administered by which route?
Intravenous infusion
96
Which term is used to describe a childs level of consciousness when the child can be aroused with
stimulation?
Obtundation
97
Which term is used when a patient remains in a deep sleep, responsive only to vigorous and repeated
stimulation?
stupor
98
The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. The nurse should interpret this as:
Neurosurgical emergency
99
Which test is never performed on a child who is awake?
Oculovestibular response
100
The nurse is preparing a school-age child for a computed tomography (CT) scan to assess cerebral function. When preparing the child for the scan, which statement should the nurse include?
the scan will not hurt
101
Which neurologic diagnostic test gives a visualized horizontal and vertical cross section of the brain at any
axis?
CT
102
Which drug would be used to treat a child who has increased intracranial pressure (ICP) resulting from
cerebral edema?
mannitol
103
Which statement is most descriptive of a concussion?
It is a transient, reversible neuronal dysfunction
104
Which type of fracture describes traumatic separation of cranial sutures?
diastatic
105
Which statement best describes a subdural hematoma?
Bleeding occurs between the dura and the cerebrum.
106
The nurse should recommend medical attention if a child with a slight head injury experiences
Confusion or abnormal behavior
107
A toddler fell out of a second-story window. She had brief loss of consciousness and vomited four times.
Since admission, she has been alert and oriented. Her mother asks why a computed tomography (CT) scan is
required when she seems fine. The nurse should explain that the toddler:
may have a brain injury
108
A school-age child has sustained a head injury and multiple fractures after being thrown from a horse. The
childs level of consciousness is variable. The parents tell the nurse that they think their child is in pain because of periodic crying and restlessness. The most appropriate nursing action is to:
Discuss with practitioner what analgesia can be safely administered
109
A 5-year-old girl sustained a concussion when she fell out of a tree. In preparation for discharge, the nurse
is discussing home care with her mother. Which statement made by the mother indicates a correct
understanding of the teaching?
I should expect my child to have some behavioral changes after the accident.
110
A 3-year-old child is hospitalized after a near-drowning accident. The childs mother complains to the
nurse, This seems unnecessary when he is perfectly fine. The nurses best reply is:
The reason for this is that complications could still occur.
111
Which statement best describes a neuroblastoma?
Diagnosis is usually made after metastasis occurs.
112
The mother of a 1-month-old infant tells the nurse that she worries that her baby will get meningitis like
her oldest son did when he was an infant. The nurse should base her response on knowing that:
Vaccination to prevent Haemophilus influenzae type b meningitis has decreased the frequency of
this disease in children.
113
What action may be beneficial in reducing the risk of Reyes syndrome?
Avoidance of aspirin and ibuprofen for children with varicella or those suspected of having
influenza
114
When taking the history of a child hospitalized with Reyes syndrome, the nurse should not be surprised that
a week ago the child had recovered from:
varicella
115
When caring for the child with Reyes syndrome, the priority nursing intervention is to:
Monitor intake and output
116
Which type of seizure involves both hemispheres of the brain?
generlized
117
The initial clinical manifestation of generalized seizures is:
Losing consciousness
118
Which information should the nurse give to a child who is to have magnetic resonance imaging (MRI) of
the brain?
your head will be restrained for the procedure
119
A 10-year-old boy has been hit by a car while riding his bicycle in front of the school. The school nurse
immediately assesses airway, breathing, and circulation. The next nursing action should be to:
Stabilize neck and spine
120
A child has been seizure-free for 2 years. A father asks the nurse how much longer the child will need to
take the antiseizure medications. The nurse includes which intervention in the response?
A stepwise approach will be used to reduce the dosage gradually
121
The treatment of brain tumors in children consists of which therapies (Select all that apply)?
a. Surgery
b. Bone marrow transplantation
c. Chemotherapy
d. Stem cell transplantation
e. Radiation
f. Myelography
A,C,E
122
Clinical manifestations of increased intracranial pressure (ICP) in infants are (Select all that apply):
a. Low-pitched cry.
b. Sunken fontanel.
c. Diplopia and blurred vision.
d. Irritability.
e. Distended scalp veins.
f. Increased blood pressure.
C,D,E
123
An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Which
interventions should be included in the childs postoperative care (Select all that apply)?
a. Observe closely for signs of infection.
b. Pump the shunt reservoir to maintain patency.
c. Administer sedation to decrease irritability.
d. Maintain Trendelenburg position to decrease pressure on the shunt.
e. Maintain an accurate record of intake and output.
f. Monitor for abdominal distention.
A,E,F
124
A nurse should expect which cerebrospinal fluid (CSF) laboratory results on a child diagnosed with
bacterial meningitis (Select all that apply)?
a. Elevated white blood cell (WBC) count
b. Decreased protein
c. Decreased glucose
d. Cloudy in color
e. Increase in red blood cells (RBCs)
A,C,D
125
The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed (Select all that apply)?
a. Headache
b. Photophobia
c. Bulging anterior fontanel
d. Weak cry
e. Poor muscle tone
C,D,E
126
The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). Which are late signs of
increased ICP in an infant (Select all that apply)?
a. Tachycardia
b. Alteration in pupil size and reactivity
c. Increased motor response
d. Extension or flexion posturing
e. Cheyne-Stokes respiration
B,D,E
127
Which statement best describes hypopituitarism?
Skeletal proportions are normal for age.
128
What is the priority nursing goal for a 14-year-old with Graves disease?
Verbalizing the importance of adherence to the medication regimen
129
At what age is sexual development in boys and girls considered to be precocious?
Boys, 9 years; girls, 8 years
130
A child will start treatment for precocious puberty. This involves injections of synthetic:
Luteinizing hormonereleasing hormone
131
Diabetes insipidus is a disorder of the:
Posterior pituitary.
132
Exophthalmos (protruding eyeballs) may occur in children with:
hyperthyroidism
133
The nurse is teaching the parents of a child who is receiving propylthiouracil for the treatment of
hyperthyroidism (Graves disease). Which statement made by the parent indicates a correct understanding of the teaching?
If my child develops a sore throat and fever, I should contact the physician immediately
134
Chronic adrenocortical insufficiency is also referred to as:
Addisons disease
135
What is characteristic of the immune-mediated type 1 diabetes mellitus?
Age at onset is usually younger than 18 years.
136
What is the most appropriate intervention for the parents of a 6-year-old girl with precocious puberty?
Explain the importance of having the child foster relationships with same-age peers
137
What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result
of a minor illness?
Substitute simple carbohydrates or calorie-containing liquids for solid foods
138
A child with hypopituitarism is being started on growth hormone (GH) therapy. Nursing considerations
should be based on which of the following?
Replacement therapy requires daily subcutaneous injections
139
An adolescent is being seen in the clinic for evaluation of acromegaly. The nurse understands that which
occurs with acromegaly?
There is excess GH after closure of the epiphyseal plates.
140
The nurse is implementing care for a school-age child admitted to the pediatric intensive care in diabetic
ketoacidosis (DKA). Which prescribed intervention should the nurse implement first?
Begin 0.9% saline solution intravenously as prescribed.
141
A nurse is reviewing the laboratory results on a school-age child with hypoparathyroidism. Which results
are consistent with this condition
Decreased serum calcium
142
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Nursing care of a child diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) should
include (Select all that apply):
a. Weigh daily.
b. Encourage fluids.
c. Turn frequently.
d. Maintain nothing by mouth.
e. Restrict fluids.
```
A,E
143
Which children admitted to the pediatric unit would the nurse monitor closely for development of
syndrome of inappropriate antidiuretic hormone (SIADH) (Select all that apply)?
a. A newly diagnosed preschooler with type 1 diabetes
b. A school-age child returning from surgery for removal of a brain tumor
c. An infant with suspected meningitis
d. An adolescent with blunt abdominal trauma following a car accident
e. A school-age child with head trauma
B,C,E
144
A child is diagnosed with hypothyroidism. The nurse should expect to assess which symptoms associated
with hypothyroidism (Select all that apply)?
a. Weight loss
b. Fatigue
c. Diarrhea
d. Dry, thick skin
e. Cold intolerance
B,D,E
145
```
The nurse should expect to assess which clinical manifestations in an adolescent with Cushings syndrome
(Select all that apply)?
a. Hyperglycemia
b. Hyperkalemia
c. Hypotension
d. Cushingoid features
e. Susceptibility to infections
```
A,D,E
146
A nurse is planning care for a school-age child with type 1 diabetes. Which insulin preparations are rapid
and short acting (Select all that apply)?
a. Novolin N
b. Lantus
c. NovoLog
d. Novolin R
C,D
147
41. The nurse is caring for a school-age child with hyperthyroidism (Graves disease). Which clinical
manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply)?
a. Constipation
b. Hypotension
c. Hyperthermia
d. Tachycardia
e. Vomiting
C,D,E
148
Which type of traction uses skin traction on the lower leg and a padded sling under the knee?
Russell
149
Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic
spine?
Kyphosis
150
The primary method of treating osteomyelitis is:
Intravenous antibiotic therapy.
151
What is most descriptive of the therapeutic management of osteosarcoma?
Treatment usually consists of surgery and chemotherapy.
152
Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)?
NSAIDS
153
An important nursing consideration when caring for a child with juvenile idiopathic arthritis (JIA) is to:
Teach child and family the correct administration of medications
154
Which interaction is part of the discharge plan for a school-age child with osteomyelitis who is receiving
home antibiotic therapy?
Arrangements for tutoring and schoolwork
155
Discharge planning for the child with juvenile arthritis includes the need for:
Routine ophthalmologic examinations to assess for visual problems.
156
The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation
procedure. Which consideration should the nurse include?
Nasogastric intubation and urinary catheter may be required
157
A clinic nurse is conducting a staff in-service for other clinic staff regarding the signs and symptoms of a
rhabdomyosarcoma tumor. Which should be included in the teaching session (Select all that apply)?
a. Bone fractures
b. Abdominal mass
c. Sore throat and ear pain
d. Headache
e. Ecchymosis of conjunctiva
B,C,E
158
A school-age child is diagnosed with systemic lupus erythematosus (SLE). The nurse should plan to
implement which interventions for this child (Select all that apply)?
a. Instructions to avoid exposure to sunlight
b. Teaching about body changes associated with SLE
c. Preparation for home schooling
d. Restricted activity
A,B
159
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which
assessment findings indicate possible compartment syndrome (Select all that apply)?
a. Palpable distal pulse
b. Capillary refill to extremity of <3 seconds
c. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity
C,D,E
