tutoring notes

Question 1

A nurse is assessing a 3 year old with aortic stenosis, which of the following should the nurse expect? SATA

Answer 1

Hypotension
Bradycardia
Clubbing of nails Weak pulse Murmur

Question 2

Hypotension because the squeeze makes output in body low, tachycardia to compensate

Answer 2

Clubbing of fingers is Tetralogy of Fallot

Question 3

A nurse is caring for an 8 year old child who had an acute rheumatic fever. Which of the following assessments is priority after admission?

Answer 3

Auscultating the rate and the child’s heart sounds
Using the pain rating tool to determine the severity of joint pain Identifying the degree of anxiety relating to the diagnosis Assessing the child’s rash

Question 4

A nurse is admitting a child who has leukemia in critical low platelets. Which of the following precautions should the nurse initiate?

Answer 4

neutropenic
Bleeding
Contact isolation Droplet isolation

Question 5

A nurse is assessing a child who has sickle cell crisis. Which of the following findings should the nurse expect?

Answer 5

High fever
Bradycardia
Pain Constipation

Question 6

A nurse is obtaining a health history for a child who has suspected acute rheumatic fever. Which of the following should the nurse ask?

Answer 6

“Has your son had a sore throat recently?”
“Was your son born with a cardiac defect?”
“Has your child had an injury recently?”
“Have you given your child aspirin in the last two weeks?”

Question 7

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Answer 7

Cardiovascular
Gastrointestinal
Integumentary Respiratory

Question 8

Cardiovascular issues because Kawasaki disease causes inflammation to the veins, arteries, and capillaries

Question 9

A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?

Answer 9

Client one day post-op and has a temperature of 99.5
A client who has a burn injury to be estimated over 5% of his leg and is crying A client’s blood pressure change from 112/60 to 90/54 when standing
A client who’s ankle fracture reports pain level from 3-5 after ambulation
Adolescents is like adult, systolic drop in 20 or diastolic more than 10 is orthostatic hypotension issue