NUR 2041HESI Pediatric review

HESI Pediatric Copied from HESI MATERNAL 4 years ago When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children? Cessation of growth in a child t ...

HESI Pediatric Copied from HESI MATERNAL 4 years ago When taking the health history of a child, the nurse know what which finding is an early indication of hypothyroidism in children? Cessation of growth in a child that had been normal The nurse received a lab report stating a child w/ asthma has theophylline level of 15 mcg/dl. What action will the nurse take? Hold the next dose of theophylline a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's level is w/in the therapeutic rage. Surgery is being delayed for an infant with undescended testes. In collaboration w/ the health care provider and the family, which prescription should the nurse anticipate? trial of human chorionic gonadotrophic hormone a.i A trial of HCG may aid in testicular descent, but does not replace surgical repair for true undescended testes. (cryptorchidism: may be found in the inguinal canal due to exaggerated cremasteric reflex Which menu selection by a child w/ celiac disease indicates to the nurse that the child understands necessary dietary considerations? a. Oven baked potato chips & cola a.i. Celiac disease causes an intolerance to the protein gluten found in oats, rye, wheat, and barley. The child should avoid any products containing these ingredients to avoid symptoms such as diarrhea. The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother states, "yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed. What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother? a. Walk away from him and ignore the behavior a.i. The best approach for a toddler is to ignore the attention-seeking behavior. The parents should be somewhat nearby, w/in view of the child but should avoid reinforcing the behavior in any way. Tantrums can sometimes be avoided by talking to the child before the situation occurs Which restraint should be used for a toddler after a cleft palate repair? a. Elbow a.i. Elbow restraints prevent children from bending their arms and bringing their hands to the oral surgical site, (A) restrains the hands but the child can bend and bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body torso and is not appropriate The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling's hospitalizations. Which is the best response that the nurse should offer? a. Encourage the mother to have the children visit the hospitalized sibling. a.i. Needs of a sibling will be better met with factual information and contact w/ the ill child, so siblings visitation should be encouraged (D). Parents are experts on their children and should determine when their children are old enough to visit. (A) in the hospital/ Separation fr. a family & home (B) may intensify fear & anxiety (suggest that the child visit a grandmother until the sibling returns home. Children may have difficulty expressing questions (C) ask the mother if the child asks when the sibling will be discharged, so the support of parents & other caregivers are needed to help alleviate their fears. The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? a. I understand that I will be in a body cast and I will show you how you taught me to turn a.i. Outcome of learning is best demonstrated when the client not only verbalizes an understand, but can also provide a return demonstration During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which action should the nurse implement? a. Stop the infusion immediately and notify the healthcare provider a.i. The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped immediately and the healthcare provider notified ©. After the transfusion is discontinued, IV access should be maintained. (A) w/ fluids that do not introduce any more cellular products. (B & D) place the child @ risk for further blood reactions The clinic nurse is taking the hx for a new 6-month-old client. The mother reports that she took a great deal of aspirin while pregnant. Which assessment should the nurse obtain? a. Type of reaction to loud noises a.i. Ototoxicity diminishes hear acuity and causes symptoms of tinnitus and vertigo in older children who can express subjective symptoms, so assessing the infant's reaction to loud noises (A) helps to determine an infant's risk for hearing deficit r/t to a hx of the mother taking ototoxic drug, such as aspirin, while pregnant (B,C,D are not assoc w/ the exposure to aspirin in utero The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question? a. Do not give if the child has chickenpox, the flu, or any other viral illness a.i. Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B). (a) is a common effect of pepto bismol and does not warrant discontinuation. Pepto Bismol can be used by children (C). Pepto Bismol does not cause rebound hyperacidity (D) complication of antacids containing calcium A 3 month old infant develops oral thrush. Which pharmacologic agent should the nurse plan to administer for treatment of this disorder? a. Nystatin (Mycostatin) a.i. Nystatin (mycostatin) (A) is an antifungal drug that is effective in treating thrush, an oral fungal infection The nurse is developing a plan of care for a 3 yr old who is scheduled for a cardiac catheterization. To assist in decreasing anxiety for the child on the day of the procedure, which intervention is best for the nurse to implement? a. C-give the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who works there a.i. Familiarizing the child and mother w/ the department will help decrease anxiety of the child and mother (who may have more anxiety than the child). Three is a difficult age to undergo a procedure that requires cooperation. Restraints and possible sedation may be required A 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's vitamin pills. Which intervention should the nurse implement first? a. B-determine the child's pulse and respirations a.i. The most important principle in dealing w/ a poisoning is to treat the child first, not the poison. Initiate immediate life support measures w/ assessment of VS (B), in particular, respirations. Inserting an airway or initiating mechanical ventilation may be necessary. Assessment and identification of the poison should occur prior to A. (C & D after assessing the airway.) A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated w/ the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information? a. A- children need to retain a sense of initiative w/o impinging on the rights and privileges others