29 Questions
What should the nurse do to assess for potential allergies before giving contrast via catheter to view urinary structures?
Assess for allergy to iodine or shellfish
Why should the nurse take an axillary temperature rather than a rectal temperature for a child with acute lymphocytic leukemia (ALL)?
To reduce the risk of bleeding
What are the signs and symptoms of pertussis (Whooping cough)?
Rapid coughing with characteristic 'whoop' sound and coughing bouts
During immobilization in skeletal traction, what should the nurse encourage parents to ensure?
Maintain counter traction by tilting the bed
Which of the following is a major trigger for atopic dermatitis in infants according to parent education for a 6-month-old with atopic dermatitis?
Food allergies like milk, eggs, and peanuts
What is the most common bacterial cause of epiglottitis after the introduction of the H.influenzae type B vaccine?
Pneumococci
Why should children with epiglottitis not be assessed for a gag reflex using a tongue blade?
To prevent occlusion of the airway by the elevated epiglottis
Which virus can also cause epiglottitis according to the text?
Echovirus
What precaution should be taken when collecting a stool specimen for ova and parasites?
Ensure stool does not come into contact with water or urine
What is the recommended action regarding child hygiene and infection control measures?
Avoid contact with ill persons and stay home when sick
What is a key action in the management of a child with burn injury undergoing daily debridement?
Monitor for signs of infection
When caring for a child with myringotomy tubes, what is the recommended bathing method?
Encouraging baths instead of showers to prevent water from entering the ears
What is an important aspect to consider during a home visit with a history of physical neglect?
Recognize indications of neglect observed in parental behavior or interaction
What are the signs and symptoms of hypoglycemia in a newborn?
Blueish skin, jitteriness, apnea
In which position should an infant's car seat be placed for maximum safety?
Preferably in the back seat, rear-facing
How should a patient with cystic fibrosis take pancrelipase?
With meals and snacks, by mouth
What is the recommended action if a child presents with a heart murmur?
Notify the pediatrician immediately for further evaluation
During which phase of recovery do parents and children typically react to the initial diagnosis with grief?
Second recovery phase
What might parents and children begin to move through during the second recovery phase, when no sudden miracle cure is in sight?
Stages of anger, bargaining, depression, and then acceptance
What is one of the tissues that can be tested for drug use in pregnant women and their neonates?
Umbilical cord tissues
Which method is NOT mentioned as a testing method for drug use in pregnant women and their neonates?
Electrocardiogram
What type of support might parents and children need during the second recovery phase?
Counseling
What feelings do parents and children need to work through with assistance and support during the recovery process?
Feelings of anger, bargaining, depression, and acceptance
What is one way to prevent chronically ill adolescents from feeling lonely?
Helping them realize that life decisions are made by everyone, not just them
When should high-risk mothers and pregnancies undergo a 1-hour glucose tolerance test?
Between 24 and 28 weeks of pregnancy
What factor makes passing enteral catheters through the nares or mouth a controversial issue?
Parental education on the topic
How can discussing their future with an adult impact chronically ill adolescents?
Boosting their self-esteem and altering aspirations
Why is it important to help adolescents realize that everyone makes life decisions, not just them?
To help them see commonality with others
What is a key reason for discussing the future with chronically ill adolescents?
To give them the self-esteem needed to find future roles
Test your knowledge on pediatric urinary catheterization procedure and temperature assessment for a 4-year-old with acute lymphocytic leukemia. Learn about the steps involved, considerations for contrast allergy, and the rationale for taking axillary temperature over rectal temperature.
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