Questions and Answers
What condition is the toddler most likely experiencing?
Cystic fibrosis
What should the nurse educate the guardian about for the toddler's condition?
Sweat chloride testing
What medication should the nurse administer first after discontinuing cefazolin?
Which statements by a guardian indicate effective discharge teaching? (Select all that apply)
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How often should pulmonary function tests be performed for a child with moderate persistent asthma?
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Where should the oxygen saturation sensor be secured on an infant?
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Which findings should the nurse report to the provider? (Select 4)
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How many capsules of atomoxetine should the nurse administer per day for a child weighing 75 lb?
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What hemoglobin level should the nurse report for a child receiving chemotherapy?
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What findings indicate the toddler's constipation has worsened? (Select all that apply)
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What condition is associated with a positive mononucleosis rapid test?
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What should the nurse increase in a cystic fibrosis child's diet?
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What respiratory rate should be reported for a 3-year-old toddler?
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Which member of the interprofessional team should a nurse initiate a referral for after a cleft palate repair?
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What should the nurse suggest to a parent to prevent SUID?
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What lab value indicates effective treatment for severe dehydration in an infant?
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What prescription should the nurse clarify for a child with congestive heart failure?
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Which child should the nurse assess first during a shift change report?
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What sunscreen should caregivers choose to protect children from sunburns?
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What dressing should be used to cover a child with a tunneled central venous access device?
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What symptoms may indicate a hemolytic transfusion reaction?
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What lab finding indicates bacterial meningitis?
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What priority finding should the nurse report for a 2-week-old male newborn?
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What action should a nurse take while preparing to collect a sample for a sickle turbidity test?
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What finding should the nurse expect in a child with peritonitis?
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Which findings in a 4-year-old rescued from a fire require immediate follow-up? (Select 3)
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Which potential provider prescriptions should the nurse identify as anticipated or contraindicated? (Select all that apply)
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What findings should the nurse address first for the child 4 days after admission?
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What should the nurse first address for the client?
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Which of the following prescriptions for a child during hydrotherapy is anticipated?
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What actions should the nurse take for a child 14 days after admission? (Select all that apply)
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Which statements by the parent indicate understanding of discharge teaching? (Select 6 statements)
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What food should a child with celiac disease be offered?
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What finding should the guardians report to the provider for a toddler with a cast?
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What gauge needle should be used for immunization of a 4-year-old?
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How long should the nurse maintain droplet precautions after starting antimicrobial therapy for a patient with bacterial meningitis?
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What characteristic murmur should a nurse expect in an infant with a ventricular septal defect?
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What action should be taken after administering acetaminophen to a toddler with a 40°C temperature?
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When should a child with type 1 diabetes mellitus administer regular insulin before meals?
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What precaution should be implemented for an infant with respiratory syncytial virus (RSV)?
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What behavior might indicate physical abuse in an adolescent with burns?
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How should the guardian secure a car seat for a 6-month-old?
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What finding is a manifestation of increased intracranial pressure in a school-aged child?
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What position should a child be placed in during the postictal period after a seizure?
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What is the best positioning for an infant during a hypercyanotic spell?
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How should a nurse confirm peripheral edema in a child?
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What should be offered to a toddler experiencing acute diarrhea?
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What could indicate teething in a 6-month-old infant?
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What physical finding might be expected in an adolescent with scoliosis?
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What volume of ibuprofen should be administered to an infant weighing 17.6 lb for a fever above 38.0 °C?
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What is the priority finding in a child with meningitis that should be reported?
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What should a nurse administer for a school-aged child with moderate abdominal pain and appendicitis?
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What respiratory finding is expected in a child with diabetic ketoacidosis?
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When will a child with varicella no longer be contagious?
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What cleaning method should be used for partial thickness burns on a toddler?
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What finding indicates priority assessment in an infant with pneumonia?
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What intervention should be included in the care plan for a child with hyponatremia?
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Study Notes
Cystic Fibrosis Management
- Educate guardians on sweat chloride testing and prepare toddlers for chest physiotherapy.
- Symptoms include respiratory infections, wheezing, decreased oxygen saturation, and salty tasting sweat.
- Monitor oxygen saturation levels and stool characteristics to assess progress.
Anaphylactic Reaction to Medications
- Sudden diffuse flushing and angioedema indicate an anaphylactic reaction to cefazolin.
- Administer epinephrine immediately to treat the reaction; it acts as a beta-adrenergic agonist providing bronchodilation and vasoconstriction.
Effective Discharge Teaching Indicators
- Effective understanding shown by guardians includes using skin emollients after baths, keeping fingernails short, and using mild detergents for laundry.
Asthma Management
- Schedule pulmonary function tests every 12 to 24 months to evaluate response to therapy in children with moderate persistent asthma.
Monitoring Oxygen Saturation in Infants
- Secure pulse oximetry sensor on the great toe and use a snug-fitting sock for stabilization, checking for skin condition under the sensor.
Findings Requiring Provider Reporting
- Report arterial blood gases indicating respiratory alkalosis, elevated WBC count indicating possible infection, decreased oxygen saturation, and increased respiratory distress findings.
Medication Calculation
- For a child weighing 75 lb, administer one capsule of atomoxetine daily, calculated at 1.2 mg/kg.
Chemotherapy and Anemia
- A hemoglobin level of 8.5 g/dL in a child undergoing chemotherapy indicates anemia and should be reported.
Signs of Worsened Constipation
- Toddler exhibiting lethargy, ribbon-like foul-smelling stools, and abdominal distention needs evaluation for potential Hirschsprung's disease.
Risk from Infectious Mononucleosis
- Positive rapid test for mononucleosis raises risk for splenomegaly, a common complication.
Nutrition in Cystic Fibrosis
- Increase dietary fat content to 35-40% of total caloric intake due to impaired fat digestion.
Respiratory Rate Concerns
- Respiratory rate of 45/min in a 3-year-old indicates potential respiratory distress and requires provider notification.
Postoperative Care for Cleft Palate Repair
- Refer child for speech therapy post-cleft palate repair to support future speech development.
Supporting Parents of Terminally Ill Children
- Encourage open discussion with stressed parents about previous coping strategies for better emotional support.
Developmental Activities for Neutropenic Children
- Provide age-appropriate adventure books to engage and expand the imagination of a 10-year-old child.
Effective Teaching for Children with ADHD
- Schedule challenging subjects for the morning when children with ADHD are more focused.
Post-Seizure Care
- Assess respiratory rate first after a tonic-clonic seizure; impaired breathing may necessitate rescue breaths.
Preventing Sudden Unexplained Infant Death (SUID)
- Instruct parents to offer a pacifier at bedtime; breastfeeding and pacifiers are protective against SUID.
Evaluating Dehydration Treatment
- Sodium level of 140 mEq/L indicates treatment effectiveness for severe dehydration.
Monitoring Cardiac Status in CHF
- Assess for hyperkalemia when a child exhibits wide QRS complexes and peaked T waves.
Prioritizing Assessments
- Assess a toddler with a concussion and forceful vomiting first due to risk of increased intracranial pressure.
Sun Protection Education
- Advise using waterproof sunscreen with a minimum SPF of 15 for children to prevent sunburn.
Care for Central Venous Access Devices
- Use semipermeable transparent dressings to cover tunneled central venous access sites to prevent infection.
Identifying Hemolytic Transfusion Reactions
- Flank pain in a child receiving a blood transfusion suggests potential hemolytic reaction.
Lumbar Puncture Findings in Bacterial Meningitis
- Increased protein concentration in spinal fluid is indicative of bacterial meningitis.
Emergency Assessment in Newborns
- Report substernal retractions as they indicate increased respiratory effort and potential respiratory failure.
Sickle Turbidity Test Procedure
- Perform a finger stick for a sickle turbidity test in toddlers, with further tests if positive.
Expected Findings in Peritonitis
- Abdominal distention is a key indicator of peritonitis, alongside other symptoms like chills and irritability.
Immediate Follow-Up After Fire Rescue
- Address partial/full-thickness burns, oxygen saturation of 89%, and heart rate of 150/min immediately.
Provider Prescriptions in Burn Cases
- Anticipated prescriptions include urinary catheter insertion and oxygen support, while applying soaked gauze is contraindicated.### White Rice and Gluten-Free Diet
- White rice is gluten-free, making it suitable for children with gluten intolerance.
- Lifelong adherence to a gluten-free diet is necessary; avoid oats, rye, barley, and wheat.
- Lactose deficiency can sometimes occur as a consequence of gluten-related disorders.
Neurovascular Compromise in Pediatric Care
- A restricted ability to move the toes after a cast application indicates potential neurovascular compromise.
- Immediate notification to the healthcare provider is crucial to prevent permanent muscle or tissue damage.
Immunization Procedure for Young Children
- Administer childhood immunizations using a 22- to 25-gauge needle to reduce pain during the injection process.
Droplet Precautions in Meningitis
- Maintain droplet precautions for at least 24 hours after starting antimicrobial therapy in bacterial meningitis to prevent transmission.
Ventricular Septal Defect Findings
- A loud, harsh murmur is characteristic of a ventricular septal defect due to increased blood flow across the defect.
Temperature Management in Acute Otitis Media
- Dressing a toddler in minimal clothing facilitates heat evaporation and helps reduce fever.
Type 1 Diabetes Self-Management
- Children with type 1 diabetes should administer regular insulin 30 minutes before meal times for effective blood glucose control.
Infection Control in RSV
- Use designated stethoscopes and equipment in the room of infants with respiratory syncytial virus (RSV) to prevent transmission.
Signs of Potential Physical Abuse
- A school-aged adolescent who denies pain during injury assessment may be exhibiting signs of physical abuse.
Car Seat Safety for Infants
- Using lower anchors and tethers (LATCH system) is recommended for securely installing infant car seats.
Increased Intracranial Pressure Symptoms
- Symptoms include irritability, inability to follow commands, and difficulty concentrating in cases of increased intracranial pressure.
Postictal Care Following Seizures
- Place a child in a side-lying position after a tonic-clonic seizure to protect against aspiration.
Management of Hypercyanotic Spells in Infants
- Positioning an infant in a knee-chest position during hypercyanotic spells helps direct blood flow into the pulmonary artery.
Assessing Peripheral Edema in Children
- Palpate the dorsum of the feet, pressing for five seconds, to confirm the presence of peripheral edema.
Oral Rehydration for Diarrhea
- In cases of acute diarrhea, an oral rehydration solution is crucial for replacing lost fluids and electrolytes.
Teething Indicators in Infants
- Infants may pull at their ears, experience increased drooling, and exhibit fussiness during teething.
Scoliosis Assessment in Adolescents
- A unilateral rib hump is a typical indicator of scoliosis during an examination.
Ibuprofen Dosage for Infants
- For an infant weighing 17.6 lb, the required dosage of ibuprofen is 2 mL per dose.
Priority Findings in Meningitis
- Petechiae on the lower extremities in a child with meningitis signifies possible meningococcemia and requires urgent reporting.
Pain Management in Appendicitis
- Administer morphine at 0.05 mg/kg IV for severe abdominal pain associated with appendicitis.
Respiratory Assessment in Diabetic Ketoacidosis
- Expect deep respirations (Kussmaul respiration) in children experiencing diabetic ketoacidosis as a compensatory mechanism.
Contagious Period for Varicella
- A child with varicella is contagious from one day before lesions appear until lesions crust over, usually after six days.
Burn Treatment Protocol
- Cleanse partial thickness burns with mild soap and water to prevent infection.
Respiratory Distress Indicators in Infants
- Report nasal flaring immediately, as it indicates acute respiratory distress requiring prompt medical attention.
Seizure Precautions in Children
- A sodium level of 129 mEq/L indicates hyponatremia; implement seizure precautions to protect the child's safety.
Sleep Issues in Preschoolers
- Nightmares are often characterized by the child's responsiveness and description of dreams.
- Sleep terrors show different patterns, including impulsivity and difficulty returning to sleep.
- Insomnia may present with increased daytime alertness and concentration challenges.
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Test your knowledge about pediatric nursing with these flashcards. Focused on essential actions and monitoring parameters for toddler care. Ideal for nursing students preparing for pediatric practice.
