1106 Pediatrics Study Guide #4

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  1. What information would the nurse give to parents
    of a young child following surgical insertion of tympanostomy tubes?
    a.      Decongestants are needed for several weeks.
    b.      Avoid getting water in the child's ears.
    c.      Position the child on his back for sleep.
    d.     Use cotton swabs to clean the ears.
  2. Early signs of Reye's syndrome include:
    a.      diarrhea and headache.
    b.      vomiting and lethargy.
    c.      nausea and malaise.
    d.     hyperactivity and vomiting.
  3. When taking the history of a child with encephalitis, it is important to note recent:
    a.      cat scratches.
    b.     exposure to poison ivy.
    c.       respiratory infection.
    d.     drug therapy.
  4. Which factor is most likely to trigger seizures in a child with epilepsy?
    a.      High-fat diet
    b.     Hypothermia
    c.       Sensitivity to light
    d.     Loud noises
  5. The nurse recognizes which of the following as symptoms of meningitis?
    a.      Diarrhea and stiff neck
    b.     Hyperactivity and vomiting
    c.       Irritability and fever
    d.     Loss of vision and nausea
  6. A 7-month-old child had a febrile seizure. Which statement would the nurse give to the infants parents? "Febrile seizures:
    a.      rarely occur before an infant's first birthday."
    b.     indicate an underlying neurological problem."
    c.      are usually controlled with phenobarbital."
    d.      rarely develop into seizures."
  7. The nurse monitors fluid intake and output in children with a head injury in order to:
    a.      prevent renal damage.
    b.      control cerebral edema.
    c.      prevent aspiration.
    d.     decrease headaches.
  8. Nursing care for a child following a generalized tonic-clonic seizure would include:
    a.      attempting to hold the tongue.
    b.     administering oxygen.
    c.      restraining extremities.
    d.      turning on his or her side.
  9. The nurse teaching parents about adverse effects of phenytoin (Dilantin) would explain this medication can cause:
    a.      drowsiness.
    b.      gum overgrowth.
    c.      blurred vision.
    d.     liver toxicity.
  10. Which nursing action is appropriate when caring for a hospitalized child who is hearing-impaired?
    a.      Speak in a loud, clear tone.
    b.     Stand close to the child and speak slowly.
    c.       Speak at eye level with the child.
    d.     Speak in an exaggerated tone.
  11. An infant brought to the emergency department with a high fever, irritability, and a high-pitched cry would immediately be evaluated for:
    a.      retinoblastoma.
    b.     Reye's syndrome
    c.      neuroblastoma.
    d.      meningitis.
  12. An appropriate nursing intervention for an infant with bacterial meningitis is to:
    a.      restrain the infant when awake.
    b.     position the infant on the right side.
    c.       keep the room quiet and indirectly lit.
    d.     place in isolation until discharge.
  13. What is the best action for the nurse to take when a child has a Glasgow coma scale score of 8?
    a.      Tell the charge nurse immediately.
    b.     Change the position of the child.
    c.       Chart the results of the assessment.
    d.     Stimulate the child.
  14. Which question will elicit the best information to determine a plan of care during hospitalization for a 5-year-old child who is mentally retarded?
    a.      "Can the child dress herself?"
    b.     "Is she toilet trained?"
    c.      "What is her favorite activity?"
    d.      "What is her bedtime routine?"
  15. What is the priority for the care of a child with decreased level of consciousness resulting from a head injury?
    a.       Maintain a patent airway.
    b.     Prevent skin breakdown.
    c.      Monitor fluid balance.
    d.     Perform passive range-of-motion exercises.
  16. What is an appropriate nursing intervention for feeding a child with spastic-type cerebral palsy?
    a.       Touch the tip of the tongue with the spoon
    b.     Stroke downward under the chin area.
    c.      Feed with a rubber-coated spoon.
    d.     Tilt the head backward 30 degrees.
  17. Which disease does not require a routine immunization?
    a.      Chickenpox
    b.      Smallpox
    c.      Measles
    d.     German measles
  18. The period that refers to the initial stage of a disease between the earliest symptoms and the appearance of the rash or fever is the:
    a.      incubation period.
    b.     infectious period.
    c.       prodromal period.
    d.     stage one period.
  19. A child manifested signs and symptoms of respiratory synctial virus (RSV) infection during a hospitalization for sickle cell crisis. This is referred to as a(n):
    a.      opportunistic infection.
    b.      health care-associated infection.
    c.      directly transmitted infection.
    d.     pathognomonic infection.
  20. A hospitalized child has varicella. The nurse would arrange for which type of infection precautions?
    a.      large droplet infection precautions
    b.      airborne infection precautions
    c.      communicable disease precautions
    d.     indirect transmission precautions
  21. While inspecting a child's skin, the nurse observes a circular, reddened area that is elevated and contains fluid. The nurse would document this finding as a:
    a.       vesicle.
    b.     pustule.
    c.      macule.
    d.     papule.
  22. A parent asks the nurse when her younger child will get chickenpox now that her oldest child contracted the illness. The nurse would explain the incubation period for chickenpox is:
    a.      1-2 weeks after direct contact with varicella lesions.
    b.      2-3 weeks after home exposure to brother with varicella.
    c.      6-8 days after direct exposure to brother's rash.
    d.     4-5 weeks after brother's rash fades.
  23. A child with pertussis would be placed in which type of isolation?
    a.       Droplet precautions
    b.     Airborne precautions
    c.      Contact precautions
    d.     Expanded precautions
  24. The most important nursing action in preventing the spread of infection is:
    a.      the administration of antibiotics.
    b.     placing all children in private rooms.
    c.       good hand hygiene.
    d.     good nutrition.
  25. The nurse observes Koplik's spots in the mouth of a child. This finding is associated with which communicable disease?
    a.      Chickenpox
    b.     Rubella
    c.       Rubeola
    d.     Mumps
  26. The risk of secondary infection in communicable diseases is reduced by:
    a.      giving all children antibiotics
    b.      keeping fingernails short.
    c.      forcing fluids.
    d.     isolating the child.
  27. The disease that causes a "slapped cheek" appearance is:
    a.      Lyme disease.
    b.     roseola.
    c.      strep throat.
    d.      fifth disease.
  28. A child should receive the measles, mumps, rubella (MMR) vaccine at:
    a.      4 months.
    b.     6 months.
    c.       15 months.
    d.     24 months.
  29. If a vaccination series is interrupted:
    a.     the series must start over.
    b.      it continues without restarting the entire series.
    c.      the age of the child determines if the series must be restarted.
    d.     the child must wait 6 months before restarting the series.
  30. Which child should not receive a live virus vaccine?
    a.       Taking prednisone
    b.     Has an STI
    c.      Was born prematurely
    d.     Has a seizure disorder
  31. The risk of death increases in a suicidal adolescent when:
    a.      he is an only child.
    b.     he has a learning disorder.
    c.       he has a plan of action.
    d.     his parents are divorced.
  32. The nurse talking with school-age children about alcohol should explain this substance is known to be a:
    a.       sedative.
    b.     opiate.
    c.      stimulant.
    d.     antidepressant.
  33. Marijuana has which of the following physical effects?
    a.      Respiratory depression
    b.     Pupil dilation
    c.      Anorexia
    d.      Tachycardia
  34. The street name for a form of cocaine is:
    a.      bud.
    b.     smack.
    c.      hash.
    d.      crack.
  35. Primary to prevention of substance abuse in children is a:
    a.       positive self-image.
    b.     strong religious belief.
    c.      strict family.
    d.     good education.
  36. Adolescents who seek help for a substance abuse problem usually do so because:
    a.      there are no other options.
    b.     they have friends in treatment.
    c.      they realize they need help.
    d.      their family encourages them.
  37. If a nurse suspects an adolescent is contemplating suicide, he or she should:
    a.      avoid discussing the topic.
    b.     ask the parents if they agree.
    c.       ask the adolescent directly if he or she is thinking of killing him- or herself.
    d.     observe him or her closely.
  38. The best nursing response to a depressed adolescent is:
    a.      "Cheer up, things will get better."
    b.      "Let's talk about how you are feeling."
    c.       "Things always seem worse than they are."
    d.     "You are lucky to have so many friends."
  39. The type of drug dependence that causes withdrawal symptoms is called:
    a.      psychologic.
    b.     pharmacologic.
    c.       physical.
    d.     mental.
  40. Adolescents who drink even small amounts of alcohol are at increased risk to:
    a.      develop acne.
    b.     become obese.
    c.      have a drop in their intelligence.
    d.      have an accident.
  41. Bulimia is described as:
    a.       binge eating followed by self-induced vomiting.
    b.     inability to eat due to fear of gaining weight.
    c.      a systemic infection caused by a parasite.
    d.     a secondary infection caused by a parasite.
  42. A 16-year-old male who has broken off with his girlfriend threatens to kill himself. The nurse knows that this behavior:
    a.      is attention-seeking.
    b.      should be taken seriously.
    c.      should be ignored.
    d.     is a normal reaction to the situation.
  43. What is the most appropriate nursing response to a parent who states, "I hope my son outgrows his ADHD"?
    a.     "There are medications that can cure ADHD."
    b.     "The symptoms decrease as the child matures."
    c.      "Does anyone else in your family have ADHD?"
    d.      "These behaviors may continue into adulthood."
  44. Children with ADHD:
    a.       may experience low self-esteem.
    b.     are usually high achievers.
    c.      usually have many friends.
    d.     excel when given tasks that require intricate work.
  45. An adolescent tells the nurse he has needed to increase his alcohol intake to feel its effect. The nurse recognizes that which situation has developed?
    a.      Psychological independence
    b.     Physical dependence
    c.       Tolerance to the substance
    d.     Withdrawal symptoms
Card Set:
1106 Pediatrics Study Guide #4

Chapters 23, 32, and 33
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