COMPREHENSIVE PEDIATRIC NURSING
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,A child with Croup is placed in a cool mist tent. The 4.
mother becomes concerned because the child is
frightened, consistently crying and trying to climb out of
the tent. Which is the most appropriate nursing action?
1. Tell the mother that the child must stay in the tent.
2. Place a toy in the tent to make the child feel more
comfortable
3. Call the health care provider and obtain a prescription
for a mild sedative
4. Let the mother gold the child and direct the cool mist
over the child's face
The mother of a hospitalized 2 year old child with Croup 3.
asks the nurse why the health care provider did not
prescribe antibiotics. Which response should the nurse
make?
1. The child may be allergic to antibiotics
2. The child is too young to receive antibiotics
3. Antibiotics are not indicated unless a bacterial infection
is present
4. The child still has the maternal antibodies from birth
and does not need antibiotics.
An infant has just returned to the nursing unit after 3.
surgical repair of a cleft lip on the right side. The nurse
should place the infant in which best position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position
Which of the following statements about the inheritance 4. If the child is born to a mother with CF and a father who is a carrier, the child
of CF is most accurate? has a 50% chance of acquiring the disease and a 50% chance of being a carrier of
1. CF is an autosomal-dominant trait that is passed on the disease.
from the child's mother.
2. CF is an autosomal-dominant trait that is passed on
from the child's father.
3. The child of parents who are both carriers of the gene
for CF has a 50% chance of acquiring CF.
4. The child of a mother who has CF and a father who is a
carrier of the gene for CF has a 50% chance of acquiring
CF
, The parent of a 4-month-old with CF asks the nurse what 1. CPT should be done in the morning prior to feeding to avoid the risk of the child
time to begin the child's first CPT each day. Which is the vomiting
nurse's best response?
1. "You should do the first CPT 30 minutes before feeding
the child breakfast."
2. "You should do the first CPT after deep-suctioning the
child each morning."
3. "You should do the first CPT 30 minutes after feeding
the child breakfast."
4. "You should do the first CPT only when the child has
congestion or coughing."
The parent of a 10-month-old with CF asks the nurse how 3. Often infants with CF need to have a higher-calorie formula to meet their
to meet the child's increased nutritional needs. Which is nutritional needs. Infants may also be placed on hydrolysate formulas that contain
the nurse's best suggestion? added medium-chain triglycerides.
1. "You may need to increase the number of fresh fruits
and vegetables you give your child each day."
2. "You may need to advance your child's diet to whole
cow's milk because it is higher in fat than formula."
3. "You may need to change your child to a higher-calorie
formula."
4. "You may need to increase your child's carbohydrate
intake each day."
The parent of an 18-year-old with CF is excited about the 2. A lung transplant does not cure CF, but it does offer the patient an opportunity
possibility of the child receiving a double lung transplant. to live a longer life. The concerns are that, after the lung transplant, the child is at
What should the parent understand? risk for rejection of the new organ and for development of secondary infections
1. The transplant will cure the child of CF and allow the because of the immunosuppressive therapy.
child to lead a long and healthy life.
2. The transplant will not cure the child of CF but will
allow the child to have a longer life.
3. The transplant will help to reverse the multisystem
damage that has already been caused by CF.
4. The transplant will be the child's only chance at
surviving long enough to graduate college.
A 2-year-old has just been diagnosed with CF. The 4. Wheezing respirations and a dry nonproductive cough are common early
parents ask the nurse what early respiratory symptoms symptoms in CF.
they should expect to see in their child. Which is the
nurse's best response?
1. "You can expect your child to develop a barrel-shaped
chest."
2. "You can expect your child to develop a chronic
productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing
respirations."