ATI END OF CHAPTER QUESTIONS FOR PEDS EXAM 1 (SHANEL HOURLIER ANTHIAN) with Answers, 22 pages

A nurse is caring for a client who has suspected meningitis and a decreased level of consciousness. What is the appropriate action for the nurse to take? - Place client on NPO status Change in level of consciousness is common and could lead to aspiration if PO A nurse is reviewing cerebrospinal fluid analysis for a client who has suspected meningitis. What are 3 indicators of viral meningitis? - Negative gram stain Normal glucose content Normal protein content A nurse is caring for a 4 month old infant who has meningitis. What is associated with the diagnosis - High-pitched cry A nurse is caring for a school age client who possibly has Reye syndrome. What is a risk factor for developing this syndrome? - Recent episode of gastroenteritis A nurse is developing an in-service about viral and bacterial meningitis. What are 2 immunizations that could decrease the incidence of meningitis. - Pneumococcal vaccine (PCV) Haemophilus influenzae type B vaccine (Hib) A nurse is caring for a child who has absence seizures. What are 3 findings the nurse can expect to find? - Loss of consciousness Appearance of daydreaming Dropping held objects A nurse is caring for a child who just experienced a generalized seizure. What is the priority action for the nurse to take? - Maintain the child in a side lying position To prevent aspiration *ABCs* A nurse is providing teaching to the parent of a child who is to have an EEG. What should the nurse include in the teaching? - Decaffeinated beverages should be offered on the morning of the procedure A nurse is teaching a group of parents about the risk factors for seizures. What 3 things should the nurse include in the teaching? - Febrile episodes Hypoglycemia Sodium imbalances A nurse is reviewing treatment options with the parents of a child who has worsening seizures. What 4 treatment options should the nurse include in the discussion? - Vagal nerve stimulator Additional antiepileptic medications Corpus callosotomy Focal resection A nurse is in the ED and assessing a child following a motor-vehicle accident. The child is unresponsive, has spontaneous respirations of 22/minute and has a laceration on the forehead that is bleeding. What is the first action the nurse should take? - Stabilize the child's neck A nurse is caring for an adolescent who has a closed head injury. What are 3 indications of increased intracranial pressure? - Report of headache Alteration in pupillary response Increased sleeping A nurse is caring for a child who has ICP. What are 3 actions the nurse should take? - Maintain a quiet environment Administer a stool softener Maintain body alignment A nurse is assessing a child who has a concussion. What are 4 things the nurse should expect? - Amnesia Bradycardia Respiratory depression Confusion A nurse is caring for a child who is taking mannitol for cerebral edema. What adverse effect should the nurse report to the provider? - Confusion A nurse is planning to perform a peripheral vision test on a child. What action should the nurse plan to take? - Have the child focus on an object while performing the test A nurse is teaching a group of parents about possible manifestations of downs syndrome. What 3 things should the nurse include in her teaching? - Protruding abdomen Broad, short feet and hands Hypotonia A nurse is assessing a child who has myopia. What 3 things should the nurse expect? - Headaches Difficulty reading Poor school performance A nurse is assessing a toddler for possible hearing loss. What 3 things are indications of hearing impairment? - Uses monotone speech Speaks loudly Appears shy A nurse is teaching the parent of an infant who has down syndrome. What is an indication of understanding of the teaching? - I should place a cool mist humidifier in his room A nurse is teaching a parent of a child who has a UTI. What 3 things should the nurse include in the teaching? - Avoid bubble baths Empty bladder completely with each void Provide information about manifestations of infection A nurse is planning care of a child who has a UTI. What should the nurse include in the teaching? - Encourage frequent voiding