TEST BANK: ESSENTIALS OF PEDIATRIC NURSING, 3RD EDITION, TERRI KYLE, SUSAN CARMAN

TEST BANK: ESSENTIALS OF PEDIATRIC NURSING, 3RD EDITION, TERRI KYLE, SUSAN CARMAN A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this acute phase to show which of the following? A. Bacteruria, hematuria B. Hematuria, proteinuria C. Bacteruria, increase specific gravity D. Proteinuria, decreased specific gravity - CORRECT ANSWER- B A two year old has had one bout of nephrosis (nephrotic syndrome) His mother suspected a recurrence when she observed swelling around his eyes. The nurse helps to confirrm the condition by recognizing what additional sympton? A. Blood presssure 140/90 B. Marked proteinuria C. Tea colored urine D. A history of positive strep infections - CORRECT ANSWER- B A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but while waiting for administration of air pressure to reduce the intusseception he produced a normal brown stool. Which nursing action is the most appropriete. A. Notify practitioner B. Measure abdomnial girth C. Auscultate for bowel sounds D. Take vital signs, including blood pressure. - CORRECT ANSWER- A The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation indicated successful treatment of nephrosis? A. Diuresis and weight loss B. improved appetitie and weight gain C. Increase in urine specific gravity D. Return of temperature and pulse to normal - CORRECT ANSWER- A An abdnomial flat plate xray ordered for a child admitted with suspected intussecception reveals no free air beneath the diaphram. What order should the nurse anticipate next from the physcian? A. Transport child to radiology and prepare him for a barium enema B.Transport child to radiology and prepare him for an upper GI series C. Transport child to radiology for an enema with air or water-soluable contrast D. Transport child to the operating room and prepare him for abdominal surgery - CORRECT ANSWER- A The nurse has developed a plan of care of a 12 month old hospitalized with severe dehydration as a result of rotovirus. Which intervention would the nurse include in the plan of care? A. Encourage consumption of fruit juice B. Offering Kool-Aid or popsicles as tolerated C. Encourage soft drinks, such as cola D. Maintaining the IV fluid rate as ordered. - CORRECT ANSWER- D A nurse is caring for an infant who is suspected of having Wilm's tumor. Upon arriving in the room the mother is seen massaging her child's abdomen stating that this often helps her child to expel gas. Which response wouldbe the most appropriate for the nurse to give? A.Massaging your childs abdomen helps with peristalis and will give him relief from excess gas B. It is good to know what works best for your child. We will try that if you are not here and the baby is fussy. C. While the doctor is running tests to rule out a kidney problem It would be best not to massage your child's abdomen as this could cause some complications D. It would probably be better to apply a heating pad to your baby's abdomen than to massage it. - CORRECT ANSWER- C When interviewing the parents of a 6 month old with atopic dermatitis (infantile eczema) they describe the following care measures. Which one would lead the nurse to think A. The patient gives the baby a bath using a mild soap to prevent irritation B. The parent applies lotion to the skin after bathing to increase moisture C. The parent applies hydrocortisone cream to the lesions to decrease D. The parent applies alcohol to the lesions to decrease risk of infection - CORRECT ANSWER- D A new born has a hpospadius with chordee. A mother is upset about her sons apperance and asks if he will ever be normal. What wiykd be the best response to the mother? A. "as the baby grows, this problem with eventually go away by itself. B. When the baby gets older, surgery will probably be done to correct the problem. C. Having the baby circumcised will make surgery later on less complicated. D. Sometimes administration of prostaglandins may correct the problem. - CORRECT ANSWER- B A mother was called by the health department 2 weeks after giving birth to a full-term newborn. They reported that the baby's lab tests came back abnormal, suggesting congenital hypothyroidism. The mother states that she will let her family doctor know about this when she takes the baby in for his 3 month check up. How should the health department nurse respond? A. Letting your doctor know at his next appointment will be fine as there is nothing that can be done right now to treat this. B. The baby will need to be seen by a physcian immedatley so that further lab tests may be done to confirm the diagnosis and then start treatment asap. C. You will need to let the doctor know immedatley so that he can add ab iodibne supplement to the baby's formula. D. There is no hurry for treatment, as long as the baby continues to grow and develop normally. - CORRECT ANSWER- B