Nur 114- Pediatrics exam questions with verified answers

Nur 114- Pediatrics exam questions with verified answers The nurse is caring for a 3-year-old child who suffered a smoke inhalation injury. How long is this patient at the highest risk for pulmonary edema after exposure? Select one: a. 2 hours b. 4 hours c. 18 hours d. 72 hours -Correct Answer-Pulmonary edema appears in a child with smoke inhalation injury 6 to 72 hours after exposure. The correct answer is: 72 hours What does the nurse explain that a ventricular septal defect will allow? Select one: a. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis b. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis c. No shunting because of high pressure in the left ventricle d. Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume -Correct Answer-Pulmonary blood flow is increased when a ventricular septal defect exists. The blood shifts from left to right because of the higher pressure in the left ventricle. This particular shift does not cause cyanosis. The correct answer is: Blood to shunt left to right, causing increased pulmonary flow and no cyanosis What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients? Select one: a. Pancreatic enzymes b. Water-soluble minerals c. Fat-soluble vitamins d. Salt supplements -Correct Answer-An oral pancreatic enzyme is given to the child with every meal and with snacks to replace the pancreatic enzymes that the child's body cannot produce. The correct answer is: Pancreatic enzymes What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn? Select one: a. Before exercise to prevent attacks b. At the initial onset of the attack c. During the attack to relieve symptoms d. As often as 4 times a day -Correct Answer-Anti-inflammatory inhalants are taken before exercise to prevent attacks. These drugs can do nothing for the attack in progress. They are meant to be used as prophylactic therapies. The correct answer is: Before exercise to prevent attacks What is the best intervention for the nurse caring for a child experiencing an acute asthma attack? Select one: a. Offer plenty of fluids, particularly carbonated beverages. b. Place the child in a humidified cool mist tent with oxygen. c. Administer sedatives as ordered to decrease anxiety. d. Position the child with arms resting on the overbed table. -Correct Answer-This position is comfortable and allows maximum use of the accessory muscles for breathing. Sedatives would mask symptoms of increasing air hunger. Carbonated beverages are contraindicated in persons with dyspnea. The correc