Test Bank For Maternity And Pediatric Nursing 4th Edition All Chapters with Questions And Answers

Test Bank For Maternity And Pediatric Nu
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rsing 4th Edition All Chapters with Questi
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ons And Answers
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1.rgThergnursergisrgcaringrgforrgargchildrgwhorgisrgexperiencingrganrgacutergrenalrgtransplantrgrejecti
onrgandrgisrgtorgreceivergmuromonab-
CD3.rgWhatrgwouldrgthergnursergmostrglikelyrgexpectrgtorgassessrgafterrgthergfirstrgdosergisrgadmini
stered?
A)rgFeverrgwithrgchills,rgchestrgtightness
B)rgCough,rghyperkalemia
C)rgPhotosensitivity,rggastrointestinalrg(GI)rgupset
D)rgUrinaryrgretention,rgdecreasedrgappetiterg-rgcorrectrgans-Ans:rgA
Feedback:
Thergfirstrgdosergofrgmuromonab-
CD3rgcanrgcausergfever,rgchills,rgchestrgtightness,rgwheezing,rgnausea,rgandrgvomiting.rgCoughr
gandrghyperkalemiargarergassociatedrgwithrgangiotensin-

convertingrgenzymerginhibitors.rgPhotosensitivityrgandrgGIrgupsetrgarergoftenrgassociatedrgwithrg
diuretics.rgUrinaryrgretentionrgandrgdecreasedrgappetitergarergassociatedrgwithrgimipramine.
2.rgThergnursergisrgvisuallyrginspectingrgargurinergspecimenrgfromrgarg12-year-
oldrgboy.rgThergnursergdocumentsrggrossrghematuriargwithrgargspecimenrgofrgwhichrgcolor?
A)rgCloudyrgyellow
B)rgColargcolored
C)rgPalergtorgalmostrgclearrgurine
D)rgLightrgorangergtorgmoderatelyrgyellowrgcoloredrg-rgcorrectrgans-Ans:rgB
Feedback:
Grossrghematuriargcausesrgthergurinergtorgappearrgtea,rgcola,rgorrgevenrgdirtyrggreenrgcolored.rgCl
oudyrgurinergisrgtypicallyrgargsignrgofrginfection.rgNormalrgurinergrangesrgfromrgmoderatelyrgyellow
rgtorgpalergorrgalmostrgclear.rgOrange-coloredrgurinergcanrgoccurrgbecausergofrgmedication.

3.rgThergnursergisrgcaringrgforrgarg4-year-
oldrgwithrgargsuspectedrgurinaryrgtractrginfection.rgWhatrgwouldrgbergmostrgappropriatergwhenrgob
tainingrgargurinergspecimenrgfromrgthergchild?
A)rg"Irgwillrgneedrgargurinergsample."
B)rg"Letrgyourrgmomrghelprgyourgtinklerginrgthisrgcup."
C)rg"Pleasergtinklerginrgthisrgcuprgrightrgnow."
D)rg"Pleasergvoidrginrgthisrgcuprginsteadrgofrgthergtoilet."rg-rgcorrectrgans-Ans:rgB
Feedback:
Thergnursergneedsrgtorgusergfamiliarrgtermsrgtorgexplainrgtorgthergchildrgwhatrgisrgneededrgandrgtorgg
ainrgcooperation.rgThergmostrgpositivergapproachrgwouldrgbergtorgletrgthergchild'srgmotherrghelprgr
atherrgthanrgdemandingrgthatrghergtinklergrightrgnow.rgUsingrgthergtermsrg"urinergsample"rgorrg"voi
d"rgisrgnotrgappropriatergforrgarg4-year-old.

, 4.rgThergnursergisrgprovidingrgpostsurgicalrgcarergforrganrginfantrgwhorghasrgundergonergarghypos
padiasrgrepair.rgWhichrgactionrgbyrgthergnursergwouldrgbergmostrgimportantrgtorghelprgkeeprgthergar
eargcleanrgwhilergmaintainingrgproperrgpositionrgofrgthergdrainagergtubing?
A)rgKeepingrgthergdrainagergtubergtapedrginrganrguprightrgposition
B)rgAdministeringrgantibioticsrgasrgordered
C)rgAdministeringrganalgesicsrgasrgprescribed
D)rgUsingrgargdouble-diaperingrgtechniquerg-rgcorrectrgans-Ans:rgD
Feedback:
Doublergdiaperingrgisrgargmethodrgusedrgtorgprotectrgargchild'srgurethrargandrgstentrgorrgcatheterrga
fterrgsurgeryrgandrgadditionallyrghelpsrgtorgkeeprgthergareargcleanrgandrgfreergfromrginfection.rgKee
pingrgthergdrainagergtubergtapedrginrganrguprightrgposition,rgadministeringrgantibiotics,rgandrgad
ministeringrganalgesicsrgarergalsorgimportant,rgbutrgdoublergdiaperingrgkeepsrgthergareargcleanrg
andrghelpsrgpreventrginfection.
5.rgThergnursergisrgcaringrgforrganrginfantrgwithrgbladderrgexstrophy.rgAsrgpartrgofrgtherginfant'srgpre
operativergplanrgofrgcare,rgthergnursergmonitorsrgforrgabdominalrgskinrgexcoriation.rgWhichrgactio
nrgwouldrgbergmostrgappropriatergforrgpromotingrghealingrgandrgpreventingrgfurtherrgskinrgbreakd
own?
A)rgCleaningrgthergareargwellrgwithrgargscentedrgdiaperrgwipe
B)rgApplyingrgargbarrier/healingrgcreamrgorrgpastergonrgskin
C)rgKeepingrgthergbladderrgmoistrgandrgcoveredrgwithrgargsterilergbag
D)rgCoveringrgthergareargwithrgsterilerggauzergpadsrgafterrgtubrgbathsrg-rgcorrectrgans-Ans:rgB
Feedback:
Thergnursergshouldrgusergargbarrier/healingrgcreamrgorrgpastergonrgsurroundingrgskinrgtorgpromot
erghealingrgandrgpreventrgfurtherrgskinrgbreakdown.rgDiaperrgwipesrgthatrgcontainrgfragrancergorrg
alcoholrgcanrgstingrgifrgusedrgonrgnonintactrgskinrgandrgcanrgworsenrgskinrgbreakdown.rgItrgisrgimpo
rtantrgtorgprotectrgthergbladder,rgbutrgthisrgwillrgnotrgaddressrgthergskinrgexcoriation.rgMeticulousrga
ttentionrgtorgcleanlinessrgisrgimportant,rgbutrgthergnursergshouldrgsponge-
bathergtherginfantrgratherrgthanrgimmerserghimrginrgwaterrgtorgpreventrgpathogensrgfromrgthergwat
errgpossiblyrgenteringrgthergbladder.
6.rgThergnursergisrgcaringrgforrgarg4-year-
oldrggirlrgwithrgvulvovaginitis.rgAfterrgexplainingrgtorgtherggirl'srgmotherrghowrgtorghelprgpreventrgsu
bsequentrgepisodes,rgwhichrgstatementrgbyrgthergmotherrgindicatesrgargneedrgforrgadditionalrgtea
ching?
A)rg"Shergneedsrgtorgwipergfromrgfrontrgtorgback."
B)rg"Irgwillrgmakergsurergshergchangesrgherrgunderwearrgeveryrgday."
C)rg"Shergshouldrgprobablyrgavoidrgbubblergbaths."
D)rg"Irgwillrghelprgsupervisergherrgwipingrgafterrgbowelrgmovements."rg-rgcorrectrgans-Ans:rgA
Feedback:
Atrgthergagergofrg4,rgthergmotherrgshouldrgnotrgassumergthatrgtherggirlrgwillrgwipergproperly.rgThergm
otherrgwillrgneedrgtorgsupervisergherrgwipingrginrgorderrgtorgtrainrgherrgproperly.rgMakingrgsurergther
gchildrgchangesrgherrgunderwearrgdaily,rgavoidingrgbubblergbaths,rgandrgsupervisingrgherrgwipin

grgafterrgbowelrgmovementsrgindicatergthatrgthergmotherrghasrgunderstoodrgtherginstructions.
7.rgArgnursergisrgcaringrgforrgarg7-year-
oldrggirlrgscheduledrgforrganrgintravenousrgpyelogramrg(IVP).rgWhichrgactionrgwouldrgbergthergprio
rityrgbeforergthergtest?
A)rgCheckingrgwithrgthergparentsrgforrganyrgallergies