PEDS EXAM #3 Save
Terms in this set (236)
,A 3-year-old child is scheduled C. chemotherapy with or without radiotherapy is indicated.
for surgery to remove a Wilms' The determination of chemotherapy and/or radiotherapy as
tumor from one kidney. The treatment modalities will be made based on the histologic
parents ask the nurse about pattern of the tumor. Chemotherapy with or without
what treatments, if any, will be radiotherapy is usually indicated.
necessary after recovery from Additional therapy of some type is indicated after the tumor is
surgery. The nurse's explanation removed.
should be based on knowledge Chemotherapy or radiotherapy, or both, may be indicated as a
that postsurgical intervention.
A. no additional treatments are Most children with Wilms' tumor do not require renal
usually necessary. transplants.
B. chemotherapy is usually not
necessary.
C. chemotherapy with or
without radiotherapy is
indicated.
D. kidney transplant will be
indicated within the year.
,A 3-year-old child is status post A. Personality change, C. Vomiting, E. Fever
shunt revision for hydrocephaly. <div>Personality change can be a sign of shunt malformation
Part of the discharge teaching related to increased intracranial pressure.<br>Vomiting can be a
plan for the parents is signs of sign of shunt malformation related to increased intracranial
shunt malformation. Which signs pressure.<br>Fever can be a sign of shunt malformation and is a
are of shunt malformation? very serious complication.<br>The anterior fontanel closes
(Select all that apply.) between 12-18 months of age.<br>Dizziness is difficult to assess
A. Personality change in a 3-year-old and is not necessarily a sign of shunt
B. Bulging anterior fontanel malformation.</div>
C. Vomiting
D. Dizziness
E. Fever
, C. check circulation, sensation, and motion of toes.
A 3-year-old has just returned The chief concern is that the extremity may continue to swell.
from surgery in a hip spica cast. The circulation, sensation, and motion of the toes must be
The priority nursing intervention assessed to ensure that the cast does not become a tourniquet
is to and cause complications.
A. elevate the head of the bed. Elevating the head of the bed might help with comfort, but it is
B. offer sips of water. not a priority. The nurse must be observant to the risk of
C. check circulation, sensation, increased swelling in the extremities.
and motion of toes. Offering sips of water is acceptable once assessment of the
D. turn the child to the right extremities has been completed.
side, then the left side every 4 The child's position should be changed every 2 hours.
hours. Positioning a child with a spica cast is important to prevent
injury.
A 5-year-old child has been C. possible urinary tract infection
sent to the school nurse for Incontinence in a previously toilet-trained child can be an
urinary incontinence three times indication of a urinary tract infection.
in the past 2 days. The nurse A physical cause of the problem needs to be eliminated before
should recommend to the a psychological cause is considered.
child's parent that the first Emotional causes should be investigated only once a physical
action is to have the child cause has been ruled out.
evaluated for Possible structural defects would be explored as a cause after a
A. school phobia. urinary tract infection is confirmed.
B. emotional causes.
C. possible urinary tract
infection.
D. possible structural defects of
urinary tract.
Terms in this set (236)
,A 3-year-old child is scheduled C. chemotherapy with or without radiotherapy is indicated.
for surgery to remove a Wilms' The determination of chemotherapy and/or radiotherapy as
tumor from one kidney. The treatment modalities will be made based on the histologic
parents ask the nurse about pattern of the tumor. Chemotherapy with or without
what treatments, if any, will be radiotherapy is usually indicated.
necessary after recovery from Additional therapy of some type is indicated after the tumor is
surgery. The nurse's explanation removed.
should be based on knowledge Chemotherapy or radiotherapy, or both, may be indicated as a
that postsurgical intervention.
A. no additional treatments are Most children with Wilms' tumor do not require renal
usually necessary. transplants.
B. chemotherapy is usually not
necessary.
C. chemotherapy with or
without radiotherapy is
indicated.
D. kidney transplant will be
indicated within the year.
,A 3-year-old child is status post A. Personality change, C. Vomiting, E. Fever
shunt revision for hydrocephaly. <div>Personality change can be a sign of shunt malformation
Part of the discharge teaching related to increased intracranial pressure.<br>Vomiting can be a
plan for the parents is signs of sign of shunt malformation related to increased intracranial
shunt malformation. Which signs pressure.<br>Fever can be a sign of shunt malformation and is a
are of shunt malformation? very serious complication.<br>The anterior fontanel closes
(Select all that apply.) between 12-18 months of age.<br>Dizziness is difficult to assess
A. Personality change in a 3-year-old and is not necessarily a sign of shunt
B. Bulging anterior fontanel malformation.</div>
C. Vomiting
D. Dizziness
E. Fever
, C. check circulation, sensation, and motion of toes.
A 3-year-old has just returned The chief concern is that the extremity may continue to swell.
from surgery in a hip spica cast. The circulation, sensation, and motion of the toes must be
The priority nursing intervention assessed to ensure that the cast does not become a tourniquet
is to and cause complications.
A. elevate the head of the bed. Elevating the head of the bed might help with comfort, but it is
B. offer sips of water. not a priority. The nurse must be observant to the risk of
C. check circulation, sensation, increased swelling in the extremities.
and motion of toes. Offering sips of water is acceptable once assessment of the
D. turn the child to the right extremities has been completed.
side, then the left side every 4 The child's position should be changed every 2 hours.
hours. Positioning a child with a spica cast is important to prevent
injury.
A 5-year-old child has been C. possible urinary tract infection
sent to the school nurse for Incontinence in a previously toilet-trained child can be an
urinary incontinence three times indication of a urinary tract infection.
in the past 2 days. The nurse A physical cause of the problem needs to be eliminated before
should recommend to the a psychological cause is considered.
child's parent that the first Emotional causes should be investigated only once a physical
action is to have the child cause has been ruled out.
evaluated for Possible structural defects would be explored as a cause after a
A. school phobia. urinary tract infection is confirmed.
B. emotional causes.
C. possible urinary tract
infection.
D. possible structural defects of
urinary tract.
