Peds Final Exam - Student Questions + Dosage
Calculations
Save
Students also studied
Med Surg Peds Cardiac Questions NCLEX Questions Psych Preschooler exam 3 Pediatr
21 terms 35 terms 41 terms 56 terms
dukee83 Preview clrochel Preview jenlynnb02 Preview Sam
Adolescence: A client's diagnosis of CF was made 13 C. Applying an oximeter and initiating respiratory therapy
years ago, and he has since been hospitalized several
times. On the latest admission, the client has labored Rationale:
respirations, fatigue, malnutrition, and failure to thrive. A pulse oximetry is used for a variety of situations in which quick assessments of a
Which nursing actions are most important initially? child's respiratory status are needed. Children who present with the following
A. Placing the client on bed rest and ordering a blood signs and symptoms will benefit from pulse oximetry: increased work of
gas analysis breathing, wheezing, coughing and cyanosis.
B. Ordering a high-calorie, high-protein, low fat, vitamin-
enriched diet and pancreatic granules
C. Applying an oximeter and initiating respiratory therapy
D. Inserting an I.V. line and initiating antibiotic therapy
School- age: A school-age child with CF asks the nurse A. Swimming
what sports she can become involved in as she becomes
older. Which of the following activities would be Rationale: The best answer is swimming because it coordinates breathing and
appropriate for the nurse to suggest? movement of all muscle groups and can be done on an individual basis or on a
A. Swimming team. Track events, baseball and javelin throwing usually are performed outdoors;
B. Track the child would be breathing in large amounts of dust and dirt, which would be
C. Baseball irritating to her mucous membranes and pulmonary system. The activities that
D. Javelin throwing expose the child to dust and heat would play a role in placing the child at risk for
an upper respiratory tract infection and compromising her respiratory function.
Preschool: When developing a recreational therapy plan B. Child's favorite doll
of care for a 3-year-old child hospitalized with
pneumonia and cystic fibrosis, which of the following toys Rationale:
would be appropriate? The child's favorite doll is an appropriate choice for a toy. The doll provides
A. 100 piece jigsaw puzzle support and is familiar to the child. Although a 3-year-old may enjoy puzzles, a
B. Child's favorite doll 100-piece jigsaw puzzle would be too complicated for an ill 3-year-old child.
C. Fuzzy stuffed animal Because of the child's lung and respiratory issues, a fuzzy stuffed animal would
D. Scissors, paper, and paste not be an appropriate choice because of its potential as a reservoir for dust and
bacteria, which could possibly predispose the child to additional respiratory
problems. Scissors, paper, and paste are not appropriate for a 3-year-old unless
the child is supervised closely.
, Toddler: When developing the plan of care for a child B. Before meals
with cystic fibrosis (CF) who is scheduled to receive
postural drainage, the nurse should anticipate performing Rationale: Postural drainage for the CF patient is best before meals because the
postural drainage at which of the following times? stomach is empty and this will reduce the risk of vomiting.
A. After meals
B. Before meals
C. After rest periods
D. Before inhalation treatments
Infant: A 9-month-old child with cystic fibrosis does not B. The child needs these pancreatic enzymes to help the digestive system absorb
like taking pancreatic enzyme supplement with meals and fats, carbohydrates, and proteins.
snacks. The mother does not like to force the child to take
the supplement. The most important reason for the child Rationale: CF patients have pancreatic fibrosis, which causes blockage of the
to take the pancreatic enzyme supplement with meals pancreatic ducts, thus pancreatic enzymes cannot reach the duodenum. Thus,
and snacks is: these enzymes must be added with their meals to facilitate proper digestion and
A. The child will become dehydrated if the supplement is absorption of nutrients.
not taken with meals and snacks
B. The child needs these pancreatic enzymes to help the
digestive system absorb fats, carbohydrates, and
proteins.
C. The child needs the pancreatic enzymes to aid in
liquefying mucus to keep the lungs clear
D. The child will experience severe diarrhea if the
supplement is not taken as prescribed
Infant: Discharge teaching for a 3-month-old infant with a 1. Give the medication at regular interval
cardiac defect who is to receive digoxin should include 4. Notify the primary care provider of poor feeding or vomiting
which of the following? Select all that apply 6. Notify the primary care provider if more than 2 consecutive doses are missed
7. Keep medication in a safe place, preferably a locked cabinet
1. Give the medication at regular interval Rationale: The correct amount of digoxin should be administered at regularly
2. Mix the medication with a small volume of breast milk scheduled times to maintain therapeutic blood levels. If the infant has teeth, the
or formula dose should be followed by water to prevent tooth decay. Vomiting and sight
3. Repeat the dose one time if the child vomits alteration are signs of digoxin toxicity. If the infant vomits after the dose it should
immediately after administration not be re-administered because there is no way to know if the infant received any
4. Notify the primary care provider of poor feeding or of the medication.
vomiting
5. Make up any missed doses as soon as realized
6. Notify the primary care provider if more than 2
consecutive doses are missed
7. Keep medication in a safe place, preferably a locked
cabinet
8. Induce vomiting if there is an accidental overdose
Calculations
Save
Students also studied
Med Surg Peds Cardiac Questions NCLEX Questions Psych Preschooler exam 3 Pediatr
21 terms 35 terms 41 terms 56 terms
dukee83 Preview clrochel Preview jenlynnb02 Preview Sam
Adolescence: A client's diagnosis of CF was made 13 C. Applying an oximeter and initiating respiratory therapy
years ago, and he has since been hospitalized several
times. On the latest admission, the client has labored Rationale:
respirations, fatigue, malnutrition, and failure to thrive. A pulse oximetry is used for a variety of situations in which quick assessments of a
Which nursing actions are most important initially? child's respiratory status are needed. Children who present with the following
A. Placing the client on bed rest and ordering a blood signs and symptoms will benefit from pulse oximetry: increased work of
gas analysis breathing, wheezing, coughing and cyanosis.
B. Ordering a high-calorie, high-protein, low fat, vitamin-
enriched diet and pancreatic granules
C. Applying an oximeter and initiating respiratory therapy
D. Inserting an I.V. line and initiating antibiotic therapy
School- age: A school-age child with CF asks the nurse A. Swimming
what sports she can become involved in as she becomes
older. Which of the following activities would be Rationale: The best answer is swimming because it coordinates breathing and
appropriate for the nurse to suggest? movement of all muscle groups and can be done on an individual basis or on a
A. Swimming team. Track events, baseball and javelin throwing usually are performed outdoors;
B. Track the child would be breathing in large amounts of dust and dirt, which would be
C. Baseball irritating to her mucous membranes and pulmonary system. The activities that
D. Javelin throwing expose the child to dust and heat would play a role in placing the child at risk for
an upper respiratory tract infection and compromising her respiratory function.
Preschool: When developing a recreational therapy plan B. Child's favorite doll
of care for a 3-year-old child hospitalized with
pneumonia and cystic fibrosis, which of the following toys Rationale:
would be appropriate? The child's favorite doll is an appropriate choice for a toy. The doll provides
A. 100 piece jigsaw puzzle support and is familiar to the child. Although a 3-year-old may enjoy puzzles, a
B. Child's favorite doll 100-piece jigsaw puzzle would be too complicated for an ill 3-year-old child.
C. Fuzzy stuffed animal Because of the child's lung and respiratory issues, a fuzzy stuffed animal would
D. Scissors, paper, and paste not be an appropriate choice because of its potential as a reservoir for dust and
bacteria, which could possibly predispose the child to additional respiratory
problems. Scissors, paper, and paste are not appropriate for a 3-year-old unless
the child is supervised closely.
, Toddler: When developing the plan of care for a child B. Before meals
with cystic fibrosis (CF) who is scheduled to receive
postural drainage, the nurse should anticipate performing Rationale: Postural drainage for the CF patient is best before meals because the
postural drainage at which of the following times? stomach is empty and this will reduce the risk of vomiting.
A. After meals
B. Before meals
C. After rest periods
D. Before inhalation treatments
Infant: A 9-month-old child with cystic fibrosis does not B. The child needs these pancreatic enzymes to help the digestive system absorb
like taking pancreatic enzyme supplement with meals and fats, carbohydrates, and proteins.
snacks. The mother does not like to force the child to take
the supplement. The most important reason for the child Rationale: CF patients have pancreatic fibrosis, which causes blockage of the
to take the pancreatic enzyme supplement with meals pancreatic ducts, thus pancreatic enzymes cannot reach the duodenum. Thus,
and snacks is: these enzymes must be added with their meals to facilitate proper digestion and
A. The child will become dehydrated if the supplement is absorption of nutrients.
not taken with meals and snacks
B. The child needs these pancreatic enzymes to help the
digestive system absorb fats, carbohydrates, and
proteins.
C. The child needs the pancreatic enzymes to aid in
liquefying mucus to keep the lungs clear
D. The child will experience severe diarrhea if the
supplement is not taken as prescribed
Infant: Discharge teaching for a 3-month-old infant with a 1. Give the medication at regular interval
cardiac defect who is to receive digoxin should include 4. Notify the primary care provider of poor feeding or vomiting
which of the following? Select all that apply 6. Notify the primary care provider if more than 2 consecutive doses are missed
7. Keep medication in a safe place, preferably a locked cabinet
1. Give the medication at regular interval Rationale: The correct amount of digoxin should be administered at regularly
2. Mix the medication with a small volume of breast milk scheduled times to maintain therapeutic blood levels. If the infant has teeth, the
or formula dose should be followed by water to prevent tooth decay. Vomiting and sight
3. Repeat the dose one time if the child vomits alteration are signs of digoxin toxicity. If the infant vomits after the dose it should
immediately after administration not be re-administered because there is no way to know if the infant received any
4. Notify the primary care provider of poor feeding or of the medication.
vomiting
5. Make up any missed doses as soon as realized
6. Notify the primary care provider if more than 2
consecutive doses are missed
7. Keep medication in a safe place, preferably a locked
cabinet
8. Induce vomiting if there is an accidental overdose
