The nurse is developing a teaching plan for the family of a toddler recently
diagnosed with sickle cell disease. Of which does the nurse include as important
for the family to be aware and to report in order to recognize signs of the major
cause of death for children under age 5 with sickle cell disease?
a. Presence of respiratory problems
b. Signs and symptoms of stroke
c. Localized swelling over joints
d. Presence of fever
Give this one a try later!
Answer: D
Rationale: The major cause of death for children with sickle cell disease
under the age of 5 is overwhelming infections; thus the family needs to
monitor the child closely for presence of fever. Signs and symptoms of
stroke, presence of respiratory problems, and localized swelling over joints
are also symptoms of issues related to sickle cell disease, but are not
directly related to the leading cause of death for children under the age of
5.
,The nurse is caring for a child with a Wilms tumor. What is the most important
nursing intervention before surgery?
a. Preparing the child and family for long-term dialysis
b. Avoiding abdominal palpation
c. Closely monitoring the arterial blood gases
d. Preparing the child and family for renal transplantation
Give this one a try later!
Answer: B
Rationale: Wilms' tumor is encapsulated. It is extremely important to avoid
any palpation of the mass to minimize the risk of dissemination of cancer
cells to adjacent tissues and other sites. A sign should be placed over the
bed indicating that no abdominal palpation should be conducted.
Preoperative monitoring of arterial blood gases is not indicated for this
abdominal surgery. Long-term dialysis is not indicated unless both kidneys
must be removed. This option is considered a last resort. If both kidneys are
involved, preoperative irradiation, chemotherapy, or both are used to
minimize the tumor size. Renal transplantation is a last resort if both kidneys
need to be removed and a compatible living donor exists.
When administering a medication to a child, the nurse knows that:
a. Most accurate measuring small amounts of med. is a calibrated oral syringe.
b. Use a dropper-remember that thick fluids are easier to measure than viscous.
c. A teaspoon is often the unit of measurement for ped med, use a kitchen one.
d. For more exact measuring, emptying dropper contents into a medicine cup.
Give this one a try later!
Answer: A
Rationale: The most accurate means for measuring small amounts of
medication is the plastic disposable calibrated oral syringe. Not only does
the syringe provide a reliable measure, but it also serves as a convenient
means for transporting and administering the medication. Although
administering liquids to infants is relatively easy, the nurse must take care to
prevent aspiration. While holding the infant in a semireclining position,
, place the medication in the mouth using an oral syringe (without a needle).
It is best to place the syringe along the side of the infant's tongue and
administer the liquid slowly in small amounts, waiting for the child to
swallow between increments. In infants up to 11 months of age and children
with neurologic impairments, blowing a small puff of air in the face
frequently elicits a swallow reflex.
Surgical repair for patent ductus arteriosus (PDA) is performed to prevent the
complication of what?
a. Pulmonary infection
b. Right-to-left shunting of blood
c. Decreased workload on the heart's left side
d. A worsening of pulmonary vascular congestion
Give this one a try later!
Answer: D
Rationale: A patent ductus arteriosus (PDA) allows blood to flow from the
aorta (high pressure) to the pulmonary artery (low pressure). If the PDA
stays open, increased pulmonary vascular congestion may occur. Increased
pulmonary vascular congestion is the primary complication; pulmonary
infection may occur, but it is not the priority complication. A PDA involves
left-to-right shunting of blood. The decreased workload on the left side of
the heart is not a priority complication of a PDA.
A 5-year-old child diagnosed with leukemia is treated with chemotherapy. The
parents of the child report that the child refuses to eat anything. The nurse finds
that the child has mouth ulcers. What are the most appropriate steps for the nurse
to take? Select all that apply.
a. Provide frequent mouthwashes with normal saline.
b. Use viscous lidocaine for pain relief.
c. Use a soft sponge toothbrush for the child.
d. Use Chloraseptic lozenges for pain relief.
e. Provide a bland, moist, soft diet appropriate for the child's age.
diagnosed with sickle cell disease. Of which does the nurse include as important
for the family to be aware and to report in order to recognize signs of the major
cause of death for children under age 5 with sickle cell disease?
a. Presence of respiratory problems
b. Signs and symptoms of stroke
c. Localized swelling over joints
d. Presence of fever
Give this one a try later!
Answer: D
Rationale: The major cause of death for children with sickle cell disease
under the age of 5 is overwhelming infections; thus the family needs to
monitor the child closely for presence of fever. Signs and symptoms of
stroke, presence of respiratory problems, and localized swelling over joints
are also symptoms of issues related to sickle cell disease, but are not
directly related to the leading cause of death for children under the age of
5.
,The nurse is caring for a child with a Wilms tumor. What is the most important
nursing intervention before surgery?
a. Preparing the child and family for long-term dialysis
b. Avoiding abdominal palpation
c. Closely monitoring the arterial blood gases
d. Preparing the child and family for renal transplantation
Give this one a try later!
Answer: B
Rationale: Wilms' tumor is encapsulated. It is extremely important to avoid
any palpation of the mass to minimize the risk of dissemination of cancer
cells to adjacent tissues and other sites. A sign should be placed over the
bed indicating that no abdominal palpation should be conducted.
Preoperative monitoring of arterial blood gases is not indicated for this
abdominal surgery. Long-term dialysis is not indicated unless both kidneys
must be removed. This option is considered a last resort. If both kidneys are
involved, preoperative irradiation, chemotherapy, or both are used to
minimize the tumor size. Renal transplantation is a last resort if both kidneys
need to be removed and a compatible living donor exists.
When administering a medication to a child, the nurse knows that:
a. Most accurate measuring small amounts of med. is a calibrated oral syringe.
b. Use a dropper-remember that thick fluids are easier to measure than viscous.
c. A teaspoon is often the unit of measurement for ped med, use a kitchen one.
d. For more exact measuring, emptying dropper contents into a medicine cup.
Give this one a try later!
Answer: A
Rationale: The most accurate means for measuring small amounts of
medication is the plastic disposable calibrated oral syringe. Not only does
the syringe provide a reliable measure, but it also serves as a convenient
means for transporting and administering the medication. Although
administering liquids to infants is relatively easy, the nurse must take care to
prevent aspiration. While holding the infant in a semireclining position,
, place the medication in the mouth using an oral syringe (without a needle).
It is best to place the syringe along the side of the infant's tongue and
administer the liquid slowly in small amounts, waiting for the child to
swallow between increments. In infants up to 11 months of age and children
with neurologic impairments, blowing a small puff of air in the face
frequently elicits a swallow reflex.
Surgical repair for patent ductus arteriosus (PDA) is performed to prevent the
complication of what?
a. Pulmonary infection
b. Right-to-left shunting of blood
c. Decreased workload on the heart's left side
d. A worsening of pulmonary vascular congestion
Give this one a try later!
Answer: D
Rationale: A patent ductus arteriosus (PDA) allows blood to flow from the
aorta (high pressure) to the pulmonary artery (low pressure). If the PDA
stays open, increased pulmonary vascular congestion may occur. Increased
pulmonary vascular congestion is the primary complication; pulmonary
infection may occur, but it is not the priority complication. A PDA involves
left-to-right shunting of blood. The decreased workload on the left side of
the heart is not a priority complication of a PDA.
A 5-year-old child diagnosed with leukemia is treated with chemotherapy. The
parents of the child report that the child refuses to eat anything. The nurse finds
that the child has mouth ulcers. What are the most appropriate steps for the nurse
to take? Select all that apply.
a. Provide frequent mouthwashes with normal saline.
b. Use viscous lidocaine for pain relief.
c. Use a soft sponge toothbrush for the child.
d. Use Chloraseptic lozenges for pain relief.
e. Provide a bland, moist, soft diet appropriate for the child's age.
