RN VATI Nursing Care of children 2019
1. A nurse is providing nutritional teaching to the patents of a child who has
acute glomerulonephritis with pitting edema. Which of the following foods
should the nurse recommend be eliminated from the child's diet ANS': Hot
dogs
¡ Results in edema, HTN, hematuria and proteinuria. Dietary changes requires
limit foods high in sodium because of the edema and HTN. (Hot dogs, or other
processed meats)
glomerulonephritis - Glomerulonephritis is a type of kidney disease where these
coils become inflamed. This makes it hard for the kidneys to filter the blood
Diet changes to child's diet include protein and how much child may need,
potassium may be limited, phosphorus limits (phosphorus makes bones weak),
a low-sodium diet
glomerulonephritis - Acute and chronic glomerulonephritis can develop from a
systemic infection and involves the glomeruli of the kidney or the area responsible
for filtering particles from the blood to make urine.
Pitting edema - occurs when excess fluid builds up in the body, causing swelling;
,when pressure is applied to the swollen area, a "pit", or indentation, will remain.
2. A nurse in an emergency department is assessing a 5-year-old child who
has a concussion. Which of the following manifestations should the nurse
identify as an early indication of ICP ANS: Nausea
¡ Early findings of ICP (N + V normally projectile)
3. A nurse is creating a plan of care for a school-age child who has moderate
partial thickness burns on both lower extremities. Which of the following in-
terventions should the nurse include in the plan ANS: Maintain aseptic
techniqueduring the child dressing changes.
¡ To prevent infection. Delayed wound healing can occur due to infection, which can
also cause partial thickness wounds to develop into full thickness wounds.
4. A charge nurse on a pediatric unit is reviewing informed consent guide-
lines with newly licensed nurse. For which of the following clients should
the nurse obtain informed consent from a guardian ANS: A 15-year-old client
whorequires an open reduction of a fracture.
,¡ Sign consent prior to surgical procedures for a minor.
• Informed consent is a legal process by which a client or the client's legally
appointed designee has given written permission for a procedure or treatment.
Consent is informed when a provider explains and the client understands:
¡ The reason the client needs the treatment or procedure.
¡ How the treatment or procedure will benefit the client.
¡ The risks involved if the client chooses to receive the treatment or procedure.
¡ Other options to treat the problem, including not treating the problem.
• The nurse's role in the informed consent process is to witness the client's signa-
ture on the informed consent form and to ensure that the provider has obtained
the informed consent responsibly.
5. A nurse is caring for a child who has terminal leukemia. The parents asks
the nurse, "When will we know that our child is nearing the end of their life
ANS" Which of the following statements should the nurse make ANS: Your
child will losemovement in their legs.
¡ Lose movement in the lower extremities. This progressive loss of movement will
move up the body as death nears.
• Leukemias are cancers of white blood cells or of cells that develop into white
blood cells. In leukemia, the white blood cells are not functional. They invade and
destroy bone marrow, and they can metastasize to the liver, spleen, lymph nodes,
testes, and brain.
, 6. A nurse is providing home care instructions to the parents of a child
who is in the edema phase of nephrotic syndrome. Which of the following
instructions should the nurse include in the teaching ANS: Provide quite
activitiesfor the child.
¡ Provide quite activities, such as reading and coloring, during edema phase of
nephritis to minimize oxygen consumption and preserve energy.
• Kidney Failure (nephrotic syndrome); kidney cannot remove waist and balance
fluids
7. A nurse is assessing a 2-year-old child following a surgical procedure.
Which of the following pain tools should the nurse use ANS: Face, Legs,
Activity,
1. A nurse is providing nutritional teaching to the patents of a child who has
acute glomerulonephritis with pitting edema. Which of the following foods
should the nurse recommend be eliminated from the child's diet ANS': Hot
dogs
¡ Results in edema, HTN, hematuria and proteinuria. Dietary changes requires
limit foods high in sodium because of the edema and HTN. (Hot dogs, or other
processed meats)
glomerulonephritis - Glomerulonephritis is a type of kidney disease where these
coils become inflamed. This makes it hard for the kidneys to filter the blood
Diet changes to child's diet include protein and how much child may need,
potassium may be limited, phosphorus limits (phosphorus makes bones weak),
a low-sodium diet
glomerulonephritis - Acute and chronic glomerulonephritis can develop from a
systemic infection and involves the glomeruli of the kidney or the area responsible
for filtering particles from the blood to make urine.
Pitting edema - occurs when excess fluid builds up in the body, causing swelling;
,when pressure is applied to the swollen area, a "pit", or indentation, will remain.
2. A nurse in an emergency department is assessing a 5-year-old child who
has a concussion. Which of the following manifestations should the nurse
identify as an early indication of ICP ANS: Nausea
¡ Early findings of ICP (N + V normally projectile)
3. A nurse is creating a plan of care for a school-age child who has moderate
partial thickness burns on both lower extremities. Which of the following in-
terventions should the nurse include in the plan ANS: Maintain aseptic
techniqueduring the child dressing changes.
¡ To prevent infection. Delayed wound healing can occur due to infection, which can
also cause partial thickness wounds to develop into full thickness wounds.
4. A charge nurse on a pediatric unit is reviewing informed consent guide-
lines with newly licensed nurse. For which of the following clients should
the nurse obtain informed consent from a guardian ANS: A 15-year-old client
whorequires an open reduction of a fracture.
,¡ Sign consent prior to surgical procedures for a minor.
• Informed consent is a legal process by which a client or the client's legally
appointed designee has given written permission for a procedure or treatment.
Consent is informed when a provider explains and the client understands:
¡ The reason the client needs the treatment or procedure.
¡ How the treatment or procedure will benefit the client.
¡ The risks involved if the client chooses to receive the treatment or procedure.
¡ Other options to treat the problem, including not treating the problem.
• The nurse's role in the informed consent process is to witness the client's signa-
ture on the informed consent form and to ensure that the provider has obtained
the informed consent responsibly.
5. A nurse is caring for a child who has terminal leukemia. The parents asks
the nurse, "When will we know that our child is nearing the end of their life
ANS" Which of the following statements should the nurse make ANS: Your
child will losemovement in their legs.
¡ Lose movement in the lower extremities. This progressive loss of movement will
move up the body as death nears.
• Leukemias are cancers of white blood cells or of cells that develop into white
blood cells. In leukemia, the white blood cells are not functional. They invade and
destroy bone marrow, and they can metastasize to the liver, spleen, lymph nodes,
testes, and brain.
, 6. A nurse is providing home care instructions to the parents of a child
who is in the edema phase of nephrotic syndrome. Which of the following
instructions should the nurse include in the teaching ANS: Provide quite
activitiesfor the child.
¡ Provide quite activities, such as reading and coloring, during edema phase of
nephritis to minimize oxygen consumption and preserve energy.
• Kidney Failure (nephrotic syndrome); kidney cannot remove waist and balance
fluids
7. A nurse is assessing a 2-year-old child following a surgical procedure.
Which of the following pain tools should the nurse use ANS: Face, Legs,
Activity,
