Nursing Care of Children-B ati
Nursing Care of Children-B - ANSNursing Care of Children-B
*****A nurse in the ED is assessing a toddler who has Kawasaki disease. Which of the following
findings should the nurse expect? (Select All) - ANSA: Increased temp
Xerophthalmia
Cervical lymphadenopathy.
R: Kawasaki disease is an acute illness associated with a fever lasting more than 4 days that is
unresponsive to antipyretics or antibiotics.
Ophthalmic manifestations of Kawasaki disease include reddening of the conjunctiva and
dryness of the eyes, or xerophthalmia.
The child who has Kawasaki disease may develop enlarged cervical nodes on one side of the
neck that are nontender and greater than 1.5 cm in size.
Q: A nurse in an ED is caring for a school-age child who has sustained a superficial minor burn
from fireworks on his forearm. Which of the following actions should the nurse take? - ANSA:
Use an antimicrobial ointment on the affected area.
Q: A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse
should teach the parent to apply which of the following to the affected area? - ANSA: Zinc
Oxide.
r: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant
such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with
erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin
to heal.
***A nurse is reviewing the lab report of a 6 year old child who is receiving chemotherapy. Which
of the following laboratory values should the nurse report to the provider? - ANSA: Hgb 8.5g/dL.
R: The child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on
the blood forming cells of the bone marrow. The development of anemia is diagnosed through
laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a
hemoglobin level of 8.5 g/dL is below the expected reference range for a 6-year-old child and
should be reported to the provider.
, Q: A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a
lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the
following findings to the provider? - ANSA: Restricted ability to move the toes.
*** A nurse is caring for a toddler who has acute otitis media and a temp of 40 C (104 F). After
administering acetaminophen, which of the following actions should the nurse plan to take to
reduce the toddler/s temp? - ANSA: Dress the toddler in minimal clothing.
R: The nurse should recognize that dressing the toddler in minimal clothing will expose the skin
to air and maximize heat evaporation from the skin, thus reducing the toddler's temperature.
*** A nurse in an ED suspects that a toddler has epiglottis. Which of the following actions should
the nurse take? - ANSA: Prepare the toddler for nasotracheal intubation.
r: When epiglottitis is suspected the nurse should prepare for nasotracheal intubation or a
tracheostomy, which might be required if the toddler begins to experience severe respiratory
distress.
**** A nurse is reviewing the lumbar puncture results of a school age child suspected of having
bacterial meningitis. which of the following results should the nurse identify as a finding
associated with bacterial meningitis? - ANSA: Increased protein concentration.
r: The nurse should recognize that an increased protein concentration in the spinal fluid is a
finding associated with bacterial meningitis.
**** A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a
diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the
following findings should the nurse expect? - ANSA: Deep respirations of 32/min.
r: The nurse should expect deep and rapid respirations in a child who has diabetic ketoacidosis.
This respiratory rhythm is the body's attempt to blow off excess carbon dioxide and achieve a
state of homeostasis.
Q: A nurse in an ED is auscultating the lungs of an adolescent who is experiencing dyspnea.
The nurse should identify the sound as which of the following? - ANSA: Wheezes.
**** A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - ANSA: Great
toe.
r: The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the
sensor site frequently for pulses, temperature, and color.
Nursing Care of Children-B - ANSNursing Care of Children-B
*****A nurse in the ED is assessing a toddler who has Kawasaki disease. Which of the following
findings should the nurse expect? (Select All) - ANSA: Increased temp
Xerophthalmia
Cervical lymphadenopathy.
R: Kawasaki disease is an acute illness associated with a fever lasting more than 4 days that is
unresponsive to antipyretics or antibiotics.
Ophthalmic manifestations of Kawasaki disease include reddening of the conjunctiva and
dryness of the eyes, or xerophthalmia.
The child who has Kawasaki disease may develop enlarged cervical nodes on one side of the
neck that are nontender and greater than 1.5 cm in size.
Q: A nurse in an ED is caring for a school-age child who has sustained a superficial minor burn
from fireworks on his forearm. Which of the following actions should the nurse take? - ANSA:
Use an antimicrobial ointment on the affected area.
Q: A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse
should teach the parent to apply which of the following to the affected area? - ANSA: Zinc
Oxide.
r: Diaper dermatitis is a common inflammatory skin disorder caused by contact with an irritant
such as urine, feces, soap, or friction, and takes the form of scaling, blisters, or papules with
erythema. Providing a protective barrier, such as zinc oxide, against the irritants allows the skin
to heal.
***A nurse is reviewing the lab report of a 6 year old child who is receiving chemotherapy. Which
of the following laboratory values should the nurse report to the provider? - ANSA: Hgb 8.5g/dL.
R: The child receiving chemotherapy is at risk for anemia due to the chemotherapy effects on
the blood forming cells of the bone marrow. The development of anemia is diagnosed through
laboratory testing of hemoglobin and hematocrit levels. The nurse should recognize that a
hemoglobin level of 8.5 g/dL is below the expected reference range for a 6-year-old child and
should be reported to the provider.
, Q: A nurse is providing discharge teaching to the parents of a Caucasian toddler who had a
lower leg cast applied 24 hr ago. The nurse should instruct the parents to report which of the
following findings to the provider? - ANSA: Restricted ability to move the toes.
*** A nurse is caring for a toddler who has acute otitis media and a temp of 40 C (104 F). After
administering acetaminophen, which of the following actions should the nurse plan to take to
reduce the toddler/s temp? - ANSA: Dress the toddler in minimal clothing.
R: The nurse should recognize that dressing the toddler in minimal clothing will expose the skin
to air and maximize heat evaporation from the skin, thus reducing the toddler's temperature.
*** A nurse in an ED suspects that a toddler has epiglottis. Which of the following actions should
the nurse take? - ANSA: Prepare the toddler for nasotracheal intubation.
r: When epiglottitis is suspected the nurse should prepare for nasotracheal intubation or a
tracheostomy, which might be required if the toddler begins to experience severe respiratory
distress.
**** A nurse is reviewing the lumbar puncture results of a school age child suspected of having
bacterial meningitis. which of the following results should the nurse identify as a finding
associated with bacterial meningitis? - ANSA: Increased protein concentration.
r: The nurse should recognize that an increased protein concentration in the spinal fluid is a
finding associated with bacterial meningitis.
**** A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a
diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the
following findings should the nurse expect? - ANSA: Deep respirations of 32/min.
r: The nurse should expect deep and rapid respirations in a child who has diabetic ketoacidosis.
This respiratory rhythm is the body's attempt to blow off excess carbon dioxide and achieve a
state of homeostasis.
Q: A nurse in an ED is auscultating the lungs of an adolescent who is experiencing dyspnea.
The nurse should identify the sound as which of the following? - ANSA: Wheezes.
**** A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - ANSA: Great
toe.
r: The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the
sensor site frequently for pulses, temperature, and color.
