NURSING NUR 254 Exam 4 Study Material
y y y y y y
Maternal
1. The ynurse yis ycaring yfor ya ychild ywho yhas yleukemia ywith ya ywhite yblood ycell y(WBC) ycount yof
y< y1000 ymm. yWhich yof ythe yfollowing yshould ythe ynurse yinclude yin ythe ychild’s yplan yof
ycare?
a. Administer yprescribed yinfluenza yvaccination
b. Assign ythe ychild yto ya yroom ywith yother ychildren
c. Allow ythe ychild yto yplay ywith yother ychildren ywho ydo ynot yhave ya yfever
d. Use ysterile ytechniques yfor yany yprocedures
2. The ynurse yis yproviding ya yteaching ysession yto ythe yhealth ycare ystaff yregarding
yosteosarcoma. yWhich yof ythe yfollowing ystatements yby yan yattendee yindicates ya yneed
yfor yadditional yteaching?
a. “A ycommon yclinical ymanifestation yisylimping yif ya yweight-bearing ylimb yisyaffected.”
b. “The ysternum yis ythe ymost ycommon ysite yof ythis ysarcoma.”
c. “Children ytypicallyyexperience ypain yat ythe yprimary ytumor ysite.”
d. “In ythe yearly ystage, ythe ysymptoms yof ythis ydisease yare yusually yattributed yto
ynormal ygrowing ypains.”
3. The ynurse yis ycaring yfor ya ychild ywho yis ysuspected yof yhaving ya yWilm’s ytumor. yWhich yof
ythe yfollowing yactions yby ythe ynurse yindicates ythe yneed yfor yadditional ytraining?
a. Instructing ythe yparents ythat ythe ychild yneeds yto yremain yin ybed.
b. Preventing ya ychild yfrom yplaying ytag yin ythe yplayroom.
c. Requesting ya ybland ysoft ydiet yfor ythe ychild.
d. Palpating ythe ychild’s yabdomen.
4. The ynurse yis ycaring yfor ya y5-year-old ychild ywho yhas ysickle ycell ydisease y(SCD). yAn
yassessment yof ythe ychild yincludes ythe yfollowing: yrespirations y10 yand yunarousable. yThe
ychild yis ycurrently yon yintravenous y(IV) yfluids yand ycontinuous yIV ymorphine ysulfate yBased
yon ythe yassessment yinformation, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake
yfirst?
a. Increase ythe yIV yfluids yto ydecrease yvaso-occlusion.
b. Obtain ya ycomplete ymetabolic ylaboratory yblood ysample.
c. Elevate ythe yhead yof ythe ybed y(HOB) yto yincrease yoxygen ysaturation.
d. Administer ynaloxone yto yreverse ythe yeffect yof ythe ymorphine.
5. The ynurse yis yadmitting ya ychild ywho yhas ya yvaso-occlusive ysickle ycell ycrisis. yWhich yof
ythe yfollowing yinterventions yshould ythe ynurse yanticipate yto ybe yprescribed yfor ythe
ychild?
a. Correction yof yalkalosis yand yreduction yof yenergy yexpenditure.
b. Globulins yand yfactor yVIII yreplacement.
c. Hydration yand ypain ymanagement.
d. Electrolyte yreplacement yand yadministration yof yheparin.
6. The ynurse yworking yin ythe yemergency ydepartment y(ED) yis ycaring yfor ya ychild ywho yhas
yhemophilia yand ydeveloped ya yswollen yknee yafter yfalling yoff ya ybicycle. yThe ynurse yis
yteaching ythe ychild’s yparents yabout ycare ywhen ysimilar yincidents yoccur yat yhome yin ythe
yfuture. yWhich yof ythe yfollowing yactions yshould ythe ynurse yteach ythe yparents?
a. Take ythe ychild yto ythe ynearest yemergency ydepartment y(ED).
b. Keep ythe ychild’s yaffected yknee ybelow ythe ylevel yof ythe yheart.
c. Apply yan yice ypack yand ycompression ydressings yto ythe yknee.
This ystudy ysource ywas ydownloaded yby y100000861453484 yfrom yCourseHero.com yon y03y-07-2023 y02:19:43 yGMT y-
06:00
https://www.coursehero.com/file/192173409/Exam-4-maternaldocx/
, d. Administer yrecommended ydose yof yaspirin.
This ystudy ysource ywas ydownloaded yby y100000861453484 yfrom yCourseHero.com yon y03y-07-2023 y02:19:43 yGMT y-
06:00
https://www.coursehero.com/file/192173409/Exam-4-maternaldocx/
y y y y y y
Maternal
1. The ynurse yis ycaring yfor ya ychild ywho yhas yleukemia ywith ya ywhite yblood ycell y(WBC) ycount yof
y< y1000 ymm. yWhich yof ythe yfollowing yshould ythe ynurse yinclude yin ythe ychild’s yplan yof
ycare?
a. Administer yprescribed yinfluenza yvaccination
b. Assign ythe ychild yto ya yroom ywith yother ychildren
c. Allow ythe ychild yto yplay ywith yother ychildren ywho ydo ynot yhave ya yfever
d. Use ysterile ytechniques yfor yany yprocedures
2. The ynurse yis yproviding ya yteaching ysession yto ythe yhealth ycare ystaff yregarding
yosteosarcoma. yWhich yof ythe yfollowing ystatements yby yan yattendee yindicates ya yneed
yfor yadditional yteaching?
a. “A ycommon yclinical ymanifestation yisylimping yif ya yweight-bearing ylimb yisyaffected.”
b. “The ysternum yis ythe ymost ycommon ysite yof ythis ysarcoma.”
c. “Children ytypicallyyexperience ypain yat ythe yprimary ytumor ysite.”
d. “In ythe yearly ystage, ythe ysymptoms yof ythis ydisease yare yusually yattributed yto
ynormal ygrowing ypains.”
3. The ynurse yis ycaring yfor ya ychild ywho yis ysuspected yof yhaving ya yWilm’s ytumor. yWhich yof
ythe yfollowing yactions yby ythe ynurse yindicates ythe yneed yfor yadditional ytraining?
a. Instructing ythe yparents ythat ythe ychild yneeds yto yremain yin ybed.
b. Preventing ya ychild yfrom yplaying ytag yin ythe yplayroom.
c. Requesting ya ybland ysoft ydiet yfor ythe ychild.
d. Palpating ythe ychild’s yabdomen.
4. The ynurse yis ycaring yfor ya y5-year-old ychild ywho yhas ysickle ycell ydisease y(SCD). yAn
yassessment yof ythe ychild yincludes ythe yfollowing: yrespirations y10 yand yunarousable. yThe
ychild yis ycurrently yon yintravenous y(IV) yfluids yand ycontinuous yIV ymorphine ysulfate yBased
yon ythe yassessment yinformation, ywhich yof ythe yfollowing yactions yshould ythe ynurse ytake
yfirst?
a. Increase ythe yIV yfluids yto ydecrease yvaso-occlusion.
b. Obtain ya ycomplete ymetabolic ylaboratory yblood ysample.
c. Elevate ythe yhead yof ythe ybed y(HOB) yto yincrease yoxygen ysaturation.
d. Administer ynaloxone yto yreverse ythe yeffect yof ythe ymorphine.
5. The ynurse yis yadmitting ya ychild ywho yhas ya yvaso-occlusive ysickle ycell ycrisis. yWhich yof
ythe yfollowing yinterventions yshould ythe ynurse yanticipate yto ybe yprescribed yfor ythe
ychild?
a. Correction yof yalkalosis yand yreduction yof yenergy yexpenditure.
b. Globulins yand yfactor yVIII yreplacement.
c. Hydration yand ypain ymanagement.
d. Electrolyte yreplacement yand yadministration yof yheparin.
6. The ynurse yworking yin ythe yemergency ydepartment y(ED) yis ycaring yfor ya ychild ywho yhas
yhemophilia yand ydeveloped ya yswollen yknee yafter yfalling yoff ya ybicycle. yThe ynurse yis
yteaching ythe ychild’s yparents yabout ycare ywhen ysimilar yincidents yoccur yat yhome yin ythe
yfuture. yWhich yof ythe yfollowing yactions yshould ythe ynurse yteach ythe yparents?
a. Take ythe ychild yto ythe ynearest yemergency ydepartment y(ED).
b. Keep ythe ychild’s yaffected yknee ybelow ythe ylevel yof ythe yheart.
c. Apply yan yice ypack yand ycompression ydressings yto ythe yknee.
This ystudy ysource ywas ydownloaded yby y100000861453484 yfrom yCourseHero.com yon y03y-07-2023 y02:19:43 yGMT y-
06:00
https://www.coursehero.com/file/192173409/Exam-4-maternaldocx/
, d. Administer yrecommended ydose yof yaspirin.
This ystudy ysource ywas ydownloaded yby y100000861453484 yfrom yCourseHero.com yon y03y-07-2023 y02:19:43 yGMT y-
06:00
https://www.coursehero.com/file/192173409/Exam-4-maternaldocx/
