SAUNDERS HESI PEDS
(MATH) Atropine sulfate, 0.6 mg intramuscularly, is prescribed for a kid preoperatively. The
nurse has determined that the dose prescribed is secure and prepares to administer what
number of milliliters to the kid?
**there is a photograph inside the ebook** - ANS-ANS: 1.5 mL
Use the formula for calculating the medication dose. Formula: Desired Available Volume¼ 0:6
mg 0:four mg  1 mL¼ 1:five mL
A 10-yr-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse
must put together to administer which prescription?
1. Injection of component X
2. Intravenous infusion of iron
three. Intravenous infusion of aspect VIII
4. Intramuscular injection of iron using the Z-music technique - ANS-three
Hemophilia refers to a collection of bleeding issues because of a deficiency of particular
coagulation proteins. The primary treatment is substitute of the lacking clotting element; extra
medications, consisting of marketers to alleviate ache, can be prescribed relying at the source
of bleeding from the disease. A child with hemophilia A is at risk for joint bleeding after a fall.
Factor VIII could be prescribed intravenously to update the lacking clotting component and limit
the bleeding. Factor X and iron aren't used to treat children with hemophilia A.
A 4-year-antique infant is admitted to the health center for belly pain. The mom reviews that the
child has been faded and excessively worn-out and is bruising effortlessly. On physical
examination, lymphadenopathy and hepatosplenomegaly are referred to. Diagnostic research
are being finished due to the fact acute lymphocytic leukemia is suspected. The nurse
determines that which laboratory result confirms the analysis?
1. Lumbar puncture displaying no blast cells
2. Bone marrow biopsy showing blast cells
3. Platelet count number of 350,000 mm3 (350 Â 109 /L)
four. White blood cell rely 4500 mm3 (four.5Â 109 /L) - ANS-2
Leukemia is a malignant growth inside the number of leukocytes, usually at an immature stage,
within the bone marrow. The confirmatory check for leukemia is microscopic exam of bone
marrow acquired by means of bone marrow aspirate and biopsy, that is taken into consideration
high quality if blast cells are gift. An altered platelet rely occurs as a result of the disorder, but
,also might also arise because of chemotherapy and does now not verify the analysis. The white
blood cellular rely may be regular, excessive, or low in leukemia. A lumbar puncture can be
accomplished to look for blast cells in the spinal fluid that imply primary fearful gadget disorder.
A 4-year-antique baby sustains a fall at home. After an x-ray examination, the kid is determined
to have a fractured arm and a plaster forged is implemented. The nurse affords commands to
the dad and mom regarding care for the kid's forged. Which announcement via the mother and
father indicates a want for further coaching?
1. "The forged may additionally experience heat as the forged dries."
2. "I can use lotion or powder across the forged edges to alleviate itching."
three. "A small amount of white shoe polish can touch up a soiled white solid."
four. "If the solid will become moist, a blow drier set at the cool setting may be used to dry the
forged." - ANS-2
Teaching about cast care is critical to prevent headaches from the solid. The mother and father
need to be told no longer to apply lotion or powders at the skin around the forged edges or
inside the forged. Lotions or powders can turn out to be sticky or caked and motive pores and
skin infection. Options 1, 3, and four are suitable statements.
A 6-yr-old infant with human immunodeficiency virus (HIV) infection has been admitted to the
health center for pain management. The baby asks the nurse if the pain will ever go away. The
nurse should make which nice reaction to the child?
1. "The pain will leave in case you lie nevertheless and permit the medicine work."
2. "Try no longer to consider it. The greater you believe you studied it hurts, the extra it'll hurt."
3. "I know it should hurt, however if you tell me while it does, I will try to make it hurt a bit less."
four. "Every time it hurts, press on the decision button and I will give you some thing to make the
pain pass all away." - ANS-three
The multiple headaches related to HIVare observed by using a high degree of pain. Aggressive
ache control is crucial for the kid to have an appropriate first-rate of existence. The nurse need
to renowned the kid's pain and permit the child know that everything may be completed to lower
the pain. Telling the child that movement or lack thereof could dispose of the pain is incorrect.
Allowing a child to assume that he or she will manage the pain surely through thinking or not
thinking about it oversimplifies the pain cycle associated with HIV. Giving false hope by way of
telling the kid that the ache might be taken "all away" is neither sincere nor practical.
A 6-yr-vintage toddler with leukemia is hospitalized and is receiving mixture chemotherapy.
Laboratory outcomes imply that the kid is neutropenic, and protective isolation procedures are
initiated. The grandmother of the kid visits and brings a clean bouquet of plants picked from her
lawn, and asks the nurse for a vase for the plant life. Which reaction need to the nurse provide
to the grandmother?
,1. "I actually have a vase inside the software room, and I will get it for you."
2. "I gets the vase and wash it well earlier than you put the plants in it."
three. "The plant life out of your garden are stunning, but ought to now not be placed within the
child's room right now."
4. "When you convey the flora into the room, vicinity them on the bedside stand as a ways away
from the child as viable." - ANS-three
: Leukemia is a malignant boom in the variety of leukocytes, normally at an immature level, in
the bone marrow. It impacts the bone marrow, causing anemia from reduced erythrocytes,
contamination from neutropenia, and bleeding from reduced platelet manufacturing
(thrombocytopenia). For a hospitalized neutropenic child, vegetation or plants should now not
be kept inside the room due to the fact standing water and damp soil harbor Aspergillus and
Pseudomonas aeruginosa, to which the child is prone. In addition, fresh fruits and greens harbor
molds and need to be prevented until the white blood mobile count increases.
A 7-year-old infant is seen in a health center, and the health care company files a prognosis of
primary nocturnal enuresis. The nurse have to provide which records to the parents?
1. Primary nocturnal enuresis does now not respond to treatment.
2. Primary nocturnal enuresis is caused by a psychiatric hassle.
Three. Primary nocturnal enuresis requires surgical intervention to enhance the hassle.
4. Primary nocturnal enuresis is typically outgrown with out healing intervention. - ANS-4
Primary nocturnal enuresis happens in a toddler who has in no way been dry at night for
prolonged durations. The circumstance is commonplace in children, and maximum children
ultimately outgrow bed-wetting without healing intervention. The child is not able to feel a
complete bladder and does not awaken to void. The toddler can also have behind schedule
maturation of the crucial apprehensive system. The circumstance is not due to a psychiatric
hassle.
A infant has a right femur fracture resulting from a motor vehicle crash and is placed in pores
and skin traction briefly until surgery may be carried out. During evaluation, the nurse notes that
the dorsalis pedis pulse is absent on the proper foot. Which movement should the nurse take?
1. Administer an analgesic.
2. Release the pores and skin traction.
Three. Apply ice to the extremity.
4. Notify the fitness care company (HCP) - ANS-four
An absent pulse to an extremity of the affected limb after a bone fracture could mean that the
kid is growing or experiencing compartment syndrome. This is an emergency state of affairs,
and the HCP should be notified right away. Administering analgesics could not improve
movement. The skin traction have to now not be launched with out an HCP's prescription.
, Applying ice to an extremity with absent perfusion is wrong. Ice may be prescribed when
perfusion is good enough to decrease swelling.
A child has been identified with acute otitis media of the proper ear. Which interventions ought
to the nurse encompass in the plan of care? (SELECT ALL THAT APPLY.)
1. Provide a smooth weight-reduction plan.
2. Position the child on the left aspect.
Three. Administer an antihistamine two times day by day.
Four. Irrigate the proper ear with everyday saline each eight hours.
Five. Administer ibuprofen for fever each 4 hours as prescribed and as needed.
6. Instruct the mother and father approximately the want to administer the prescribed antibiotics
for the full path of therapy. - ANS-1, five, 6
Acute otitis media is an inflammatory sickness as a result of an contamination of the center ear.
The child frequently has fever, pain, lack of urge for food, and feasible ear drainage. The infant
is also irritable and lethargic and may roll the pinnacle or pull on or rub the affected ear.
Otoscopic examination may additionally screen a red, opaque, bulging, and immobile tympanic
membrane. Hearing loss may be cited in particular in continual otitis media. The child's fever
have to be dealt with with ibuprofen. The child is positioned on his or her affected aspect to
facilitate drainage. A soft food plan is suggested throughout the intense level to keep away from
pain which can arise with chewing. Antibiotics are prescribed to treat the bacterial infection and
ought to be administered for the entire prescribed route. The ear ought to not be irrigated with
normal saline because it can exacerbate the irritation similarly. Antihistamines are not commonly
encouraged as part of therapy.
A infant has fluid extent deficit. The nurse plays an evaluation and determines that the kid is
enhancing and the deficit is resolving if which finding is stated?
1. The toddler has no tears.
2. Urine unique gravity is 1.0.5.
Three. Capillary replenish is much less than 2 seconds.
Four. Urine output is much less than 1 mL/kg/hour. - ANS-three
Indicators that fluid extent deficit is resolving would be capillary top off much less than 2
seconds, unique gravity of one.003 to one.030, urine output of as a minimum 1 mL/kg/hour, and
ok tear production. A capillary top off time much less than 2 seconds is the best indicator that
the kid is improving. Urine output of less than 1 mL/kg/hour, a particular gravity of one.Half, and
no tears would suggest that the deficit isn't always resolving.
A child is diagnosed with Reye's syndrome. The nurse creates a nursing care plan for the child
and should encompass which intervention in the plan?
1. Assessing hearing loss
(MATH) Atropine sulfate, 0.6 mg intramuscularly, is prescribed for a kid preoperatively. The
nurse has determined that the dose prescribed is secure and prepares to administer what
number of milliliters to the kid?
**there is a photograph inside the ebook** - ANS-ANS: 1.5 mL
Use the formula for calculating the medication dose. Formula: Desired Available Volume¼ 0:6
mg 0:four mg  1 mL¼ 1:five mL
A 10-yr-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse
must put together to administer which prescription?
1. Injection of component X
2. Intravenous infusion of iron
three. Intravenous infusion of aspect VIII
4. Intramuscular injection of iron using the Z-music technique - ANS-three
Hemophilia refers to a collection of bleeding issues because of a deficiency of particular
coagulation proteins. The primary treatment is substitute of the lacking clotting element; extra
medications, consisting of marketers to alleviate ache, can be prescribed relying at the source
of bleeding from the disease. A child with hemophilia A is at risk for joint bleeding after a fall.
Factor VIII could be prescribed intravenously to update the lacking clotting component and limit
the bleeding. Factor X and iron aren't used to treat children with hemophilia A.
A 4-year-antique infant is admitted to the health center for belly pain. The mom reviews that the
child has been faded and excessively worn-out and is bruising effortlessly. On physical
examination, lymphadenopathy and hepatosplenomegaly are referred to. Diagnostic research
are being finished due to the fact acute lymphocytic leukemia is suspected. The nurse
determines that which laboratory result confirms the analysis?
1. Lumbar puncture displaying no blast cells
2. Bone marrow biopsy showing blast cells
3. Platelet count number of 350,000 mm3 (350 Â 109 /L)
four. White blood cell rely 4500 mm3 (four.5Â 109 /L) - ANS-2
Leukemia is a malignant growth inside the number of leukocytes, usually at an immature stage,
within the bone marrow. The confirmatory check for leukemia is microscopic exam of bone
marrow acquired by means of bone marrow aspirate and biopsy, that is taken into consideration
high quality if blast cells are gift. An altered platelet rely occurs as a result of the disorder, but
,also might also arise because of chemotherapy and does now not verify the analysis. The white
blood cellular rely may be regular, excessive, or low in leukemia. A lumbar puncture can be
accomplished to look for blast cells in the spinal fluid that imply primary fearful gadget disorder.
A 4-year-antique baby sustains a fall at home. After an x-ray examination, the kid is determined
to have a fractured arm and a plaster forged is implemented. The nurse affords commands to
the dad and mom regarding care for the kid's forged. Which announcement via the mother and
father indicates a want for further coaching?
1. "The forged may additionally experience heat as the forged dries."
2. "I can use lotion or powder across the forged edges to alleviate itching."
three. "A small amount of white shoe polish can touch up a soiled white solid."
four. "If the solid will become moist, a blow drier set at the cool setting may be used to dry the
forged." - ANS-2
Teaching about cast care is critical to prevent headaches from the solid. The mother and father
need to be told no longer to apply lotion or powders at the skin around the forged edges or
inside the forged. Lotions or powders can turn out to be sticky or caked and motive pores and
skin infection. Options 1, 3, and four are suitable statements.
A 6-yr-old infant with human immunodeficiency virus (HIV) infection has been admitted to the
health center for pain management. The baby asks the nurse if the pain will ever go away. The
nurse should make which nice reaction to the child?
1. "The pain will leave in case you lie nevertheless and permit the medicine work."
2. "Try no longer to consider it. The greater you believe you studied it hurts, the extra it'll hurt."
3. "I know it should hurt, however if you tell me while it does, I will try to make it hurt a bit less."
four. "Every time it hurts, press on the decision button and I will give you some thing to make the
pain pass all away." - ANS-three
The multiple headaches related to HIVare observed by using a high degree of pain. Aggressive
ache control is crucial for the kid to have an appropriate first-rate of existence. The nurse need
to renowned the kid's pain and permit the child know that everything may be completed to lower
the pain. Telling the child that movement or lack thereof could dispose of the pain is incorrect.
Allowing a child to assume that he or she will manage the pain surely through thinking or not
thinking about it oversimplifies the pain cycle associated with HIV. Giving false hope by way of
telling the kid that the ache might be taken "all away" is neither sincere nor practical.
A 6-yr-vintage toddler with leukemia is hospitalized and is receiving mixture chemotherapy.
Laboratory outcomes imply that the kid is neutropenic, and protective isolation procedures are
initiated. The grandmother of the kid visits and brings a clean bouquet of plants picked from her
lawn, and asks the nurse for a vase for the plant life. Which reaction need to the nurse provide
to the grandmother?
,1. "I actually have a vase inside the software room, and I will get it for you."
2. "I gets the vase and wash it well earlier than you put the plants in it."
three. "The plant life out of your garden are stunning, but ought to now not be placed within the
child's room right now."
4. "When you convey the flora into the room, vicinity them on the bedside stand as a ways away
from the child as viable." - ANS-three
: Leukemia is a malignant boom in the variety of leukocytes, normally at an immature level, in
the bone marrow. It impacts the bone marrow, causing anemia from reduced erythrocytes,
contamination from neutropenia, and bleeding from reduced platelet manufacturing
(thrombocytopenia). For a hospitalized neutropenic child, vegetation or plants should now not
be kept inside the room due to the fact standing water and damp soil harbor Aspergillus and
Pseudomonas aeruginosa, to which the child is prone. In addition, fresh fruits and greens harbor
molds and need to be prevented until the white blood mobile count increases.
A 7-year-old infant is seen in a health center, and the health care company files a prognosis of
primary nocturnal enuresis. The nurse have to provide which records to the parents?
1. Primary nocturnal enuresis does now not respond to treatment.
2. Primary nocturnal enuresis is caused by a psychiatric hassle.
Three. Primary nocturnal enuresis requires surgical intervention to enhance the hassle.
4. Primary nocturnal enuresis is typically outgrown with out healing intervention. - ANS-4
Primary nocturnal enuresis happens in a toddler who has in no way been dry at night for
prolonged durations. The circumstance is commonplace in children, and maximum children
ultimately outgrow bed-wetting without healing intervention. The child is not able to feel a
complete bladder and does not awaken to void. The toddler can also have behind schedule
maturation of the crucial apprehensive system. The circumstance is not due to a psychiatric
hassle.
A infant has a right femur fracture resulting from a motor vehicle crash and is placed in pores
and skin traction briefly until surgery may be carried out. During evaluation, the nurse notes that
the dorsalis pedis pulse is absent on the proper foot. Which movement should the nurse take?
1. Administer an analgesic.
2. Release the pores and skin traction.
Three. Apply ice to the extremity.
4. Notify the fitness care company (HCP) - ANS-four
An absent pulse to an extremity of the affected limb after a bone fracture could mean that the
kid is growing or experiencing compartment syndrome. This is an emergency state of affairs,
and the HCP should be notified right away. Administering analgesics could not improve
movement. The skin traction have to now not be launched with out an HCP's prescription.
, Applying ice to an extremity with absent perfusion is wrong. Ice may be prescribed when
perfusion is good enough to decrease swelling.
A child has been identified with acute otitis media of the proper ear. Which interventions ought
to the nurse encompass in the plan of care? (SELECT ALL THAT APPLY.)
1. Provide a smooth weight-reduction plan.
2. Position the child on the left aspect.
Three. Administer an antihistamine two times day by day.
Four. Irrigate the proper ear with everyday saline each eight hours.
Five. Administer ibuprofen for fever each 4 hours as prescribed and as needed.
6. Instruct the mother and father approximately the want to administer the prescribed antibiotics
for the full path of therapy. - ANS-1, five, 6
Acute otitis media is an inflammatory sickness as a result of an contamination of the center ear.
The child frequently has fever, pain, lack of urge for food, and feasible ear drainage. The infant
is also irritable and lethargic and may roll the pinnacle or pull on or rub the affected ear.
Otoscopic examination may additionally screen a red, opaque, bulging, and immobile tympanic
membrane. Hearing loss may be cited in particular in continual otitis media. The child's fever
have to be dealt with with ibuprofen. The child is positioned on his or her affected aspect to
facilitate drainage. A soft food plan is suggested throughout the intense level to keep away from
pain which can arise with chewing. Antibiotics are prescribed to treat the bacterial infection and
ought to be administered for the entire prescribed route. The ear ought to not be irrigated with
normal saline because it can exacerbate the irritation similarly. Antihistamines are not commonly
encouraged as part of therapy.
A infant has fluid extent deficit. The nurse plays an evaluation and determines that the kid is
enhancing and the deficit is resolving if which finding is stated?
1. The toddler has no tears.
2. Urine unique gravity is 1.0.5.
Three. Capillary replenish is much less than 2 seconds.
Four. Urine output is much less than 1 mL/kg/hour. - ANS-three
Indicators that fluid extent deficit is resolving would be capillary top off much less than 2
seconds, unique gravity of one.003 to one.030, urine output of as a minimum 1 mL/kg/hour, and
ok tear production. A capillary top off time much less than 2 seconds is the best indicator that
the kid is improving. Urine output of less than 1 mL/kg/hour, a particular gravity of one.Half, and
no tears would suggest that the deficit isn't always resolving.
A child is diagnosed with Reye's syndrome. The nurse creates a nursing care plan for the child
and should encompass which intervention in the plan?
1. Assessing hearing loss
