NSG3600- Peds (Exam 3) PQ Questions and Answers

NSG3600- Peds (Exam 3) PQ Questions and Answers A pediatrician diagnoses gastroesophageal reflux (GER) in an infant. Which information will the nurse provide during the teaching session to the infant's parents? (Select all that apply.) a. Results in an infant who is often fussy and irritable b. Causes the infant to refuse feedings because of discomfort c. Includes symptoms such as vomiting and regurgitation d. Includes the return of gastric contents from the stomach A child is being discharged from the hospital after a pyloromyotomy. Which discharge instruction does the nurse provide for the parents? a. Report vomiting after 48 hours. Acute glomerulonephritis is most likely to be suspected when the child presents with the clinical manifestations of: a. edema, hematuria, and oliguria The nurse caring for a child with acute glomerulonephritis would expect to: a. weigh the child daily The sign that can be used to indicate increased intracranial pressure in the infant, but not in the older child is: a. Bulging fontanel A 12-year-old child is being assessed in the Emergency Department for possible Reye Syndrome. The child was diagnosed with influenza by a primary health-care provider 2 weeks earlier. Which of the following findings would the nurse expect to see? Select all that apply. a. The child is unusually argumentative and aggressive b. The child's Babinski reflex is positive c. The child has had vomiting episodes for the past 24 hours. A new nurse is caring for a toddler with failure to thrive (FTT). Which action by the new nurse would cause the preceptor nurse to intervene? a. Hiding needed medication and supplements in child's favorite food A neonate is born with rectal atresia. Which action is the priority for this patient? a. Obtain informed consent for surgery A nurse is caring for an infant waiting for surgical correction of intussusception. The child passes a diarrheal stool. Which action by the nurse is the most appropriate? a. Notify the physician. A mother is distraught after learning that her son has Hirschsprung disease. She asks the nurse how she could have prevented this from occurring. Which response by the nurse is most appropriate? a. "Nothing; this disease seems to be familial in origin." A nurse has been working with a teenager who has celiac disease. Which statement by the patient indicates that goals for an important diagnosis have been met? a. "I am gaining weight and I have more energy." A pediatric nurse is teaching the family of a child with celiac disease about necessary dietary modifications to manage the disease. Which information does the nurse include in the teaching session? (Select all that apply.) a. Rye and wheat must be avoided. b. High-calorie, high-protein foods are preferred. c. Watch for hidden sources of gluten. d. Lactose restriction may be needed. The parents of a child diagnosed with vesicoureteral reflux (VUR) want to know why their child's kidneys appear large on an abdominal x-ray. Which response by the nurse is the most appropriate? a. Enlarged due to urine backup A nurse is obtaining a bagged urine collection on an infant. Which action by the nurse is most important? a. Use universal precautions, including gloves. A faculty member is explaining complications of hemodialysis to a group of students. Which complications does the faculty member include in the discussion with the students? (Select all that apply.) a. Febrile reactions b. Bleeding c. Infection d. Hypotension A child is receiving hemodialysis. The parents ask why hypotension is a possible complication. Which response by the nurse is the most appropriate? a. "The treatment is removing fluid from his body." An infant has poor feeding, fever, and malodorous urine. The parents do not want the nurse to catheterize the child. Which response by the nurse is the most appropriate? a. Explain how this procedure obtains the best results. A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child? a. Kayexalate (sodium polystyrene) enema A child is receiving home peritoneal dialysis. When the visiting nurse assesses the patient, he finds the outflow from the dialysis to be cloudy. Which action by the nurse is the most appropriate? a. Take a full set of vitals and notify the provider. A 5-year-old child has enuresis. Which medication regime does the nurse educate the parents on related to this diagnosis? a. Oxybutynin chloride (Ditropan), 5 mg once daily A child is admitted to the hospital with suspected hemolytic uremic syndrome (HUS). Laboratory results indicate elevated BUN, creatinine, and potassium. Which action by the nurse takes priority? a. Apply cardiac monitoring. A nurse is assigned to care for four children who have acute kidney injury (AKI). Which child should the nurse see first after obtaining the handoff report? a. Anuric A nurse is caring for a child with acute kidney injury (AKI) at home. The child's laboratory work is as follows: serum albumen 2.8 g/dL and serum protein 4 g/dL. Which action by the nurse is the most appropriate? a. Facilitate a dietitian referral. A school-age female child has a urinary tract infection (UTI). The culture has come back positive for Escherichia coli. Which teaching measure is most important for the nurse to include in the teaching plan? a. Teach the child to wipe from front to back. An adolescent patient with acute kidney injury (AKI) asks why she is taking Tums (calcium carbonate). Which response by the nurse is the most appropriate? a. Gets rid of phosphorus A 5-year-old child has enuresis. Which medication regime does the nurse educate the parents on related to this diagnosis? a. Oxybutynin chloride (Ditropan), 5 mg once daily A child has acute kidney injury following a serious motor vehicle crash. Which intervention takes priority? a. Administer IV fluids and blood products. A child is brought to the pediatric clinic, where the parent reports that the child has tea-colored urine and puffy eyes. Which diagnostic test does the nurse prepare the parent and child for based on the assessment findings? a. BUN and creatinine The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen). Which response by the nurse is the most accurate? a. "It will help his body to make more red blood cells." A nurse is preparing to discharge a 10-year-old child who was diagnosed with bacterial meningitis. Which action by the nurse takes priority? a. Arrange home health-care visits for antibiotic infusions. An infant born with spina bifida with a repaired myelomeningocele is brought the emergency department, where the parents report that the infant is very fussy and is feeding poorly. Which nursing action takes priority? a. Assess the baby's fontanels for bulging. A nurse is caring for a child with suspected epilepsy. Which diagnostic test does the nurse facilitate as the priority for this child? a. Electroencephalogram (EEG) A nurse admits a child experiencing drowsiness and vomiting who has had a seizure at home. The parents state the child was healthy until 2 weeks ago when she had a viral illness. Which diagnostic testing does the nurse facilitate as a priority? a. Liver biopsy A new nurse is caring for a child who had a ventriculoperitoneal shunt placed 2 days ago for hydrocephalus. Which action by the new nurse causes the experienced nurse to intervene? Asks for medication to treat nausea The nurse is preparing discharge teaching for the parents of a 7-year-old boy with hydrocephalus and a ventriculoperitoneal shunt. Which information does the nurse include in the discharge teaching? (Select all that apply.) a. Report any nausea, vomiting, or change in behavior. b. How to accurately take the child's temperature when needed c. Monitoring for shunt infection is always a priority action. During assessment of a 6-year-old child with meningitis, the nurse places the child supine and attempts to put the child's chin on her chest. The child cries out in pain and flexes her knees. How does the nurse document this assessment finding in the medical record? a. Positive Brudzinski sign A hospitalized child is having a seizure. Which action by the nurse takes priority? a. Turn the child on his or her side. A pediatric nurse reads the diagnosis "SCIWORA" on a child's chart. Which assessment finding does the nurse anticipate to correlate with this condition? a. Weakness/paralysis of muscles A nurse is preparing discharge teaching for an adolescent with a new diagnosis of epilepsy. What information should the nurse provide? (Select all that apply.) Group of answer choices a. "Participating in sports again in the future is possible." b. "You should check the school's seizure action plan." A child has had an episode of lip smacking while staring into space, but did not seem to lose consciousness. She was confused afterward but said her hands felt tingly before the other symptoms started. How should the nurse document this event? a. Focal seizure