NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing

NURSING NUR 254 Exam 4 Study Material
(GRADED A) Questions and Answers |
Galen College of Nursing

NURSING NUR 254 Exam 4 Study Material w w w w w w




Maternal
1. The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of <
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1000 mm. Which of the following should the nurse include in the child’s plan of care?
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a. Administer prescribed influenza vaccination w w w



b. Assign the child to a room with other children
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c. Allow the child to play with other children who do not have a fever
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d. Use sterile techniques for any procedures
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2. The nurse is providing a teaching session to the health care staff regarding
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osteosarcoma. Which of the following statements by an attendee indicates a need for
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additional teaching?
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a. “A common clinical manifestation is limping if a weight-bearing limb is affected.”
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b. “The sternum is the most common site of this sarcoma.”
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c. “Children typically experience pain at the primary tumor site.”
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d. “In the early stage, the symptoms of this disease are usually attributed to normal
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growing pains.”
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3. The nurse is caring for a child who is suspected of having a Wilm’s tumor. Which of the
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following actions by the nurse indicates the need for additional training?
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a. Instructing the parents that the child needs to remain in bed. w w w w w w w w w w



b. Preventing a child from playing tag in the playroom. w w w w w w w w



c. Requesting a bland soft diet for the child. w w w w w w w



d. Palpating the child’s abdomen. w w w



4. The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment
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of the child includes the following: respirations 10 and unarousable. The child is
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currently on intravenous (IV) fluids and continuous IV morphine sulfate Based on the
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assessment information, which of the following actions should the nurse take first?
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a. Increase the IV fluids to decrease vaso-occlusion. w w w w w w



b. Obtain a complete metabolic laboratory blood sample.
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c. Elevate the head of the bed (HOB) to increase oxygen saturation.
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d. Administer naloxone to reverse the effect of the morphine. w w w w w w w w



5. The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the
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following interventions should the nurse anticipate to be prescribed for the child?
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a. Correction of alkalosis and reduction of energy expenditure. w w w w w w w



b. Globulins and factor VIII replacement. w w w w



c. Hydration and pain management. w w w




d. Electrolyte replacement and administration of heparin. w w w w w



6. The nurse working in the emergency department (ED) is caring for a child who has
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hemophilia and developed a swollen knee after falling off a bicycle. The nurse is teaching
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, w the child’s parents about care when similar incidents occur at home in the future. Which
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w of the following actions should the nurse teach the parents?
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a. Take the child to the nearest emergency department (ED).
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b. Keep the child’s affected knee below the level of the heart.
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c. Apply an ice pack and compression dressings to the knee.
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d. Administer recommended dose of aspirin.w w w w




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