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Answer Key HW10 - Lecture notes 1
Exploring Nursing (Michigan State University)
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Detailed Answer Key
Homework 10 - Pediatrics
1. A nurse is caring for a pre-school age child who has a epiglottitis with a barking cough. Which of the following
is an appropriate nursing action?
A. Encourage coughing.
Rationale: Encouraging the client to cough is not an appropriate nursing and precipitates a
complete obstruction.
B. Attempt to obtain a throat culture.
Rationale: Attempting to obtain a throat culture is not an appropriate nursing action and may
precipitate a complete obstruction.
C. Visualize the back of the throat.
Rationale: Trying to visualize the back of the throat is not an appropriate nursing action and
may precipitate a complete obstruction.
D. Apply oxygen.
Rationale: Applying high-flow oxygen on the client and keeping the client calm is an
appropriate action by the nurse to improve oxygenation.
2. A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for
pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching?
A. Administer the medication with meals and snacks.
Rationale: Pancrelipase is a digestive enzyme that must be administered with all snacks or
meals in order for the food to be properly digested.
B. Capsules must be taken whole.
Rationale: The medication maybe taken whole or the capsules may be opened up and the
contents sprinkled on soft food.
C. This medication may be discontinued when symptoms diminish.
Rationale: Pancreatic enzymes will be needed throughout the child's life.
D. This medication may cause a diarrhea.
Rationale: With sufficient replacement of the pancreatic enzyme, the client should experience a
decrease in the number of stools.
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Detailed Answer Key
Homework 10 - Pediatrics
3. A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is
suggestive of a central nervous system infection?
A. Oliguria
Rationale: Oliguria is a clinical manifestation of shock or kidney disease. However, it is not a
clinical manifestation of a central nervous system infection.
B. Bulging fontanel
Rationale: A central nervous system infection causes increased intracranial pressure.
Therefore, bulging fontanels are a clinical manifestation of a central nervous system
infection.
C. Negative Brudzinski sign
Rationale: A positive Brudzinski sign is a clinical manifestation of a central nervous system
infection.
D. Jaundice
Rationale: Jaundice is a clinical manifestation liver disease. However, not a clinical
manifestation of a central nervous system infection.
4. A nurse is caring for a child diagnosed with tinea pedis. The nurse should respond with which of the following
when asked by the parent what the common name for this disorder is?
A. Shingles
Rationale: Shingles is the common name for varicella zoster.
B. Athlete’s foot
Rationale: Athlete’s foot is the common name for tinea pedis.
C. Fever blister
Rationale: Fever blister is the common name for herpes simplex virus type I.
D. Valley fever
Rationale: Valley fever is the common name for coccidioidomycosis.
CAA_DetailedAnswerKey created 10/05/2012 page 2 of 15
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Answer Key HW10 - Lecture notes 1
Exploring Nursing (Michigan State University)
, lOMoARcPSD|9524673
Detailed Answer Key
Homework 10 - Pediatrics
1. A nurse is caring for a pre-school age child who has a epiglottitis with a barking cough. Which of the following
is an appropriate nursing action?
A. Encourage coughing.
Rationale: Encouraging the client to cough is not an appropriate nursing and precipitates a
complete obstruction.
B. Attempt to obtain a throat culture.
Rationale: Attempting to obtain a throat culture is not an appropriate nursing action and may
precipitate a complete obstruction.
C. Visualize the back of the throat.
Rationale: Trying to visualize the back of the throat is not an appropriate nursing action and
may precipitate a complete obstruction.
D. Apply oxygen.
Rationale: Applying high-flow oxygen on the client and keeping the client calm is an
appropriate action by the nurse to improve oxygenation.
2. A nurse is reinforcing teaching to the parents of a child who has cystic fibrosis and has a prescription for
pancrelipase (Pancrease) capsules. Which of the following should the nurse include in the teaching?
A. Administer the medication with meals and snacks.
Rationale: Pancrelipase is a digestive enzyme that must be administered with all snacks or
meals in order for the food to be properly digested.
B. Capsules must be taken whole.
Rationale: The medication maybe taken whole or the capsules may be opened up and the
contents sprinkled on soft food.
C. This medication may be discontinued when symptoms diminish.
Rationale: Pancreatic enzymes will be needed throughout the child's life.
D. This medication may cause a diarrhea.
Rationale: With sufficient replacement of the pancreatic enzyme, the client should experience a
decrease in the number of stools.
CAA_DetailedAnswerKey created 10/05/2012 page 1 of 15
Downloaded by risamjur lourderd ()
, lOMoARcPSD|9524673
Detailed Answer Key
Homework 10 - Pediatrics
3. A nurse is collecting data from an 11-month-old infant. Which of the following clinical manifestations is
suggestive of a central nervous system infection?
A. Oliguria
Rationale: Oliguria is a clinical manifestation of shock or kidney disease. However, it is not a
clinical manifestation of a central nervous system infection.
B. Bulging fontanel
Rationale: A central nervous system infection causes increased intracranial pressure.
Therefore, bulging fontanels are a clinical manifestation of a central nervous system
infection.
C. Negative Brudzinski sign
Rationale: A positive Brudzinski sign is a clinical manifestation of a central nervous system
infection.
D. Jaundice
Rationale: Jaundice is a clinical manifestation liver disease. However, not a clinical
manifestation of a central nervous system infection.
4. A nurse is caring for a child diagnosed with tinea pedis. The nurse should respond with which of the following
when asked by the parent what the common name for this disorder is?
A. Shingles
Rationale: Shingles is the common name for varicella zoster.
B. Athlete’s foot
Rationale: Athlete’s foot is the common name for tinea pedis.
C. Fever blister
Rationale: Fever blister is the common name for herpes simplex virus type I.
D. Valley fever
Rationale: Valley fever is the common name for coccidioidomycosis.
CAA_DetailedAnswerKey created 10/05/2012 page 2 of 15
Downloaded by risamjur lourderd ()
