Pediatrics Final Chapters 21-31

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Nurse Bao is preforming education for the parents of an infant with bladder exstrophy. Which statement by the parents would indicate an understanding of the child's future care?

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A 4-year-old girl presents with recurrent urinary tract infection. A prior workup did not reveal any urinary tract abnormalities. What is the priority nursing action?

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A 5-year-old who had a renal transplant 9 months ago and has no history of chickenpox presents to the pediatric clinic for his vaccinations. Which is the most appropriate set to give?

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When nurse Steve is caring for a child with hemolytic-uremic syndrome or acute glomerulonephritis and the child is not yet toilet trained, which action by nurse Steve would best determine fluid retention?

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A boy with Duchenne muscular dystrophy is admitted to the pediatric unit. He has an ineffective cough. Lung auscultation by nurse Laura reveals diminished breath sounds. What is the priority nursing intervention?

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A 7-year-old child with cerebral palsy has been admitted to the hospital. Which information is most important for nurse Tanya to obtain in the history?

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Nurse Kevin is caring for a 2-year-old with myelomeningocele. When teaching about care related to neurogenic bladder, what response by the parent would indicate that additional teaching is required?

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Nurse Jessica is caring for a child with cerebral palsy who requires a wheelchair to attain mobility. Which intervention would help the child achieve a sense of normality?

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What is the priority nursing intervention for the child recently admitted with Guillain-Barré syndrome?

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Nurse Mar is evaluating a parent's understanding of treatment for torticollis. Which response best indicates that the parent understands the appropriate treatment?

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Nurse Michelle is providing education related to use of a brace that the orthopedic surgeon has ordered as treatment for idiopathic scoliosis in an adolescent girl. Which statement by the teen best indicates an understanding of appropriate use of the brace?

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Nurse "Z" is caring for orthopedic children who are in the postoperative period following spinal fusion. What is the most appropriate activity to delegate to unlicensed assistive personnel?

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Nurse Angela is caring for a child with a fractured left femur who has been in skeletal traction for several days. Upon assessment, she notes that the left foot is pale, with a nonpalpable pedal pulse. What is the priority nursing intervention?

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Nurse Hillary is teaching about skin care for atopic dermatitis. Which statement by the parent indicates that further teaching may be necessary?

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Nurse Shelly is caring for a child who has received significant partial-thickness burns to the lower body. What is the priority assessment in the first 24 hours after injury?

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Nurse Hannah is caring for a child in the emergency department who was bitten by the family dog, who is fully immunized. What is the priority nursing action?

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Nurse Carina is caring for an infant on the pediatric unit who has a very red rash in the diaper area, with red lesions scattered on the abdomen and thighs. What is the priority nursing intervention?

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A varsity high-school wrestler presents with a "rug burn" type of rash on his shoulder that is not healing as expected, despite use of triple antibiotic cream. Two other wrestlers on his team have a similar abrasion. What infection should nurse Chrissy be most concerned about, based on the history?

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A child on the pediatric unit has morning laboratory results of Hgb 10.0, Hct 30.2, WBC 24,000, and platelets 20,000. What is the priority nursing assessment?

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A child with hemophilia fell while riding his bicycle. He was wearing a helmet and did not lose consciousness. He has a mild abrasion on his knee that is not oozing. He is complaining of abdominal pain. What is the priority nursing assessment?

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A 14-year-old with thalassemia asks for nurse Kelly's assistance in choosing her afternoon snack. Which choice is the most appropriate?

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Nurse Angelica is caring for a child who has just been admitted to the pediatric unit with sickle cell crisis. He is complaining that his right arm and leg hurt. What is the priority nursing intervention?

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Nurse Bryn is caring for a 6-year-old with juvenile idiopathic arthritis. The mother states that she has trouble getting her daughter out of bed in the morning and believes the girl's behavior is due to a desire to avoid going to school. What is the best advice by the nurse?

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A 14-year-old with systemic lupus erythematosus wants to know how to care for her skin. What should the nurse teach this adolescent?

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The mother of a child with hypogammaglobulinemia reports that her child had a fever and slight chills with an intravenous gammaglobulin infusion last month. She wants to know what other course of treatment might be available. What is the best response by nurse Oziel?

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A 4-month-old infant born to an HIV-infected mother is going into foster care because the mother is too ill to care for thie child. The foster mother wants to know if the infant is also infected. What is the best response by nurse DeAnna?

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A mother has received instructions about avoiding wheat and soy allergens. Which response by the mother would indicate that futher education is needed?

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A young mother brings her new baby, diagnosed with congenital hypothyroidism, to the clinic so she can learn how to administer levothyroxine. Nurse Ashley should include which of the following instructions?

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During a well-child examination which of the following comments made by the parent would indicate the possibility of a growth hormone deficiency?

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Nurse Alina is caring for a 14-year-old boy with type I DM. He takes NPH insulin every morning at 7:30 a.m. Which assessment data will nurse Alina use to evaluate the therapeutic effectiveness of the medication?

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When monitoring the blood glucose level of a 12-year-old child with type 2 DM, your reading is 50 mg/dL. Which is the most appropriate action?

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A 5-year-old has been diagnosed with Wilms tumor. What is the priority nursing intervention for this child?

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A child with leukemia has the following a.m. laboratory results: Hgb 8.0, Hct 24.2, WBC 8,000, platelets 150,000. What is the priority nursing assessment?

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A child with leukemia received chemotherapy about 10 days ago. She presents today with a temperature of 100.4 degrees Fahrenheit, an absolute neutrophil count of 500, and mild bleeding of the gums. What is the priority nursing intervention?

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A child with cancer is receiving chemotherapy, and his mother is concerned that the nausea and vomiting associated with chemotherapy are reducing his ability to eat and gain weight appropriately. What is the most appropriate nursing action?

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Carrie is counseling a couple, one of whom is affected by neurofibromatosis, an autosomal dominant disorder. They want to know the risk of transmitting the disorder. Carrie should tell them that each different offspring has a:

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Nurse Katrina is working in a women's health clinic and determines that genetic counseling may be appropriate for a woman:

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A child born with a single transverse palmar crease, a short neck with excessive skin at the nape, a depressed nasal bridge, and cardiac defects is most likely to have which autosomal abnormality?

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A mother brings her 4-day-old infant to the clinic with vomiting and poor feeding. The newborn was healthy at birth. Nurse Ratched should expect:

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Nurse Florence is caring for a child with Down syndrome. What should Florence's focus be?

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Nurse Harmeet is caring for a child with Tuner syndrome admitted to the unit for treatment of a kidney infection. What characteristics associated with this syndrome may Harmeet expect to find upon assessment?

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Nurse Mary Breckinridge is caring for a child with ADHD. Which behavior would Mary NOT expect the child to display?

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An adolescent girl who has been receiving treatment for anorexia nervosa has failed to gain weight over the past week despite eating all of her meals and snacks. What is the priority nursing intervention?

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A 15-year-old girl has been making demands all day, exaggerating her every need. She is now crying, saying she has nothing to live for and threatening to kill herself. What is the priority nursing action?

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When trying to manage aggressive or impulsive behaviors in children or adolescents, what is the best nursing intervention?

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Nurse Mary Ezra Mahoney is caring for an adolescent who says, "I'm sick of this. I wish I weren't alive anymore." What is the best response by Mary?

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An unresponsive toddler is brought to the emergency department. Assessment reveals mottled skin color, respiratory rate of 10 breaths per minute, and a brachial pulse of 52 bpm. What is nurse Rosie's priority nursing action?

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A 10-year-old child in respiratory distress requires intubation. Which sizes of tracheal tubes will nurse Brandee prepare?

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A preschooler presents to the emergency department with a history of vomiting, diarrhea, and fever over the past few days. She is receiving 100% oxygen via nonrebreather mask. Vital signs are temperature 104.5 degrees Fahrenheit, pulse 144 bpm, respiratory rate 22 breaths per minute, and BP 70/50 mmHg. She is listless and difficult to arouse and has weak peripheral pulses and prolonged capillary refill. What nursing intervention by nurse Julisa takes priority?

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An 18-month-old child is brought to the emergency department via ambulance after an accidental ingestion. What is the priority nursing intervention for nurse Michelle?