The nurse knows that a definitive diagnosis of pyloric stenosis will be
made by which of the following tests?
a) abd x-ray
b) colonoscopy
c) CT scan
d) abd ultrasound – ANSWER- d) abd ultrasound
Which of the following observations would be most concerning to a
nurse caring for a toddler w diagnosis of idiopathic thrombocytopenia
purpura ?
a) the child is jumping up and down on bed
b) mother of child placing blankets along side of crib
c) an order for acetaminophen for discomfort
d) petechiae on bilateral legs – ANSWER- a) the child is jumping up and
down on bed
*petechiae is an expected finding
*padding the side of the crib helps prevent injury
*can give acetaminophen for discomfort\u2014no aspirin b\/c increases risk
of bleeding
You are the nurse caring for following pts. Which pt would you assess
1st
a) 12 yr old w sickle cell anemia in vaso-occlusive crisis rating pain 8\/10
b) 7 yr old diagnosed w hemophilia A w right knee bleed rating his pain
4\/10 on FACES scale
c) 2 yr old w sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm
d) 3 yr old w ITP w platelet count of 50,000 – ANSWER- c) 2 yr old w
sickle cell anemia in vaso-occlusive crisis w RR of 46 bpm
*Normal RR for 1 yrs: [25-40] and 3 yrs: [20-30]
*tachypneic concerned w oxygenation; could be from complication
acute chest syndrome
Which assessment finding is of greatest concern in a child who has
sickle cell anemia and of experiencing sickle cell pain crisis
a) oxygen saturation of 91%
b) hgb 8.2
c) hct 30%
d) platelet 205,000 – ANSWER- a) oxygen saturation of 91%
Which statement best describes the technique to feed an infant w cleft
lip?
a) thicken feeding and enlarge nipple opening to allow for easier
delivery
b) feed upright and slowly, slowing for frequent breaks
c) lay the infant on his right side to prevent aspiration
d) give small, frequent feedings to prevent aspiration – ANSWER- b)
feed upright and slowly, slowing for frequent breaks
The nurse is teaching the family of a child w sickle cell anemia about
triggers that may cause a pain crisis. Which of the following would be
included in teaching? (Select al apply)
a) infection
b) overhydration
c) hot humid day
d) stress at school
e) being outside on a cold winter day – ANSWER- a) infection
c) hot humid day
d) stress at school
e) being outside on a cold winter day
The parent of a 3 yr old cold asks the nurse for suggestions on how to
decrease their child’s constipation. Which of the following would be the
best response by the nurse?
a) be sure to increase the amount of fluid that your child drinks each day
b) be sure to add fresh fruits and veggies, such as ba as and grapes to
your child’s diet
c) decrease the amount of whole grains in your child’s diet
d) increased the amount of milk the cold drinks each day – ANSWER- a)
be sure to increase the amount of fluid that your child drinks each day
*bananas can bind a child up and cause constipation
The nurse should qs which order written by the physician treating a 10yr
old boy w sick cell who was just admitted w Vaso-occlusive crisis
a) morphine sulfate PCA: 1 mg\/hr basal rate and 0.5 mg bolus every 10
mins
b) iv fluids of D5 0.45NS at 2x maintanence rate
c) oxygen at 1-2 l\/min by NC to keep O2 >93%
d) ambulate in hall 4x\/day – ANSWER- d) ambulate in hall 4x\/day
*should be bedrest
T or F: there is a decrease in the incidence of childhood cancer w new
education on prevention – ANSWER- False! Theres an increase in
incidence, but also an increase in survival
*research and protocols conducted by cooperative group called
“Children’s Oncology Group (COG)” for state of the art treatment
What is considered the #1 disease related cause of death in children? –
ANSWER- Cancer
*leukemia is most common type<\/p>\n\n\n\n
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