stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
PED Final Flashcards | StudBud
Explore
/
PED Final
PED Final
45 terms
·
StudBud Administration
·
28 plays
Imported from external platform
Flashcards
45 cards
F
Practice quiz
P
Host live
L
Questions
45
Answers
1
s/s of hypoglycemia
thirst
shaky and dizzy
n/v
lethargy
2
what is the priority nursing goal for a 14 yr old w graves disease?
relieving constipation
allowing the child to make decisions about theater or not to take med
developing alternative educational goals
verbalizing the importance of adherence to the med regimen
3
child is being started on GH therapy. Nursing considerations should be based on which of the following?
tx is most successful if its started during adolescence
replacement therapy will be required throughout the child's lifetime
tx is considered successful if children attain full stature by adulthood
replacement therapy requires daily subQ injections
4
child is being seen in clinic for Hodgkin disease. During the assessment which findings would be expected?
painless cervical nodes & fever
night sweats & painless cervical nodes
asymptomatic always
night sweats only
5
mom question the nurse on feeding her 1 yr old cow's milk. Which is the most appropriate response?
fat content of cow's milk is harmful to infants
baby's GI system is underdeveloped & milk might cause bleeding
cow's milk is fine as long as there is a vit. supplement
infants require cow's milk bc the need for increase fat
6
chronic adrenocortical insufficiency is also referred to as:
Addison's disease
Cushing syndrome
Hashimoto disease
graves disease
7
child undergo several painful procedures. Which tech. is most approp for the nurse to use in preparing the child?
allow the child to practice inject on favorite doll
allow the child to watch edu. videos
allow family member to explain procedure to child
explain procedure in simple terms
8
am I gunna pass and be done with PEDs?
WHOOOOOO
OH YEA FREEDOM!
CRY BC OF HAPPY TEARS OF BEING DONE
YESSSSS!
9
an 8 yr old dx w/ ALL is admitted to hospice. What can the nurse do to lessen the child's feeling of anxiety?
encourage the child to explore his environment & ask questions as needed
encourage opportunities to incorporate rituals from home
encourage parents to bring family photos & toys from home
encourage participation in self-care
10
pre-school child undergo chemo experience N/V. Which action would encourage the child to eat?
offer small, freq meals
allow the child to choose what to eat for meals
offer fluids only between meals
admin tube feedings
11
which of the following is the most frequent form of internal bleeding in the child w hemophilia?
epistaxis
hemarthrosis
GI tract hemorrhage
intracranial hemorrhage
12
teaching would be considered effective if the mom administered the iron supplement w what substance?
formula
water
orange juice
milk
13
common manifestation for a toddler w juvenile hypothyroidism
accelerated growth
dry skin
diarrhea
insomnia
14
father driving the car was in accident w/ child. Child is hurt & father is yelling at hosp staff. nur diagnosis for dad?
guilt r/t the father's role in accident
anger r/t incompetence of hospital staff
anger r/t crisis of child's condition
anger r/t lack of trust in the nurse
15
3 yr old dx w/ brain tumor is being discharged. Which response by the parents indicate successful teaching?
AMA is a resource for assistance
my child can begin radiation tx now that he is discharged
child w brain tumors have an increase rate of development
we have to make sure to watch for a decrease in urine
16
which nur interv is directed to schoolbag child indep management of asthma symptoms?
teach the parents proper use of inhaler
encourage the child to use flowmeter & record results qday
assess the child & family levels of understand of asthma
discuss w the child how to tell friends about asthma
17
which action: 10 yr old girl w/ diabetes has achieved an outcome for knowledge deficit r/t learning self care skills?
child ask her parents to check her BG
child participates in a diabetes support group
demonstrates correct technique of withdrawing insulin from vial
verbalizes fear in giving herself injections
18
which symptom is considered a cardinal sing of DM
seizures
impaired vision
frequent urination
nausea
19
nursing dx most appropriate for a child w/ sickle cell anemia?
pain
impaired gas exchange
alteration in nutrition
ineffective coping
20
nurse implementing care for a child w DKA. Which prescribed intervention should the nurse do first?
place child on cardiac monitor
place child on pulse ox
Admin regular IV insulin
begin 0.9% IV NS
21
which statement is true bout von willebrand disease?
it is an inherited autosomal recessive disease
it affects females but not males
characteristic: increase tendency toward bleeding form mucous membranes
unsafe for the female affect w the disease to have children bc hemorrhage
22
2 children believe they hurt their brother, who is in w/ renal failure. Which is most important nur. intervention?
explain why the ill child has an IV and catheter
ask the siblings what makes them thing they hurt their brother
refer the siblings to counseling
ask the child if the hospital frightens them
23
nursing dx for a child undergoing chemo, experience N/V
F & E imbalance
alternations in nutriton
Body image disturbances
Alternations in skin integrity
24
diabetes insipidus is a disorder of the?
adrenal cortex
ardrenal medulla
posterior pituitary
anterior pituitary
25
special consideration the nurse keeps in mind when taking care of a child w a brain tumor?
H/A & nigh sweats
seizures
N/V
increase urination
26
nurse teaches parents of a child w/ SCA bout vaccines. Which vaccines are recommended?
Pneumococcal, HIB, MMR
none. they cannot get vaccines
MMR, Influenza
Pneumococcal, HIB, Influenza, MMR
27
which assessment finding would indicate early hypovolemic shock?
tachycardia
pale, cold skin
decreased BP
weak central pulses
28
Following an accident, a 6 yr old child requires IV therapy. Before IV insertion, the nurse plans to:
immobilize the arm w/ a molded, padded splint
provide the child w/ a diversional activity
ask the parents to restrain the child
tell the child not to move his left arm
29
child w/ GH deficiency is receive GH therapy. The best time to admin GH is:
before meals
on arising in the morning
after meals
bedtime
30
2 yr old at ED bc of lethargic. VS: 99T 60P 40R BP60/40. Which condition is imminent based on these findings?
cardiac arrest
cyanosis
CHF
endocarditis
31
priority nursing dx for a child getting a bone marrow transplant
risk of infection
alterations in nutriton
ineffective coping
pain
32
child dx w/ Wilm's tumor. In planning teach interventions, what key point should the nurse emphasize to parents?
encourage the child to remain active
do not put pressure on the abdomen
frequent visit from friends & family will improve morale
appropriate protective equipment should be worn for contact sports
33
child admitted w/ DKA has anxiety. Which outcome observed will meet the goal of feeling secured (child does)?
child sleeps soundly and is calm
parents in the room w/ child
parents are more informed bout their child's condition
child is well prepared for painful procedure
34
child w/ cancer following labs: WBC 10000, RBC 5, PLT 20000. Which risk should the nurse consider when plan child care?
infection
hemorrhage
anemia
Pain
35
manifestation of an adolescent w cushings syndrome
hypoglycemia, cushingoid features, susceptibility to infections
hyperglycemia, cushingoid features, susceptibility to infections
asymptomatic
hyperkalemia and hypotension
36
which lab results is consistent w a child w hypoparathyroidism
increased glucose
decreased cortisol
decreased calcium
decreased phosphorus
37
nurse caring for a child w suspected diabetes insidious. which manifestation would the nurse expect to observe?
Polyuria and polydipsia
N/V
glycosuria
oliguria
38
a 11 mon is dx w/ rare & fatal cancer. Which initial rx by the parents does the nurse consider normal?
what are we going to do w/out her?
my wife drank 2 glasses of wine during her pregnancy
there has to be a cure; are you sure of the dx?
I knew we weren't ready for this; so what do we do now?
39
child w/ SCA requires blood transfusion. Which IV solution should the nurse admin before & after transfusion?
D5W 0.45 NS
D5W
Normal Saline
0.45% NS
40
child w sickle cell anemia. The parents ask what they can do to enhance their childs health. nurse recommends to...
refer child for genetic testing
no vaccines, bc child is immunocompromised
additional vaccines bc child is at greater risk for infection
daily dietary supplement folate & vit B12
41
manifestation should the nurse monitor for a child w graves disease
they in the grave
constiaption and hypotension
hyperthermia, tachy, vomiting
hypothermia, Brady, nausea
42
10 yr old in MVC w/ her father presents to ED in critical condition. Which lifetreathening condition does the nurse expe
commotio cordis
TOF
myocardial contusion
cardiogenic shock
43
fam of a child w leukemia believes that the child will be curved by prayer alone. Which nur interv will address barrier
demonstrate respect for the family wishes
assess family's understanding of leukemia
evaluate the home for wheelchair accessibility
communicate the parents' request to the HCP
44
which information is most important for the nurse to convey to a mom about sunscreen?
a child's skin is delicate & burns easily
in add. to causing skin cancer, repeated sun exposure can cause other cance
appropriate use of sunscreen decrease risk of skin cancer
repeated expose to sun causes premature aging
45
child w/ hemophilia states he wants to participate in a sport. Which is most appropriate for this child?
baseball
biking
swimming
running