PNR204 Week 8 Chapters 29-32

Question 1

What will the nurse caring for a newborn with exstrophy of the bladder include in the care?

Accepted Answer

Protect skin around bladder., Position infant on back.

Question 2

What special considerations are related to long-term prednisone therapy in preschoolers?

Accepted Answer

Increased risk for infection, Delayed immunization

Question 3

Glycosylated hemoglobin (HbA1c) test can evaluate average glucose levels over a period of __ to __ months.

Accepted Answer

3 to 4

Question 4

What type of precautions are necessary with varicella?

Accepted Answer

Airborne

Question 5

A child with type 1 diabetes mellitus has hyperglycemia, diaphoresis, and headaches in the morning? What condition?

Accepted Answer

Somogyi phenomenon

Question 6

Strategies to prevent a recurrence of urinary tract infections in a child.

Accepted Answer

Wear cotton underwear., Drink lots of fluids and void frequently., Wash and wipe the perineal area from front to back.

Question 7

Football players are taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid?

Accepted Answer

Alcohol consumption

Question 8

What signs and symptoms will alert parents of the possibility of ketoacidosis?

Accepted Answer

Fruity breath, Nausea

Question 9

Which food sources are high in soluble fiber?

Accepted Answer

Beans, Raw fruits

Question 10

When should hepatitis B vaccine be given to infants born to a hepatitis B-positive mother?

Accepted Answer

Within 12 hours after birth

Question 11

A child has intense itching in the axilla, & between the fingers & toes that is worse during the night. What is this?

Accepted Answer

Scabies

Question 12

Which urinary diversion procedure is the least damaging to the body image of the adolescent?

Accepted Answer

Ileal conduit

Question 13

What is the probable cause of acute glomerulonephritis?

Accepted Answer

A sore throat 2 weeks ago

Question 14

Which physical assessment will the nurse omit when caring for a 2-year-old child diagnosed with Wilms’ tumor?

Accepted Answer

Palpating the abdomen

Question 15

What sources are examples of acquired immunity?

Accepted Answer

The vaccine, The disease

Question 16

To prevent urinary tract infection, which is the best beverage for the nurse to recommend to keep urine acidic?

Accepted Answer

Apple

Question 17

The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder?

Accepted Answer

Fatigue, Proteinuria, Generalized edema

Question 18

Genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress?

Accepted Answer

They are sexually curious and developmentally fixated on their genitals., They may perceive the treatment as punishment., They have a fear of castration.

Question 19

What is the function of an insulin pump?

Accepted Answer

Provides continuous infusion of insulin.

Question 20

When do you correct the hypospadias of a newborn?

Accepted Answer

Surgical repair of the hypospadias is done before 18 months of age.

Question 21

A child with diabetes is brought to the ER. He is flushed and drowsy, and his skin is dry. Child is experiencing

Accepted Answer

Ketoacidosis

Question 22

What is the correct nursing response to a mother who asks, “How can I get rid of the baby’s cradle cap?”

Accepted Answer

“Rub baby oil on the infant’s head at night and shampoo the next morning.”

Question 23

What occurs as a result of an inadequate secretion of insulin?

Accepted Answer

Increased fat breakdown leads to ketonemia.

Question 24

An adolescent presents with a butterfly rash. What diagnosis does the nurse suspect?

Accepted Answer

Systemic lupus erythematosus

Question 25

What should the nurse stress/teach to the mother of a child with impetigo?

Accepted Answer

Small cuts and bites should be treated promptly., The lesions are caused by staph or strep infection., Lesions are bullous.

Question 26

Child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived

Accepted Answer

Give the patient a snack of graham crackers and milk.

Question 27

A child is brought to the emergency department with burns on the face and chest. What is the nurse’s first priority?

Accepted Answer

Assess respiratory status.

Question 28

Which classification of medication would make a child most susceptible to an opportunistic infection?

Accepted Answer

Corticosteroid

Question 29

A child is in the prodromal stage of varicella. What does this mean?

Accepted Answer

The child has varicella but has not yet broken out.

Question 30

Foreskin is retracted and very tight on the shaft of the penis; unable to return it over the head of the penis. Action?

Accepted Answer

Notify the charge nurse.

Question 31

When weighing the diaper and subtracting the weight of the dry diaper, the nurse records 30 g and documents __ mL.

Accepted Answer

30

Question 32

Which vaccine would be contraindicated for an 18-month-old child allergic to eggs?

Accepted Answer

Influenza

Question 33

Which factor(s) activate the herpes simplex virus type I?

Accepted Answer

Sun, Stress, Fever, Menses

Question 34

A child's rash was present on the trunk, extremities, face, and cheeks were bright red. This type of rash is

Accepted Answer

Fifth disease

Question 35

Why are children are more prone to insulin reactions

Accepted Answer

“The condition is more unstable in children.”, “They are still growing.”

PNR204 Week 8 Chapters 29-32

Questions 35

PNR204 Week 8 Chapters 29-32

Questions 35