How is a gateway substance defined?

Substance that can lead to use of stronger drugs

Parents ask nurse how their infant developed a Meckel's diverticulum. What condition, will the nurse explain

A pouch forms when the vitelline duct fails to disappear.

On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?

There is an absolute deficiency of insulin.

6yr scheduled for an orchiopexy asks the nurse "What are they going to do to me "down there"?" What best response

"What do you think your doctor is going to do?"

Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?

Focus on complex carbohydrates and eat foods high in fiber.

7yr with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing

Providing activities for the child on restricted activity

How does the nurse describe a person who is bulimic?

Alternates binge eating with purging

nurse is planning to speak with a parent support group about childhood autism. What will the nurse include?

Significant signs of the disorder manifest by 1 year of age.

Why are rapid respirations a possible cause of dehydration?

They cause evaporation of fluid on the mucous membranes.

Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

Position infant in the crib on his or her abdomen, with the head elevated

Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?

"My pancreas is sick and needs insulin until it is well."

What is an important consideration for the school-age child taking DDAVP for diabetesinsipidus?

Arrange for the child to use the bathroom when needed.

nurse answering phone calls at a local suicide prevention hotline. Which statement greatest risk of suicide

parents aren't home back for 4hr. That should be enough time for the pills

nurse planning to teach family about Tay-Sachs disease. What will the nurse relay about the pattern of inheritance

They are usually autosomal recessive.

Which statement made by a parent of an adolescent with anorexia nervosa indicates an understanding of this condition?

"She seems to see herself as fat, even though her weight is below normal."

What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid) correctly?

"I give the medication at 8:00 AM every day."

child has been diagnosed with ascariasis (roundworm). Which statement made by her mother that may suggest

"My child often goes out to the garden and pulls up a carrot to eat."

parent asks the nurse, "What is guided imagery?" Which statement is the most accurate response?

technique where the patient focuses on an image to relieve stress."

Diuresis has not occurred on a child with nephrotic syndrome aftermonth on corticosteroids What protocol nurse encourage

Cyclophosphamide (Cytoxan), an antisuppressant

What should the nurse remind a parent who is considering homeopathic remedies for treatment of her child's asthma?

May contain mercury, alcohol, or arsenic.

woman taking St. John's wort and ginseng daily scheduled a hysterectomy in 3wkWhat instruction should the nurse provide

She should discontinue taking both herbs 2 weeks before surgery.

What would be the appropriate response to an adolescent who states, "This has been the worst day of my life?"

"Tell me about the worst day of your life."

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

Change the child's position frequently.

studbud

Sa pa love

84 termsStudBud Administration

Imported from external platform

Flashcards84 cardsFPractice quizPHost liveL

Questions 84

Answers

1
How is a gateway substance defined?
Recreational drug used occasionally
Drug used to wean from stronger drugs
Nonaddictive drug used daily
Substance that can lead to use of stronger drugs
2
parent tells the nurse that her child is scheduled for an x-ray of the bladder as child is urinates What is the name
Voiding cystourethrogram
Cystometrogram
Cystoscopy
Intravenous pyelogram
3
mother reports that her child has been scratching the anal area and What does the nurse suspect based on this info
Roundworm
Ringworm
Giardiasis
Pinworms
4
Parents ask nurse how their infant developed a Meckel's diverticulum. What condition, will the nurse explain
There is inflammation of the ileocecal valve.
A pouch forms when the vitelline duct fails to disappear.
The yolk sac remains connected to the intestine.
There is a weakness in the abdominal wall.
5
pregnant woman tells nurse she got relief from nausea when she had a therapy what type of therapy
Aromatherapy
Ayurveda
Acupuncture
Acupressure
6
On what understanding does the nurse plan the care of a child with a new diagnosis of type 1 diabetes mellitus?
Insufficient quantities of insulin are produced by the pancreas.
Oral hypoglycemic agents can control it.
Insulin deficiency is caused by another disease affecting the pancreas.
There is an absolute deficiency of insulin.
7
6yr scheduled for an orchiopexy asks the nurse "What are they going to do to me "down there"?" What best response
"They will move your testicle from your abdomen to your scrotum."
"You shouldn't worry. Your doctor knows exactly what to do."
"What do you think your doctor is going to do?"
"They are going to fix you up "down there"."
8
Which herbal remedy used by a patient taking warfarin should the nurse report to the physician?
Kava-kava
Chamomile
Ginseng
Angelica (dong quai)
9
Which child should not receive massage therapy?
15-year-old with a fractured femur
8-year-old with Down syndrome
17-year-old with an eating disorder
12-year-old with diabetes mellitus
10
Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
Control intake of carbohydrates and consume fewer calories.
Focus on complex carbohydrates and eat foods high in fiber.
Obtain most calories from proteins and fats.
Eat a diet low in fat and low in complex carbohydrates.
11
7yr with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing
Observing the child for evidence of hypotension
Feeding the child a protein-restricted diet
Providing activities for the child on restricted activity
Carefully handling edematous extremities
12
nurse explains that stimulants will decrease hyperactivity in the autistic child.What is a negative aspect of stimulants
Impairing cognition
Sedating the child
Causing hypotension
Creating fluid retention
13
How does the nurse describe a person who is bulimic?
Has extremely close family relationships
Alternates binge eating with purging
Severely underweight
Introverted perfectionist
14
nurse is planning to speak with a parent support group about childhood autism. What will the nurse include?
The earliest signs of autism are impulsivity and overactivity.
Significant signs of the disorder manifest by 1 year of age.
Medications can cure childhood autism.
Autism is usually diagnosed when the child goes to elementary school.
15
Why are rapid respirations a possible cause of dehydration?
They increase circulation, thus increasing urine production.
They prevent the child from drinking.
They cause evaporation of fluid on the mucous membranes.
They often lead to vomiting.
16
Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?
Place the infant in an infant seat after feedings.
Give thin rice cereal with formula before feeding solid foods.
Position infant in the crib on his or her abdomen, with the head elevated
Administer medication as ordered to stimulate the pyloric sphincter.
17
nurse has reviewed diet restrictions for celiac disease with concerned parents. Which grain nurse explain can be eaten
Rice
Oats
Wheat
Barly
18
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
"I will need to take my insulin every day."
"My pancreas is sick and needs insulin until it is well."
"I need to keep a piece of candy in my pocket in case I start to feel shaky
"My mom has to give me insulin shots twice a day."
19
What is an important consideration for the school-age child taking DDAVP for diabetesinsipidus?
Arrange for the child to use the bathroom when needed.
Restrict his physical education program.
Limit fluid intake other than during the lunch period.
Observe for signs of water deprivation.
20
Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor
Performing range-of-motion exercises on lower extremities
Assessing for bowel sounds
Palpating the abdomen
Percussing ankle and knee reflexes
21
nurse answering phone calls at a local suicide prevention hotline. Which statement greatest risk of suicide
parents aren't home back for 4hr. That should be enough time for the pills
"My dad will be home first, so he'll find me.
need to talk to someone to keep myself from thinking about killing myself
girlfriend is here with me. She told me to call because I was talking crazy
22
What condition nurse suspect child with type 1 diabetes mellitus has hyperglycemia, and headaches in the morning
Honeymoon effect
Ketoacidosis
Somogyi phenomenon
Dawn phenomenon
23
Why does the nurse instruct an 11-year-old diabetic child to use the side of the finger for blood testing?
It has fewer capillaries.
It has fewer nerve endings.
It is easier to puncture.
It is less likely to become infected.
24
mother reports that her 4myh is lethargic, sleeps 18 hours a day, and snores.The nurse recognizes these signs are
Hypothyroidism
Tay-Sachs disease
Type 1 diabetes mellitus
Hyperthyroidism
25
infant is admitted to the hospital with severe isotonic dehydration. For what is this child at the highest risk?
Shock
Sepsis
Hypocalcemia
Metabolic alkalosis
26
nurse planning to teach family about Tay-Sachs disease. What will the nurse relay about the pattern of inheritance
They are usually autosomal recessive.
They are usually autosomal dominant.
They are usually X-linked recessive.
They are usually multifactorial.
27
5yr boy admitted to hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize
Recovery from German measles 2 months ago
A sore throat 2 weeks ago
Dysuria since the previous night
A history of allergy
28
nurse is teaching a parent about pyrvinium (Povan). What would be included in regard to potential side effects?
Skin rash
Metallic taste
Diarrhea
Red Stool
29
Which herb can the nurse suggest to be used for discomforts associated with menopause, such as hot flashes?
Echinacea
Evening primrose oil
Black cohosh
Milk thistle
30
Which statement made by a parent of an adolescent with anorexia nervosa indicates an understanding of this condition?
"She seems to see herself as fat, even though her weight is below normal."
"She is just trying to punish me for divorcing her father."
"There really isn't anything to worry about...
"My daughter just doesn't have much of an appetite."
31
What statement by a parent leads the nurse to determine a parent is administering levothyroxine (Synthroid) correctly?
"I am using a different brand now because it costs less money."
"I don't give the medication on the weckends."
"I give the medication at 8:00 AM every day."
stopped giving the medication because my daughter was losing her hair."
32
What does the nurse expect the appearance of the stools of a child with celiac disease to be?
Loose, foul-smelling
Ribbon like
Bulky, frothy
Hard, constipated
33
What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?
Organ meats
Dairy products
Bananas
Whole-grain cereals
34
breastfeeding mother tells nurse she taking large doses of vitamin C to keep up her energy. What should the nurse warn
Colic
Diarrhea
Jaundice
Retinal damage
35
child has been diagnosed with ascariasis (roundworm). Which statement made by her mother that may suggest
"I've been airing out the house on these nice breezy days."
"She runs barefoot so much I have to wash her feet at least twice a day."
"My child often goes out to the garden and pulls up a carrot to eat."
"We just remodeled our bathroom at home."
36
mother reports that her 2-year-old child experiences constipation frequently. Which food would the nurse recommend
Whole-grain cereal
Yogurt
Cooked vegetables
Pretzels
37
parent asks the nurse, "What is guided imagery?" Which statement is the most accurate response?
technique where the patient focuses on an image to relieve stress."
"It involves using water to promote relaxation."
patient recognize tension in muscles with responses on electronic machine
"The patient enters a hypnotic state of sleep to promote relaxation."
38
pediatric nurse listens to 9yr read to his 6yr roommate. What action by 9yr leads the nurse to question dyxlexia
Makes up a story rather than reading the text.
Becomes hyperactive and ceases to read.
Reads the word dog as God.
Stutters as he reads.
39
6yr with daytime enuresis complains of dysuria and urgency What does nurse recognize these signs and symptoms indicate?
Nephrotic syndrome
Urinary tract infection
Acute glomerulonephritis
Vesicoureteral reflux
40
"Is there an alternative medicine for children with asthma Which form of alternative medicine would be the most helpful
Acupressure
Reflexology
Rolfing
Guided imagery
41
What description of a child's stool characteristic leads the nurse to suspect intussusception?
Current jelly
Black and tarry
Green liquid
Greasy and foul-smelling
42
Diuresis has not occurred on a child with nephrotic syndrome aftermonth on corticosteroids What protocol nurse encourage
Furosemide (Lasix), a diuretic
Ibuprofen, an anti-inflammatory agent
Ciprofloxacin (Cipro), an antibiotic
Cyclophosphamide (Cytoxan), an antisuppressant
43
What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?
Dress child in loose-fitting underwear.
Clean the bathroom with bleach solution.
Keep children's nails short.
Wash bed linens in cold water.
44
What should the nurse remind a parent who is considering homeopathic remedies for treatment of her child's asthma?
Can be enhanced by drinking hot tea.
Should be drunk with large amounts of fluid.
May contain mercury, alcohol, or arsenic.
Can be taken with traditional Wester medications.
45
What is the treatment of choice for a child with intussusception?
Gastric lavage
A barium enema
Immediate surgery
IV fluids until the spasms subside
46
woman taking St. John's wort and ginseng daily scheduled a hysterectomy in 3wkWhat instruction should the nurse provide
herbs are not likely to cause any problems during the surgery.
She should discontinue taking both herbs 2 weeks before surgery.
St. John's must be stopped prior to surgerybut she can continue the ginseng
The ginseng should be stopped 1 week before surgery.
47
How nurse identify a member of the child guidance team who is medical doctor with special training psychoanalytic theory
Psychiatrist
Counselor
Psychologist
psychoanalysis
48
What would be the appropriate response to an adolescent who states, "This has been the worst day of my life?"
"Tell me about the worst day of your life."
"You're young. What could be so terrible?"
"You should focus your mind on positive thoughts."
"Everybody has a bad day now and then."
49
What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
Keep edematous areas moist and covered.
Reach the child to minimize body movements.
Keep the head of the child's bed flat.
Change the child's position frequently.
50
nurse parents of a child with diabetes insipidus about water intoxication nurse would tell the parents to be alert for
Lethargy
weight loss
cough
Polyuria
51
Which finding in a newborn is suggestive of tracheoesophageal fistula?
Palpable mass in the sternal area
Failure to pass meconium in 24 hours
Choking on the first feeding
Visible peristalsis across abdomen
52
What is the most appropriate classroom intervention for a child with (ADHD) for the school nurse to suggest
Seat child in back of the room to prevent distractions for other children.
Separate the child from others to increase his focus on schoolwork.
Divide work assignments into shorter periods with breaks in between.
Pair the child with a student buddy to offer reminders to pay attention.
53
Which statement made by a 7-year-old child with type 1 diabetes mellitus indicates a need for more teaching?
"I need to keep a piece of candy in my pocket in case I start to feel shaky
"I will need to take my insulin every day."
"My pancreas is sick and needs insulin until it is well."
"My mom has to give me insulin shots twice a day."
54
What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?
Give the injection deep into the muscle.
Make sure injection sites are 6 inches apart.
Inject the needle at a 90-degree angle.
Select an injection site that was recently exercised.
55
When asked about correcting the hypospadias of a newbom, what does the nurse explain about this condition?
Surgical repair of the hypospadias is done before 18 months of age
Corrective surgery is usually delayed until the preschool age.
No intervention is necessary as the defect will correct itself over time.
Repairing the defect will increase the risk of testicular cancer.
56
child receives regular and NPH insulin at 8:00 AM. At 8:45 AM the breakfast trays have not yet arrived from the kitchen.
Notify the charge nurse.
Give the patient a snack of graham crackers and milk.
Give the patient more insulin according to the sliding scale.
Ambulate the patient in the hall for a short time.
57
nurse is interviewing parents of an infant with pyloric stenosis. What would the nurse expect the parents to report?
Diarrhea
Constipation
Projectile vomiting
Poor appetite
58
parent asks the nurse to describe what is meant by a "learning disability." Which is the nurse's most helpful response?
"The child's intellectual ability limits his learning."
"It is characterized by inattention, impulsiveness, and hyperactivity."
"The child has difficulty learning because of brain damage."
child may have difficulty with perception, language, comprehension, memory
59
What is an initial sign of nephrosis that the nurse might note in a child?
Temperature elevation
Periorbital edema
Abdominal pain
Raspberry-like rash
60
pregnant woman wishes to use aromatherapy during delivery What ithe most appropriate essential oil for nurse
wintergreen
citrus
juniper
thyme
61
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
Suprapubic placement
Ileal conduit
Nephrostomy
Urostomy
62
The nurse is preparing to administer a long-acting insulin. Which insulin is considered long Acting
Glargine
Lispro
Aspart
Regular
63
Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?
"I make sure I have emergency money when I have soccer practice
"I play in soccer games that are scheduled after dinner."
"I carry a piece of hard candy with me in case I start to feel shaky."
"Sometimes I skip my breakfast when I have a game in the morning."
64
Which substance puts a person at the greatest risk for HIV and hepatitis B?
cocaine
alcohol
opiates
marijuana
65
What role has the child of an alcoholic assumed if he tries to do everything perfectly?
super coper
helper
flight
perfect child
66
The nurse uses a diagram to show the location of meridians. How will nurse explain definition
They are invisible pathways for energy.
They are lymph nodes.
They are areas of skin that are specifically innervated.
They are lines that divide the body into 10 zones.
67
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
"He should eat a low-protein diet for the next few weeks."
"He can stop taking his medication next week."
"I should check his urine for protein when he goes to the bathroom."
"I will make sure he gets his measles vaccine as soon as he gets home."
68
What will the nurse caution the parents of a child who has had a nephrectomy that he will have to avoid?
Alcohol
Horseback riding
Diuretic medications
Contact sports
69
pregnant patient with a stasis ulcer asks if she might be a candidate for (HBOT). What is the nurse's best respons
"Yes. Hyperbaric oxygen therapy should have no harmful effect on your baby
No. High amounts in your system will cause changes in your baby's heart
"No. may cause the placenta to separate from the uterine wall."
Yes. Hyperbaric oxygen therapy is much better option than using antibiotics
70
What is the difference between complementary therapy and alternative therapy?
Complementary therapy is administered group of patients at the same time.
Complementary therapy must be administered by a medical doctor.
Complementary therapy is administered with conventional therapy.
Complementary therapy replaces conventional therapy.
71
9yr admitted to the hospital after "huffing" lighter fluid and is in a high euphoric state what should the nurse assess
Frightening hallucinations
Elevation of temperature
Depressed respirations
Severe vomiting
72
What is the function of an insulin pump?
Delivers a prescribed amount of insulin twice a day.
Provides continuous infusion of insulin.
Decreases need for painful glucose monitoring.
Releases insulin as blood glucose rises.
73
The focus of acupressure is to restore the balance of what?
Yin and yang
Ayurveda
Shiatsu
chi
74
nurse is explaining to 17ye female actions to prevent urinary tract infection.Which is the best beverage
Milk
Grape juice
Apple juice
Orange juice
75
What is an appropriate nursing intervention for a hospitalized child who is autistic?
Place child in location where she can watch all of the activity on the unit
Organize care to provide as few disruptions to the routine as possible.
Keep the child's room free of toys or objects that she might want
Use the child's chronological age as a guide for communication.
76
12 with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort Which essential oil is useful
Lavender
Ginseng
Ephedra
Kava-kava
77
What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
Hypoglycemia
Urinary retention
Infection
Easy bruising
78
Which general dietary measure should the nurse include in a teaching plan for the child with type 1 diabetes mellitus?
Focus on complex carbohydrates and eat foods high in fiber.
Control intake of carbohydrates and consume fewer calories.
Obtain most calories from proteins and fats.
Eat a diet low in fat and low in complex carbohydrates.
79
nurse collecting nursing history, an adolescent states that she has tried speed what does the nurse recognize this as
Barbiturates
Cocaine
Methamphetamine
Marijuana
80
15 boy previously active in a band and saved money to buy a special guitarWhat nurse assess early sign of dexpression
He spends all of his time at the library studying for the honor society
He took all his money out of the bank to buy an expensive leather jacket.
He gives up the band to spend time with his girlfriend.
He gives his guitar away and spends his time listening to music in his room
81
nurse providing information to parents of child born with bilateral cryptorchidismWhat information accurate to include
Fertility will be unaffected.
This is the most common form.
Surgical intervention is not recommended.
An inguinal hernia may be present.
82
frightened mother calls pediatrician's office because her child swallowed dishwashing detergent What is most appropriate
Give the child milk to soothe affected mucous membranes.
Induce vomiting by giving the child syrup of ipecac.
Give the child activated charcoal mixed with juice.
Take the child to the local emergency department.
83
child on the pediatric unit cannot express himself well. What might the nurse allows children to act out feelings
Art therapy
Play therapy
music therapy
Bibliotherapy
84
What occurs as a result of an inadequate secretion of insulin?
Serum glucose levels are markedly decreased.
Increased fat breakdown leads to ketonemia.
Protein synthesis is increased
More rapid conversion and storage of carbohydrates to glucose occurs.

Sa pa love Flashcards | StudBud