Question 1

The pediatric nurse completes an assessment on all patients assigned during evening shift at the hospital.Which patient assessment requires immediate intervention?

Accepted Answer

A widening pulse pressure can indicate increased ICP; therefore it is the priority.An axillary temperature of 99° F,infant pulse of 100 bpm,and adolescent respiratory rate of 28 are expected assessments.

Question 2

An ________________________ implies that the parent or legal guardian is capable of understanding information given to him or her,including the purpose and risks of the procedure,and voluntarily agrees to that procedure.

Accepted Answer

The answer of An ________________________ implies that the parent or...

Question 3

When obtaining a urine specimen on an infant,the adhesive of the urine collector is placed between the _____________ and the _________________.

Accepted Answer

The answer of When obtaining a urine specimen on an...

Question 4

What should the nurse assess to determine the method of transportation for a pediatric patient?

Accepted Answer

The means by which the child is transported within the unit and to other parts of the hospital depends on age,level of consciousness,and how far the child must travel.

Question 5

The nurse instructs the mother of a 2-year-old who is taking iron supplements for anemia that some foods reduce the absorption of iron.What would be the best example provided by the nurse?

Accepted Answer

Egg yolks and starches reduce the absorption of iron in the digestive tract and should be limited for persons taking an iron supplement.

Question 6

Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s)of a procedure?

Accepted Answer

The informed consent establishes that the patient,parent,or legal guardian understands the purpose and risks of the procedure.It also establishes that the patient,parent,or legal guardian understands what they have been told; the document should be signed and witnessed.

Question 7

The nurse is searching through several blood pressure cuffs to find a cuff that is the appropriate size for her small patient.The nurse selects a cuff that covers ______ _______ of the patient's upper arm.

Accepted Answer

The answer of The nurse is searching through several blood...

Question 8

The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds.The PDR states that 10 mg/kg/day is the maximum daily dose.The safe daily dose of this medication is _____ mg.

Accepted Answer

The answer of The physician has ordered phenytoin syrup 20...

Question 9

A 15-year-old patient returns to the pediatric unit following a lumbar puncture.What initial position will the nurse maintain for this patient?

Accepted Answer

The adolescent may avoid post-lumbar puncture headache by lying flat for some time.

Question 10

Which specific drug(s)should be checked with a second licensed nurse prior to administration?

Accepted Answer

Insulin,hypoglycemics,narcotics,digoxin,inotropic drugs,anticoagulants,potassium,and calcium salts all must be checked by a licensed nurse prior to administration.

Question 11

After instilling nose drops,the nurse will keep the infant in the head down position for at least _________ seconds.

Accepted Answer

The answer of After instilling nose drops,the nurse will keep...

Question 12

A 3-year-old patient is admitted to the pediatric unit with a fever of 103° F.Which actions will the nurse implement?

Accepted Answer

When evaluating the degree of illness in a febrile child,the nurse should assess and record response of the child to cuddling,alertness,hydration,sociability,and quality of cry.A quiet,lethargic child who does not respond readily to the environment may be acutely ill.Because dehydration is a common problem in infants and children,skin turgor should be assessed.Antipyretics also provide comfort and may aid in enabling the child to consume fluids,lessening the risk of dehydration.Rectal temperatures are not recommended for pediatric patients.

Question 13

The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM,the start order for NPO should be no earlier than ____________________.

Accepted Answer

The answer of The nurse is aware that for the...

Question 14

The order reads,"Give ampicillin oral suspension 400 mg PO every day." The vial reads,"Ampicillin 125 mg/5 mL." The nurse will give a dose of ______ mL.

Accepted Answer

The answer of The order reads,"Give ampicillin oral suspension 400...

Question 15

The nurse is aware that because of the function of the mist tent that a child is at risk for ________________.

Accepted Answer

The answer of The nurse is aware that because of...

Question 16

An infant's dry diaper weighs 2.5 grams.The wet diaper weighs 47 grams.How would the nurse record the infant's urine output?

Accepted Answer

Urine output is determined by calculating the difference in weight between the wet diaper and a dry diaper.One gram is equivalent to one milliliter of output.47 - 2.5 = 44.5 grams = 44.5 mL of urine.

Quiz 22: Health Care Adaptations for the Child and Family