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Flashcards for Pedi test 3
Flashcards for pedi test 3
43
Medical
Undergraduate 4
10/16/2008

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Term
Which of the following instructions is best to provide the parents with an infant that has GE reflux?
Definition
Place prone with head elevated after feeding.
Term
Which of the following snack foods is best to recommend to a child compaining of frequent constipation and occasional encopresis?
Definition
Dried fruits
Term
In caring for an infant with biliary atresia, the nurse should plan to do which of the following?
Definition
Administer vit. D and K.
Term
The nurse is assessing a ten year old client with probably appendicitis, which assessment would indicate rupture?
Definition
A sudden decrease in abdominal pain.
Term
A child with a G-tube is due for a feeding, which approach is best?
Definition
Administer the feeding by gravity.
Term
The nurse is planning post-op care for an infant with a cleft lip repair, the plan should include?
Definition
Supine or side-lying position.
Term
An infant born with an esophageal atresia and tracheoesophageal fistula has a priority nursing diagnosis of?
Definition
Risk for aspiration.
Term
An infant born with an omphalocele defect is being admitted to the ICU, the nurse in charge should direct the nursing tech to prepare?
Definition
A warmer
Term
The nurse has taught the parents of a child with celiac disease about the allowed foods. The nurse knows that the teaching was NOT effective if they report the child's stools are?
Definition
Greassy and excessive.
Term
Which of the following assessments indicates successful reduction of an intussusception?
Definition
A normal brown stool.
Term
The nurse is preparing for the delivery of a newborn with a known diaphtagmatic hernia, the nurse should prepare which of teh following?
Definition
Intubation setup.
Term
The nurse is preparing for the delivery of a newborn with a known diaphtagmatic hernia, the nurse should prepare which of teh following?
Definition
Intubation setup.
Term
An infant has been diagnosed with hirshbrung's disease, the parents ask the nurse about the symptoms that lead to this diagnosis. The nurse should explain that it's the baby's symptoms of?
Definition
The failure to pass meconium and the abdominal distention.
Term
A child presents in the ER with an ingestion of bleach, the nurse should expect to administer?
Definition
The activated charcoal mixed with juice.
Term
A child is admitted to the hospital with a diagnosis of larynotracheobronchitis. The nurse should be prepared administer?
Definition
Nebulizer epinephtine and oral or IM dexamethasone.
Term
The nurse is treating a group of mothers of infants about the benefits of imunization; the nurse will explain that the life threatening disease epiglotitis may be prevented by immunization against?
Definition
HIB
Term
A nurse is assessing a preterm infant, the assessment that might indicat that the infant's respiratory status is worsening?
Definition
The grunting
Term
The newborn is suspected of having CF. As the infant is being prepared to be transferred to a pedi hospital, the mother asks the nurse what symptoms made the doctor suspect CF. The nurse would reply that the earliest clinical manifestation of CF is?
Definition
The mecomium illeus.
Term
The nurse is teaching the parents of a newly diagnosed CF patient how to administer the enzymes. The nurse would advise the parents to administer the enzymes with?
Definition
Meals and large snacks.
Term
A child is showing signs of acute respiratory distress. How should the child be positioned?
Definition
Upright
Term
The nurse is evaluating the parent's understanding of home apnea monitoring for an infant who had a ALTE. The nurse knows her teaching was effective if the parents state the 1st action they would take if the alarm sounds is?
Definition
Check their baby.
Term
The nurse is providing education to a 7 year old child on the use of a peak expiratory flow meter. These instructions are going to include which of the following?
Definition
You are going to record the highest of the 3 readings.
Term
Which of the following comments by the parents of an asthmatic child indicates comprehension of the instructions?
Definition
I have been giving him the albuterol for quick relief of symptoms.
Term
A nurse can use the rules of 2's in asthma management. Which of the following statemtns indicates that the child's asthma is not under control?
Definition
If they say that this month I have awakened 3 times a night with asthma symptoms.
Term
The neonatal nurse knows that one of the best ways to prevent bronchopulmonary dysplasia is which of the following?
Definition
The gentle mechanical ventilation and supplemental O2.
Term
A nurse is caring for a visual impaired 10 year old. The nursing intervention with the highest priority for this child during the admission process?
Definition
Orienting the child to where the furniture is in the room.
Term
An infant has acute otitis media. The nurse will teach the parent to?
Definition
Only smoke outside the home.
Term
A child who has had a tonsillectomy is being discharged soon. Discharge instruction should include which of the following?
Definition
Encourage the gargling of baking soda and salt for comfort.
Term
Which position should the school nurse put a student in for a nose bleed after being hit by a baseball?
Definition
Sitting up with the head tilted forward.
Term
A mother asks why she should not feed her baby while he is on his back with a bottle propped. The nurse shold teach that the free passage of air through the ear and nasal phyarynx occurs since the eustacian tube is?
Definition
Horizontal in babies.
Term
Which of the following might indicate hearing impairment in a toddler (select all that apply)?1
Definition
-Points for what he wants
-Yells inapproptiately
-Rarely speaks
Term
As you are watching your 13 year old son's baseball game, a child's front tooth is knocked out. You should...?
Definition
Put the tooth back in the socket.
Term
Dried residue of serum pus or blood?
Definition
Crust.
Term
Milky white patches in mouth?
Definition
Candidiasis albicans
Term
The highest priority for a child who has an order for wound debridement?
Definition
To give analgesics 30 min to an hour before treated.
Term
A child has been diagnosed with eczema, in takin the history you would want to assess if there is a history of?
Definition
Asthma
Term
A 4 year old child has been diagnosed with impedigo, what would be the priority teaching parents to prevent spread?
Definition
Provide good hand washing
Term
A child that is in the state of unconsciousness, who is in the ER with type I diabetes. They went to school and had a piece of birthday cake, icecream, and fruit punch. What is the diagnosis?
Definition
Metabolic ketoacidosis.
Term
Child is admitted for Type II diabetes, mother would liek to know how the diagnosis is made. For diabetes you have obesity, acantosis nigricans and a fasting blood glucose of?
Definition
126 or higher on 2 different occasions.
Term
You have a child feeling very weak, shaky and the skin is cold and clammy?
Definition
Administer 15mg of fast acting glucose.
Term
The nurse is administering 0800 NPH indulin, knowing its peak activity when would you expect the blood sugar to be at its lowest?
Definition
Between lunch and dinner (NPH peaks between 6 to 12 hours)
Term
The nurse is preparing to give 3 patients their morning dose of insulin. Which patient should the nurse wait to give their insulin until the breakfast trays have arrived on the floor?
Definition
Humalog
Term
During the summer, a child with diabetes is sent to camp. Thsi is the schedule. Breakfast from 8 to 845, study group 0to 1130, lunch from 12 to 1245, study group 1 to 3, sports and recreation from 3 to 6, supper from 6 to 645 and a group meeting from 7 to 930. When would the nurse arrange a priority snack?
Definition
Before sports and recreation.
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