Term
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Definition
| Inflammation of the bladder |
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Term
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Definition
| The most important factor that influences the development of a UTI is |
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Term
| A girl, age 5 1/2 years, has been sent to the school nurse for urinary incontinence three times in the past 2 days. The nurse should recommend to her parent that the first action is to have the child evaluated for which of the following? |
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Definition
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Term
| The pathologic process for post infectious glomerulonephritis is believed to be |
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Definition
| immune complex formation and glomerular deposition |
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Term
| If a child loses weight after being hospitalized for acute glomerulonephritis it is probably because of |
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Definition
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Term
| Reduced serum albumin along with presenting symptoms can indicate.. |
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Definition
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Term
| What would be a primary objective of care for a child with minimal change nephrotic syndrom |
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Definition
| Minimize excretion of urinary protein |
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Term
| Prednisone can do what to risk of infection? |
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Definition
| Increase (as all steriods do) |
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Term
| The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. THe nurse should inform the family that the chances of each sibling having SCA is what percent? |
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Definition
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Term
| The nurse is teaching the family of a child, age 8 years, with moderate hemophilia about home care. The initial therapy for a joint injury is... |
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Definition
| IV infusion of factor VIII concentrates. If the child had MILD hemophilia elevation and application of ice to the applied joint would be sufficient |
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Term
| In teaching parents how to minimize or prevent bleeding episodes when the child is myelosuppressed the nurse includes that |
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Definition
| meticulous mouth care is essential to avoid mucositis |
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Term
| unrestricted proliferation of immature white blood cells describes the pathophysiology of |
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Definition
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Term
| In order to prevent CNS disease a child with leukemia will receive |
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Definition
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Term
| In a child suspected of having Wilms tumor an important priority is |
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Definition
| Ensuring the addomen is protected from palpation |
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Term
| The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. The nurse should explain that |
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Definition
| additional snacks are needed before exercise (exercise can decrease need for insulin, so we don't want sugar to get too low) |
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Term
| A child east some sugar cubes after experiencing symptoms of hypoglycemia. This rapid releasing sugar should be followed by which of the following |
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Definition
| milk and peanut butter on bread |
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Term
Manifestion of hypoglycemia include weakness and dizziness.
true or false? |
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Definition
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Term
| Acute glomerulonephritis occurs after what type of infection? |
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Definition
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Term
| A nurse assess that a child with acute glomerulonephritis has a uri-nalysis that would show |
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Definition
| Hematuria and proteinuria |
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Term
| Most common organism associated with UTI's is |
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Definition
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Term
| What is the goal of remission induction in treating Acute Lymphocyctic Leukemia (ALL) |
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Definition
| to eliminate the leukemic cells |
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Term
| A child with leukemia receiving CNS prophylaxis therapy will undergo |
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Definition
| Administration of intrathecal medications such as methotrexate and cytarabine |
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Term
Precipaitating factors in sickle cell crisis include all of the following except:
dehydration
tachycardia
fever
hypoxia |
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Definition
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Term
What is most consistent and commonly used data for assessment of pain in infants? |
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Definition
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Term
| Which of th following is an important consideration when using the FACES pain rating scale with children? |
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Definition
| Scale can be used with most children as young as 3 years |
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Term
| A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What solution could the nurse offer? |
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Definition
| A topical anesthetic such a EMLA to be applied? |
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Term
| The nurse is discussing with a parent group the importance of fluoride for healthy teeth. Which of the following should the nurse recommend? |
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Definition
| Determine whether water supply is fluoridated |
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Term
| At what age do most children have an adult concept of death as being inevitable, universal, and irreversible |
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Definition
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Term
| A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home. The nurse should recognize that the principal reason for treating fever in this child is: |
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Definition
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Term
| The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant... |
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Definition
| shows signs of an earache |
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Term
| It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent what? |
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Definition
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Term
Avoiding tobacco smoke is a good way to prevent otitis media.
True or false? |
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Definition
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Term
| A child with RSV is on what type of isolation? |
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Definition
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Term
| What is the earliest recognizable clinical manifestation of CF? |
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Definition
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Term
| A mother of a child with suspected croup reports that her child has become increasingly restless/anxious and is resisting being comforted by her parents. A nurse knows that this behavior signifies the probable presence of .. |
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Definition
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Term
| One factor that predisposes infats and young children to the development of OM is the unique anatomic features of the |
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Definition
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Term
Which is not an alarming symptom of croup?
inspiratory and expiratory stridor, lethargy, inability to swallow, uncontrolled drooling, rhinorrhea? |
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Definition
| rhinorrhea is not a symptom of croup |
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Term
| A mother who intended to breast feed has given birth to an infant with a cleft palate. What should the nurse do? |
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Definition
| Encourage and help the mother to breast feed |
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Term
| In caring for the newborn with a cleft lip and palate before surgical repair includes which of the following? |
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Definition
| providing satisfaction of sucking needs |
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Term
| The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infants postoperative care include which of the following? |
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Definition
| Cleansing the suture line, supine with HOB raised and or/side lying position, appropriate analgesia |
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Term
|
Definition
| A parasite that causes acute diarrhea |
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Term
| The nurse is caring for an I8-month-old with rotavirus. Which of the following clinical manifestations would the nurse expect to observe? |
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Definition
| Mild fever and vomiting followed by onset of watery stools |
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Term
| A 2-year-old child has a chronic history of constipation and is brought to the clinic for evaluation. The therapeutic plan initially includes: |
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Definition
| complete bowel evacuation |
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Term
| Which of the following statements best describes Hirschsprung disease? |
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Definition
| The colon has an aganglionic segment. |
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Term
| Invagination of one segment of bowel within another is called? |
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Definition
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Term
| Melena, the passage of black, tarry stools, suggests bleeding from |
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Definition
| The upper gastrointestinal tract |
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Term
| CHF is the consequence of an underlying cardiac defect |
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Definition
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Term
Infant with CHF has a need for increased calories.
True or false |
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Definition
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Term
| 3 month old is having a TET spell, what should the nurse do first? |
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Definition
| Place child in a knee chest position |
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Term
| A cardiac defect that allows blood to shunt from the high pressure left side of the heart to the lower pressure right side of the heart can result in |
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Definition
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Term
| Ventricular septal defect has the following blood flow pattern |
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Definition
| Increased pulmonary blood flow |
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Term
| The Dr. suggests that surgery be performed for patent ductus arterious (PDA) to prevent which of the following complications? |
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Definition
Pulmonary vascular congestion
In PDA, blood flows from the higher pressure aorta into the lower pressure pulmonary vein, resulting
in increased pulmonary blood flow. This creates pulmonary vascular congestion. Hypoxemia usually
results from defects with mixed blood flow and decreased pulmonary blood flow. The shunt is from
left to right in a PDA. The closure would stop this. There is increased workload on the left side of the
heart with a PDA. |
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Term
Aortic stenosis results in obstruction to blood flow.
True or false |
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Definition
True
Aortic stenosis is a narrowing or stricture of the aortic valve, causing resistance to blood flow in the
left ventricle, decreased cardiac output, left ventricular hypertrophy, and pulmonary vascular
congestion. Tricuspid atresia results in decreased pulmonary blood flow. The atrial septal defect
results in increased pulmonary blood flow. Transposition of the great arteries results in mixed blood
flow. |
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Term
| Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy constitute a .... |
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Definition
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Term
| What is an early physiologic sign of CHF in a one year old? |
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Definition
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Term
| What closes (heart/circulatory wise) in a newborn baby? |
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Definition
| Closure of the foramen ovale |
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Term
| A nurse understands that the degree of right-to-left shunt and cyanosis in an infant with suspected Tetralogy of Fallot, primarily depends on the: |
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Definition
| The degree of the pulmonic stenosis |
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Term
| Approximately 90% of children with encopresis are |
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Definition
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Term
| When a child receives an ACE inhibitor what things should a nurse monitor? |
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Definition
| watch for development of cough, monitor for hypotension, monitor for renal dysfunction |
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Term
| 5 month old is diagnosed with coarctation of the aorta. What should the nurse expect to see when examining this patient? |
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Definition
| elevated blood pressure in upper extremeties |
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Term
|
Definition
| Constrict and close a PDA (patent ductus arteriosus) |
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Term
| When a ductus arteriosus fails to close the blood flows from the |
|
Definition
| aorta to the pulmonary artery |
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Term
The following
1. polycythemia (increased # of RBCS in blood)
2. poor growth and weight gain
3. clubbing of fingers and toes
4. spontaneous squatting
are signs and symptoms of ....
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Definition
|
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Term
|
Definition
| decreased pulmonary blood flow due to pulmonary artery spasm |
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Term
| Which pathogen is most commonly associated with acute diarrhea in children |
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Definition
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Term
| Olive shaped mass in the epigastrium to the right of the umbilicus is indicative of |
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Definition
|
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Term
| Hypertrophy of the pyloric muscle |
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Definition
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Term
| Currant jelly stools is a symptom of |
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Definition
|
|
Term
What is the primary therapeutic management of Hirschprung Disease?
|
|
Definition
| surgical removal of the affected bowel with temporary colostomy |
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Term
| A nurse knows that an 18 month-old admitted to the hospital for a cleft palate repair should be started on maintenance IV fluids as part of the standard pre-op orders. The child weighs 29 pounds, what should her maintenance IV fluid rate per hour be? |
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Definition
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