Week 9- 351 peds

The nurse is caring for a patient with otitis media. Which intervention is most important to the developmental health of the child?

• Avoiding nonprescription medications

• Avoiding smoking in the home

• Proper antibiotic use

• Assessing language acquisition

Which situation would cause the nurse to become concerned about possible hearing loss?

• 18-month old who babbles constantly

• 3-year old who drops the letter “s”

• 3-month old who startles easily to sound

• 8-month old who says only “da”

Which children, who have been diagnosed with otitis media, does the nurse expect the provider to treat with antibiotics? Select all that apply.

• 12-year-old child who reports mild ear pain with a temp of 101.4°F

• 8-year-old child who is crying in pain with a temp of 103.2°F

• 2-month-old with difficulty sleeping and a temp of 102.6°F

• 5-month-old who is fussy and pulling at ears

• 22-month-old who irritable with purulent ear drainage

Which factors contribute to infant's and children’s risk for upper airway obstruction as compared to adults?

• Underdeveloped cricoid cartilage and smaller tongue

• Small tonsils and narrow nasal passages

• Cylinder-shaped larynx and underdeveloped sinuses

• Underdeveloped cricoid cartilage and narrow nasal passages

A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and respiratory rate of 82. What is the most appropriate initial nursing intervention?

• Attempt to calm the infant by placing him in his mother's lap to breastfeed

• Alert the provider and ask for an order for a stat chest x-ray

• Suction the recreations, provide 100% oxygen via face mask, and anticipate respiratory failure

• Bring the emergency equipment to the room and begin bag-valve-mask ventilation

A nurse is assisting the parents of a child who requires a Pavlik harness. The parents are apprehensive about how to care for their baby. The nurse should stress which teaching point?

• "The baby only needs to wear the harness for 2-3 weeks"

• "It is important that the harness is worn continuously"

• "The harness does not hurt the baby"

• "I will teach you how to make appropriate adjustments to the harness"

The nurse is caring for a 5-year-old who shows signs and symptoms of epiglottis. The nurse recognizes a common complication of the disorder is for the child to:

• report ear pain

• experience nuchal rigidity

• have unilateral breath sounds

• be at risk for respiratory distress

The nurse is conducting a routine physical assessment on a newborn to screen for DDH. The nurse correctly assesses the infant by placing the infant:

• in a prone position noting asymmetry of the thigh or gluteal folds.

• with both legs extended, observing the hip and knee joint relationship.

• with both legs extended and observes the feet.

• in a supine position with both legs extended and observes the tibia/fibula.

A 5-year-old child is in traction and is at risk for impaired skin integrity due to pressure. Which intervention is most effective?

• inspect the child's skin for rashes, irritation, or pressure sores

• apply lotion to dry skin

• gently massage the child's back to promote circulation

• Keep the child's skin clean and dry

A nurse is providing instructions for home cast care. Which response by the parent indicates a need for further teaching?

• "We must avoid causing depressions in the cast"

• "Pale, cool, or blue skin coloration is to be expected"

• "The casted arm must keep still"

• "We need to be aware of odor or drainage from the cast"