E2 NU 170 PRACTICE Q

An adolescent client with type 1 diabetes mellitus is admitted to the emergency department for treatment of DKA. Which assessment findings would the nurse expect to note?

• Sweating and tremors

• hunger and HTN

• cold, clammy skin and irritability

• fruity odor breath and decreased LOC.

Tags

NGSS.HS-LS1-3

The nurse is performing a neurovascular check on a hospitalized child who had a cast applied to the lower leg. The child complains of tingling in the toes distal to the fracture site. Which action would the nurse take?

• Elevate the extremity

• Document the findings

• Notify the RN.

• Ambulate the child with crutches.

Which test would the nurse anticipate for a teenage client who has been treated for vaginal Candida infections repeatedly in the last 6 months to assist in the identification of the underlying chronic pathology?

• Pap Smear

• blood culture

• throat culture

• blood glucose level

The school nurse notes that the child has a rash and suspects that it is caused by erythema infectiosum (fifths disease). The nurse bases this determination on the observation that the rash results in which appearance?

• Rose-pink maculopapules

• Pruritic macule-to-papules

• pinkish red maculopapules

• a "slapped-face" appearance

The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?

• proteinuria

• weight loss

• increased appetite

• hyperalbuminemia

A 2 year old is admitted to the hospital with a diagnosis of nephrotic syndrome. In planning care for this child, which nursing intervention would be of highest priority?

• weight morning and afternoon

• maintain a strict intake and output

• dipstick the urine for protein every 4 hours.

• take VS with BP every 2 hours.

A LPN is assigned to assist in caring for a hospitalized child who is receiving a continuous infusion of IV potassium for the treatment of dehydration. The LPN monitors the child closely and notifies the RN if which finding is noted?

• weight increase of 0.5 kg

• temp of 100.8 rectally

• a decrase in urine output to 0.5 ml/kg/hr

• BP unchanged from baseline

An adolescent with type 1 DM will become a member of the schools football cheerleader team. The adolescents excitedly reports to the school nurse to obtain information regarding adjustments needed in the treatment plan for the diabetes. The school nurse would instruct the adolescent to take which action?

• Eat half the amount of food normally eaten at lunchtime.

• Take 2 times the amount of prescribed insulin on practice and game days.

• Eat six graham crackers or drink a cup of OJ before practice or game time.

• Tak the prescribed insulin one half hour before practice or game time rather than in the morning.

Tags

NGSS.HS-ETS1-3

NGSS.HS-LS1-3

The nurse is assisting in developing a POC for a 10 year old child diagnosed with acute glomerulonephritis. Following review of the POC, the nurse determines that which intervention is the priority for the child?

• Promoting bed rest

• restricting oral fluids

• encouraging visits from friends

• allowing the child to play with the other children in the playroom.

The nurse is providing information to the mother of a child with nephrotic syndrome regarding the edematous appearance of the child. Which statement would the nurse make to the mother?

• "Children always look a little bit fat, so don't be concerned."

• "Dress the child in loose fitting clothing to hide the extra weight."

• "The fluid retention should be controlled by medication and diet."

• "The child will always have this appearance, and preparing the child for the body image change is important."