PN Peds Review

The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron?

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• An egg white

• Cream of Wheat

• A banana

• A carrot

Which statement by a mother may indicate a cause for her 9-month-old’s iron deficiency anemia?

• “Formula is so expensive. We switched to regular milk right away.”

• • “She almost never drinks water.”

  
  

• “She doesn’t really like peaches or pears, so we stick to bananas for fruit.”

• “I give her a piece of bread now and then. She likes to chew on it.”

What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.)

• Isolation precautions

• Provision of brightly lit room

• Observation for increasing intracranial pressure

• Preparation for spinal tap

• Seizure precautions

Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? (Select all that apply.)

• Hypersensitivity to noise

• Irritability

• Ecchymotic ear canal

• Rolls head from side to side

• Temperature of 39.4°C (103°F)

The nurse is caring for a 3-year-old child with a head injury. Which assessment would lead the nurse to report the probability of increasing intracranial pressure (ICP)?

• Temperature increase from 37.2°C (99°F) to 37.7°C (100°F)

• Increase in blood pressure with an attendant decrease in pulse

• Increase in respirations

• Equilateral pupils

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

• Absence

• Akinetic

• Myoclonic

• Complex partial

What statement by a patient’s mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

• “I will continue using the medication until symptoms are relieved.”

• “I will share the medicine with siblings if their symptoms are the same.”

• “I will give the medication with a glass of milk.”

• “I will administer prescribed doses until all the medication is used.”

A parent comments that her infant has had several ear infections in the past few months. Why are infants more susceptible to otitis media?

• Infants are in a supine or prone position most of the time.

• • Sucking on a nipple creates middle ear pressure.

  
  

• They have increased susceptibility to upper respiratory tract infections.

• The Eustachian tube is short, straight, and wide.

What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy?

• Use commercial mouthwash.

• Clean teeth with a soft toothbrush.

• Avoid use of a Water-Pik.

• Inspect the mouth weekly for ulcerations.

A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow?

• Decreased T-cell production

• Decreased hemoglobin

• Increased blood clotting

• Increased susceptibility to infection