Pediatric Unit 4 Quiz (Resp, Cardiac, Heme/Onc)

A nurse is reinforcing teaching with a child to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? Select all that apply.

• Shake the device prior to use

• Rinse mouth after administration

• Wait 10 minutes between puffs

• Inhale the medication slowly, ideally with an aero chamber

A nurse is collecting data from an infant who has a respiratory infection. Which of the following findings is an early indication of acute hypoxemia?

• Non-productive cough

• Hypoventilation

• Tachypnea

• Nasal stuffiness

The PN is caring for a child who had a tonsillectomy 2 hours ago. Which sign or symptom most likely indicates a complication?

• Apical pulse of 90 beats/min

• Frequent swallowing

• Blood pressure 96/50

• Nasal congestion

A 4-year-old child is brought to the clinic with a fever of 103, sore throat, and moderate respiratory distress caused by a suspected bacterial infection. Which medical diagnosis is a contraindication to obtaining a throat culture in the child?

• Tonsillitis

• Streptococcal Infection

• Bronchiolitis

• Epiglottitis

The PN is caring for a 2-year-old suspected of having croup. Which signs and symptoms would the nurse expect the child to exhibit?

• Barking cough

• Pallor

• Tachypnea

• Hypotension

The nurse is providing education to a school-aged child and their family regarding the administration of an inhaled corticosteroid and albuterol. Which statement by the parent indicates that the teaching has been effective?

• "My child knows which shelf in the refrigerator the inhalers are kept on."

• "My child only needs to use the inhalers when her peak flow numbers are in the red."

• "My child will take the bronchodilator first, then the corticosteroid."

• "My child will take the corticosteroid first, wait a few minutes, and then take the bronchodilator."

Which statement made by the parents of a child with cystic fibrosis indicates understanding of the disease?

• We will discourage our child from playing outdoors.

• We will make sure to wash our child's hands after using the restroom.

• We will use the pancreatic enzymes only if needed.

• We will schedule a physical therapist evaluation.

A pediatric client is prescirbed digoxin for a CHD. The dosage ordered is 50 mcg/kg/day. The child weighs 10 kg. The prescription requires the digoxin to be given twice a day. The nurse will prepare how many mcg of digoxin at each dose? (Numerical value only)

Mathematical Equivalence

ON

The nurse is reviewing the medication record of a 2-month-old child and notes that the infant has a scheduled dose of digoxin. The child's apical pulse is documented as 76 beats/min. What action should the nurse take first?

• Assess the current apical pulse

• Observe for the onset of diarrhea and nausea

• Complete an incident report

• Determine the child's current potassium level

A child was admitted with a sickle cell crisis. The child is anemic, has painful joints, and a fever of 101. What priority intervention should the nurse include in the plan of care for this child?

• Maintain oral fluids for hydration

• Apply cold packs to painful joints

• Administer aspirin daily for pain and fever

• Perform ROM exercises to decrease joint pain