425 Unit 5 Review Game

Which of the following circumstances can cause acute postinfectious glomerulonephritis in children?

• Untreated group A streptococcal infection

• UTI treated with cephalosporins

• Antibody development after varicella vaccine

• Aspirin use while infected with influenza

A child with suspected leukemia is going to have a bone marrow biopsy under moderate sedation. Which of the following preparations should the nurse anticipate?

• If propofol is used for sedation, ensure that flumazenil is readily accessible

• Educate the caregiver the child will be put to sleep with general anesthesia for the procedure

• If fentanyl is used for sedation, ensure that naloxone is readily accessible

• Calculate the required dose of sedative based on the child’s age

A child is brought to the emergency department of a small rural hospital with partial thickness burns to both legs. The estimated total body surface area burned is 15%. The nurse anticipates which of the following plans of care?

• Discharge from ED, instructing parents to take child to an urgent care clinic instead

• Admit to the pediatric unit of the hospital for overnight observation

• Discharge from ED after burn first aid and follow-up outpatient with primary care provider in 1 week

• Transfer to a specialized burn center

Which of the following vaccines should NOT be given to children receiving chemotherapy for cancer?

Select all that apply:

• Measles, mumps, & rubella (MMR)

• Varicella

• Hepatitis A

• Rotavirus

• Influenza (intranasal)

Which of the following symptoms are consistent with minimal change nephrotic syndrome?

• Hyperlipidemia and hyperproteinemia

• Hypoproteinemia and hypovolemia

• Hypervolemia and proteinuria

• Proteinuria and hyperalbuminemia

A nurse is explaining the treatment of minimal change nephrotic syndrome to parents. Which of the following statements by the nurse accurately describes the treatment for this condition?

• “Weekly albumin infusions are given to stop the urinary protein loss.”

• “Furosemide is given once daily in the morning until the child is in remission.”

• “Prednisone is taken daily for 4-6 weeks and then every other day for several months.”

• “Indomethacin or ibuprofen is given on an around-the-clock schedule for at least 3 months.”

A child is admitted with a unilateral Wilms tumor. When the nurse is educating the parents, which of the following statements is NOT appropriate?

• “A biopsy will be done during the kidney removal surgery.”

• “You should gently feel the mass once per day to monitor its growth.”

• “It is important to monitor blood pressure, as this condition can cause hypertension.”

• “Chemotherapy typically begins after surgery.”

A 7-month-old infant is scheduled for hypospadias repair.

Categorize the following intervention as anticipated, nonessential, or contraindicated:

If parents request circumcision, schedule this procedure before the hypospadias reconstruction.

• Anticipated

• Nonessential

• Contraindicated

A 7-month-old infant is scheduled for hypospadias repair.

Categorize the following intervention as anticipated, nonessential, or contraindicated:

Implement seizure precautions.

• Anticipated

• Nonessential

• Contraindicated

A 7-month-old infant is scheduled for hypospadias repair.

Categorize the following intervention as anticipated, nonessential, or contraindicated:

Administer oxybutynin q8h to control bladder spasms after surgery.

• Anticipated

• Nonessential

• Contraindicated