peds- exam 5

What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?

• Acetaminophen and plenty of fluids

• Oral penicillin for 10 days

• Penicillin until his sore throat is gone

• Streptococcus immunization

Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?

• Take the child outside in the cool air.

• Bring the child directly to the emergency department.

• Take the child to the bathroom and turn on a hot shower

• Have the child drink plenty of fluids

The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?

• bleeding from the surgical site

• pain at the incision area

• sore throat from postnasal drip

• potential vomiting

What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?

• a popcicle

• chocolate milk

• orange juice

• cola drink

When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report?

• Respiration rate decreases from 40 to 32 breaths/minute

• Heart rate decreases from 110 to 100 beats/minute

• “Quiet chest” from previous assessment of wheezing

• Oxygen saturation of 90%

What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma attack, expect to find?

• fine crackles

• coarse rhonchi

• expiratory wheezing

• decreased breath sounds at lung bases

What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?

• Offer plenty of fluids, particularly carbonated beverages.

• Place the child in a humidified cool mist tent with oxygen.

• Administer sedatives as ordered to decrease anxiety

• Position the child with arms resting on the overbed table.

The parents of a 3-month-old infant with cystic fibrosis (CF) want to know how their child got this disease, because no one in either of their families has CF. What is the nurse’s best response based on the understanding of CF?

• only one parent carries the CF gene

• Both parents are carriers of the CF gene

• The inheritance pattern is multifactorial

• The result is probaly genetic

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

• Pancreatic enzymes

• Water- soluble minerals

• Fat-soluble vitamins

• Salt supplements

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS). What significant information would the nurse include?

• Wrapping the infant snugly for rest periods

• Positioning the infant prone for sleep

• Sitting the infant up in an infant seat

• Placing infants on their backs or sides for sleep