Worksheets351 Peds Quiz- Week 10
Total questions: 17
Worksheet time: 34mins
The meningococcal vaccine should be offered to high risk populations. If never vaccinated, who has an increased risk of becoming infected with meningitis? Select all that apply.
18-year-old student who is preparing to live in the dorms at college in the fall
12-year-old child with asthma who attends public school
5-year-old child who routinely travels in the summer with her parents on mission trips
9-year-old who was diagnosed with diabetes mellitus when he was 7 years old
8-year old child who has no prior illnesses or significant medical history
An 11-year old child was recently diagnosed with chicken pox. His parents gave him aspirin for a fever and the child is now hospitalized. Which nursing interventions are appropriate for this child? Select all that apply.
Request an order for ondansetron
Assess intake and output closely
Assess child's skin for development of distinctive rash q4 hours
Request an order for anticonvulsants
Monitor liver function lab values
A child is diagnosed with bacterial meningitis. Which nursing interventions are appropriate ? Select all that apply.
Initiate droplet precautions
Identity close contacts to initiate post exposure prophylaxis
Administer antibiotics as ordered
monitor for signs and symptoms of decreased intracranial pressure
Initiate seizure precautions
A mother brings her 6-month-old infant to the clinic. The child has been vomiting since early morning and has had diarrhea since the day before. His temperature is 38°C, pulse 140, and respiratory rate 38. He has lost 6 oz since his well-child visit 4 days ago. He would not breastfeed today. What is the priority nursing diagnosis?
thermoregulation alteration
pain (abdominal) related to diarrhea
fluid volume deficit related to excessive losses and inadequate intake
alteration in nutrition, less than body requirements, related to decreased oral intake
The nurse is caring for a child who has had diarrhea and vomiting for the past several days. What is the priority nursing assessment?
Determine the child’s weight.
Ask if the family has traveled outside of the country.
Assess circulation and perfusion.
Send a stool specimen to the lab.
A 4-month-old has had a fever, vomiting, and loose watery stools every few hours for 2 days. The mother calls the doctor's office to ask the nurse what she should do. Which response by the nurse is most appropriate?
"Do not give the child anything to drink for 4 hours. Then you can resume breastfeeding when the diarrhea stops."
"Continue to breastfeed as you have been doing. The fluid is important maintain fluid balance"
"Give electrolyte replacement for the next few hours and follow up in 6 hours."
"Bring the child to the office today to be further assessed by a provider."
The nurse is assessing a 10-day-old infant for dehydration. Which finding indicates severe dehydration?
Pale and slightly dry mucosa
Blood pressure of 69/42
Tenting of skin
Soft and flat fontanels
Compared with adults, why are infants and children at an increased risk for infection and communicable diseases?
The infant has had limited exposure to disease and is losing the passive immunity acquired from maternal antibodies.
The infant demonstrates an increased inflammatory response.
Cellular immunity is not functional at birth.
Infants have an increased risk for infection until they receive their first set of immunizations.
The nurse is caring for a child who has a rash and is complaining of feeling itchy and is continually scratching. The child weighs 32 lb. The medication order reads: Diphenhydramine 6.25 mg po every 4 to 6 hours as needed for itching. Diphenhydramine is supplied as 12.5 mg/5 mL. How many milliliters will the nurse administer. Round to the nearest tenth.
(a)
A neonate should be evaluated by a physician if which signs and symptoms are present?
Acting fussier than normal
Refusing the pacifier
Rectal temperature above 38°C
Mottling that is present during bathing
The nurse is preparing to administer acetaminophen to a 4-year-old girl to provide comfort to the child. Which precaution is specific to antipyretics?
Check for medication allergies
Take the entire course of medication
Ensure proper dose and interval
Warn of possible drowsiness
A Telehealth nurse receives four calls. Which child needs to be seen in the office by a provider immediately?
10-month old with a fever and petechiae who is grunting
4-month old with a slight fever and irritability after getting immunizations previous day
6-month old with a cough, elevated temperature, and wetting eight diapers every 24 hours
8-month old who is restless, irritable and afebrile
The nurse is administering a chicken pox vaccination to a 12-month old. Which concern is unique to varicella?
Vitamin A is indicated for children younger than 2
The disease can reactivate years later
Dehydration is caused by mouth lesions
Children with the disease need to avoid pregnant women
The nurse is reviewing the assessment data from a 4-year old admitted to the hospital for management of early-onset sepsis. Which finding supports the diagnosis?
The child is unhappy about having to stay in bed
The child's tympanic temperature is 98.8 °F
The child is hypotensive
The child is irritable
A 6-month-old infant is admitted to the hospital with suspected bacterial meningitis. She is crying, irritable, and lying in the opisthotonic position. The priority nursing intervention would be:
Educate the family on ways to prevent bacterial meningitis.
Initiate appropriate isolation precautions and begin intravenous antibiotics.
Assess the infant’s fontanels.
Encourage the mother to hold the infant and breastfeed her.
A mother calls the clinic because her 2-year-old daughter has a rectal temperature of 37.8°C (100°F). She wonders how high a fever should be before she should give medications to reduce it. What is the best response by the nurse?
“Fevers should be treated to prevent seizures.”
“Antipyretics should be used with any rise in temperature. They can help change the course of the infection.”
“Give your child aspirin when her fever is above 38°C (100.4°F).”
“In a normal healthy child, if your child is not uncomfortable, fevers less than 39°C (102.2°F) do not require medication.”
The nurse is caring for a child who has a rash and is complaining of feeling itchy and is continually scratching. The child weighs 32 lb. The medication order reads: Diphenhydramine 6.25 mg po every 4 hours as needed for itching. The drug book says Diphenhydramine can be given 5mg/kg/day q 4 hours. What is the maximum safe dose. Round to the nearest tenth.
(a)
