NURS 340 PEDS Final Exam Questions And Answers, Latest Update 2024/2025 (100% Verified Answers)

Which is an objective of care for a 10-year-old child with minimal change nephrotic syndrome? Selecte d Answer : Corre ct Answ er: Respo nse Feedba ck: c. Reduce excretion of urinary protein. c. Reduce excretion of urinary protein. The objectives of therapy for the child with minimal change nephrotic syndrome include reduction of the excretion of urinary protein, reduction of fluid retention, prevention of infection, and minimization of complications associated with therapy. Blood pressure is usually not elevated in minimal change nephrotic syndrome. Excretion of urinary protein and fluid retention are part of the disease process and must be reversed. • Questio n 2 2.5 out of 2.5 points NURS 340 PEDS Exam Questions And Answers (100% Correct/ Verified) Rated A+ Guaranteed Success Latest Update 2024/2025 The nurse is admitting a newborn with hypospadias to the nursery. The nurse expects which finding in this newborn? Selecte d Answer : Corre ct Answ er: Respo nse Feedba ck: a. The urethral opening is along the ventral surface of the penis. a. The urethral opening is along the ventral surface of the penis. Hypospadias is a congenital condition in which the urethral opening is located anywhere along the ventral surface of the penis. The urethral opening is present, but not at the glans. Hypospadias refers to the urethral opening, not to the size of the penis. A urethral opening along the ventral surface of the penis is known as epispadias. Question 35 out of 2.5 points A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which intervention should not be recommended by the nurse to minimize reflux? Selecte d Answer : Corre ct Answ er: Respo nse Feedba ck: a. Place in Trendelenburg position after eating. a. Place in Trendelenburg position after eating. Small, frequent feedings of formula combined with 1 teaspoon to 1 tablespoon of rice cereal per ounce of formula have been recommended. Milkthickening agents have been shown to decrease the number of episodes of vomiting and to increase the caloric density of the formula. This may benefit infants who are underweight as a result of GER disease. Placing the child in a Trendelenburg position would increase the reflux. Continuous nasogastric feedings are reserved for infants with severe reflux and failure to thrive. • Question 4 A child who has just had definitive repair of a high rectal 2.5 out of 2.5 points malformation is to be discharged. Which should the nurse address in the discharge preparation of this family? (Select all that apply.) Selecte d Answer s: Correct Answer s: Response Feedback: a. Use of diet modification to prevent constipation d. Perineal and wound care e. R e p o r t i n g a n y c h anges in stooling patterns to practitioner a. Use of diet modification to prevent constipation d. Perineal and wound care e. Reporting any changes in stooling patterns to practitioner Wound care instruction is necessary in a child who is being discharged after surgery. The parents are taught to notify the practitioner if any signs of an anal stricture or other complications develop. Constipation is avoided, since a firm stool will place strain on the suture line. Fiber and stool softeners are often given to keep stools soft and avoid tension on the suture line. The child needs to recover from the surgical procedure. Then bowel training may begin, depending on the child’s developmental and physiologic readiness. • Question 5 2.5 out of 2.5 points A child has recurrent nephrotic syndrome. The mother reports to the nurse that she is overwhelmed with the care of her child. After the nurse discusses options with the mother, which statement by the mother indicates continued coping difficulties? Selecte d Answer : Correct Answer: Response Feedback: a. “We’re going to skip his dietary restricti ons one day a week to allow us both some relaxation.” a. “We’re going to skip his dietary restrictions one day a week to allow us both some relaxation.” Compliance should be followed for promotion of health. Relaxation should be obtained without harm to the child. • Questio n 6 level: Analyzing; psychosocial; evaluation 2.5 out of 2.5 points The nurse is caring for an adolescent who has just started dialysis. The child seems always angry, hostile, or depressed. To what are these behaviors most likely related? Selecte d Answer : Correct Answer: Response Feedback: d. Adoles cents often resenti ng the control and enforc ed depen dence impos ed by dialysi s d. Adoles cents often resenti ng the control and enforced dependence imposed by dialysis Older children and adolescents need control. The necessity of dialysis forces the adolescent into a dependent relationship, which results in these behaviors. These are a function of the child’s age, not neurologic or physiologic manifestations of the dialysis. Feelings of anger, hostility, and depression are functions of the child’s age, not neurologic or physiologic manifestations of the dialysis. Adolescents do have coping mechanisms, but they need to have some control over their disease management. • Question 7 2.5 out of 2.5 points The nurse is caring for a boy with probable intussusception. He had diarrhea before admission but, while waiting for administration of air pressure to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate? Selecte d Answer : Corre ct Answ er: Response Feedback: EMAIL ME: For help with report, Assignment, Essay and thesis writing d. N o t i f y practitioner d. Notify practitioner Passage of a normal brown stool indicates that the intussusception has reduced itself. This is immediately reported to the practitioner, who may choose to alter the diagnostic-therapeutic care plan. The first action would be to report the normal stool to the practitioner. • Questio n 8 2.5 out of 2.5 points Which type of dehydration is defined as “dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion”? Select ed Answe r: Correct Answer: Response Feedback : a. I s o t o n i c d e h y d r a t i o n a. I s o t onic dehydration Isotonic dehydration is the correct term for this definition and is the most frequent form of dehydration in children. Hypotonic dehydration occurs when the electrolyte deficit exceeds the water deficit, leaving the serum hypotonic. Hypertonic dehydration results from water loss in excess of electrolyte loss and is usually caused by a proportionately larger loss of water or a larger intake of electrolytes. This definition is specific to isotonic dehydration. • Question 9 2.5 out of 2.5 points The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication? Select ed Answe r: Corre ct Answ er: Response Feedback : c. I n f e c t i o n c. Infectio n Infection is a constant source of danger to edematous children and those receiving corticosteroid therapy. An increased temperature could be an indication of an infection. Temperature is not an indication of hypertension or edema. Encephalopathy is not a complication usually associated with minimal change nephrotic syndrome. The child will most likely have neurologic signs and symptoms. • Question 10 2.5 out of 2.5 points The nurse is explaining to a parent how to care for a schoolage child with vomiting associated with a viral illness. Which action should the nurse include? Selecte d Answer : Correct Answer: Response Feedback: