Exam (elaborations)
Peds Unit 6 Ch 46&48 Answered 100% Correct
- Course
- Institution
Peds Unit 6 Ch 46&48 Answered 100% Correct
[Show more]
Content preview
Peds Unit 6 Ch 46&48 Answered 100% Correct1. The nurse is conducting a physical examination of a toddler with suspected lead
poisoning. Lab results indicate blood lead level 52 µg/dL. Which action would the nurse
expect to happen next?
A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered
B) Repeat testing within 1 week with education to decrease lead exposure
C) Confirm with repeat testing in 1 month and referral to local health department
D) Prepare to admit child to begin chelation therapy - ANS-A. Repeat testing within 2
days and prepare to begin chelation therapy as ordered.
The recommendation for blood lead levels of 45 to 69 mcg/dL is to confirm the level with
a repeat laboratory test within 2 days and educate the parents to decreased lead
exposure. She should also expect to begin chelation therapy as ordered and refer the
case to the local health department for investigation of home lead reduction with
referrals for support services. Repeat testing in 1 week with parent education is
appropriate for lead levels between 20 and 44 mcg/dL. Repeat testing in 1 month and
education would be appropriate for levels between 15 and 19 mcg/dL. Preparing to
admit the child to begin chelation therapy immediately would be appropriate for lead
levels greater than 70 mcg/dL
1. The nurse is obtaining a health history from parents whose 4-month-old boy has
congenital hypothyroidism. Which of the following would the nurse most likely assess?
A) The child has above-normal growth for his age.
B) The child is active and playful.
C) The skin is pink and healthy looking.
D) It is difficult to keep the child awake. - ANS-D
10. The nurse is caring for a child with thalassemia who is receiving chelation therapy at
home using a battery-operated pump. After teaching the parents about this treatment,
which statement by the mother indicates a need for additional teaching?
A) "I can have the nurse administer the chelation therapy if I am uncomfortable."
B) "I must be very careful to strictly adhere to the chelation regimen."
C) "The deferoxamine binds to the iron so it can be removed from the body."
D) "The medication can be administered while my child is sleeping." - ANS-A. "I can
have the nurse administer the chelation therapy if I am uncomfortable."
The nurse needs to emphasize to the mother that therapy must be maintained at home
to continuously decrease the iron levels in the child's body. Family members need to be
taught to administer deferoxamine subcutaneously with a small battery-powered
infusion pump over a several-hour period each night (usually while the child is sleeping)
10. The nurse is preparing a teaching plan for a 10-year-old girl with hyperthyroidism.
Which of the following would the nurse include in the plan?
A) Describing surgery to remove an anterior pituitary tumor
B) Teaching her parents to give injections of growth hormone
, C) Explaining about the radioactive iodine procedure
D) Showing her parents how to give DDAVP intra-nasally - ANS-C
11. The nurse is teaching the parents of a child with a hematologic disorder about the
functions of the various blood cells. The nurse determines that the teaching was
successful when the parents state which blood cell as being primarily responsible for
blood clotting?
A) Granulocytes
B) Erythrocytes
C) Thrombocytes
D) Leukocytes - ANS-C
11. Which of the following would the nurse expect to assess in a child with
hypothyroidism?
A) Nervousness
B) Heat intolerance
C) Smooth velvety skin
D) Weight gain - ANS-D
12. The parents of a child with congenital adrenal hyperplasia bring the child to the
emergency department for evaluation because the child has had persistent vomiting.
Which of the following would lead the nurse to suspect that the child is experiencing an
acute adrenal crisis?
A) Hypernatremia
B) Bradycardia
C) Hypertension
D) Hyperkalemia - ANS-D
12. When evaluating the hemogram of an 8-month-old infant, the nurse would identify
which type of hemoglobin as being the predominant type?
A) Hemoglobin A
B) Hemoglobin F
C) Hemoglobin A2
D) Hemoglobin S - ANS-A. Hemoglobin A.
Three types of normal hemoglobin are present at any given time in the blood: A, F, and
A2. By 6 months of age, hemoglobin A is the predominant type. Hemoglobin S is
associated with sickle cell disease.
13. A child with diabetes reports that he is feeling a little shaky. Further assessment
reveals that the child is coherent but with some slight tremors and sweating. A
fingerstick blood glucose level is 70 mg/dL. Which of the following would the nurse do
next?
A) Administer a sliding-scale dose of insulin
B) Give 10 to 15 grams of a simple carbohydrate
C) Offer a complex carbohydrate snack
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LUCKYSTAR2022. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now