NURS 873 (Pediatrics) Final Exam
Review Questions and Answers 100%
Accurate.
The nurse is caring for a child with a gastrointestinal disorder and
measuring intake and output. The nurse observes that the child is
demonstrating symptoms of adequate hydration when the child has
which findings? Select all that apply.
loose stools
fontanels (fontanelles) with normal tension
oral intake
pink and moist mucous membranes
adequate skin turgor
##fontanels (fontanelles) with normal tension
pink and moist mucous membranes
adequate skin turgor
The nurse is teaching the parents of an infant with a cleft palate about
strategies for feeding. What should the nurse include in the teaching?
Select all that apply.
Use a squeezable bottle.
Keep the head upright at 45 degrees.
Use a regular nipple for bottle feeding.
Provide a referral to an orthodontist.
Review feeding devices.
##Keep the head upright at 45 degrees.
,Provide a referral to an orthodontist.
Review feeding devices.
When caring for an infant with an upper respiratory tract infection and
elevated temperature, an appropriate nursing intervention is to:
Give tepid water baths to reduce fever.
Give small amounts of favorite fluids frequently to prevent dehydration.
Have child wear heavy clothing to prevent chilling.
Encourage food intake to maintain caloric needs.
##Give small amounts of favorite fluids frequently to prevent
dehydration.
Preventing dehydration by small frequent feedings is an important
intervention in the febrile child. Tepid water baths may induce shivering,
which raises temperature. Food should not be forced; it may result in the
child vomiting. The febrile child should be dressed in light, loose
clothing.
An infant's parents ask the nurse about preventing otitis media (OM).
What should the nurse recommend?
Avoid tobacco smoke.
,Avoid children with OM.
Bottle-feed or breastfeed in supine position.
Use nasal decongestant.
##Avoid tobacco smoke.
Eliminating tobacco smoke from the child's environment is essential for
preventing OM and other common childhood illnesses. Nasal
decongestants are not useful in preventing OM. Children with
uncomplicated OM are not contagious unless they show other upper
respiratory infection symptoms. Children should be fed in an upright
position to prevent OM.
The nurse encourages the mother of a toddler with acute
laryngotracheobronchitis to stay at the bedside as much as possible. The
nurse's rationale for this action is primarily that:
Mothers of hospitalized toddlers often experience guilt.
The mother can provide constant observations of the child's respiratory
efforts.
Separation from the mother is a major developmental threat at this age.
The mother's presence will reduce anxiety and ease the child's
respiratory efforts.
, ##The mother's presence will reduce anxiety and ease the child's
respiratory efforts.
The family's presence will decrease the child's distress. The mother may
experience guilt, but this is not the best answer. Although separation
from the mother is a developmental threat for toddlers, the main reason to
keep parents at the child's bedside is to ease anxiety and therefore
respiratory effort. The child should have constant cardiorespiratory
monitoring and noninvasive oxygen saturation monitoring, but the parent
should not play this role in the hospital.
A child with cystic fibrosis (CF) receives aerosolized bronchodilator
medication. When should this medication be administered?
Before receiving 100% oxygen
After CPT
Before chest physiotherapy (CPT)
After receiving 100% oxygen
##Before chest physiotherapy (CPT)
Bronchodilators should be given before CPT to open bronchi and make
expectoration easier. Aerosolized bronchodilator medications are not
helpful when used after CPT. Oxygen administration is necessary only in
acute episodes with caution because of chronic carbon dioxide retention.
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