Peds Cp 33 Test Banks Exam Questions with Complete Solutions
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A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should the
nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - Answer-ANS: A
Rationale: Bulimia refers to recurrent and episodic binge eat...
Peds Cp 33 Test Banks Exam Questions
with Complete Solutions
A 17-year-old girl has been diagnosed with bulimia nervosa. Which complication should
the
nurse carefully assess for in this client?
A. Severe erosion of teeth
B. Hypertension
C. Diabetes mellitus
D. Atherosclerosis - Answer-ANS: A
Rationale: Bulimia refers to recurrent and episodic binge eating and purging by
vomiting,
accompanied by awareness that the eating pattern is abnormal yet the child is not able
to stop
the pattern. Adolescents with bulimia may develop severe erosion of their teeth because
of the
constant exposure to acidic gastrointestinal juices from vomiting. Esophageal tears may
also
result from forceful vomiting. Hypertension, diabetes mellitus, and atherosclerosis are
not
associated with bulimia nervosa.
The nurse is performing a physical examination of a 5-year-old boy. Which documented
findings would most strongly indicate maltreatment of the child? Select all that apply.
A. Cuts and bruises on the hands
B. Burns on the dorsal surface of the hand
C. A curved laceration on the back
D. Linear lesions across the chest and abdomen
E. A bruise on the child's knee
F. A scab on the child's elbow - Answer-ANS: A, B, C, D
Rationale: Several injuries in children clearly signal probable child maltreatment.
Children
who are maltreated have a higher incidence of hand injury. Children who are beaten
with
electrical cords, belts, or clotheslines have peculiar circular and linear lesions. Children
who
are beaten with a belt buckle may have additional curved lacerations from the imprint of
the
buckle; few other objects produce such contusions. When children burn their hand by
accident, they usually burn the palm; burns from maltreatment are often on the dorsal
surface.
However, it is normal for preschoolers who actively play to have bruises on multiple
bony
spots (shin, elbows, knees, etc.).
, An 11-year-old boy has recently been prescribed methylphenidate. The mother calls the
pediatrician's office to speak with the advanced practice pediatric nurse practitioner.
This
mother has been extremely resistant to medication and insists that the medication is not
working. How should the nurse respond?
A. "Tell me what makes you think the medication is not working"
B. "Do you want to try a different medication?"
C. "Are you sure you are administering it properly"
D. "Do you want to increase the dosage?" - Answer-ANS: A
Rationale: Asking the mother to explain why she believes the medicine is not working
will
offer important insights to the mother's definition of effectiveness. It is important for both
the
mother and the advanced practice pediatric nurse practitioner to develop a shared
definition of
effectiveness and improvement. Once this is established, the nurse can suggest the
next step in
the treatment plan. Asking if the mother wants to try a different medication or increase
the
dosage does not provide any information about the child's response to the current
medication.
Asking the mother whether she is administering it properly could cause her to take
offense
and does not provide the necessary information.
A nurse is assessing a 5-year-old boy and suspects that the child may have an autism
spectrum
disorder. Which assessments would help support the nurse's suspicions? Select all that
apply.
A. Inability to make eye contact
B. Hypersensitivity to touch
C. Lack of facial expression
D. Distinct interest in others around him
E. Easily distracted from playing - Answer-ANS: B, C
Rationale: Symptoms associated with autism spectrum disorder include deficits in
nonverbal
communicative behaviors such as abnormalities in eye contact and lack of facial
expression
and hyper- or hyposensitivity to sensory input such as touch. In addition, children, and
stereotyped or repetitive motor movement, use of object or speech.
An extremely thin preadolescent is being assessed by the nurse. Which client statement
should
the nurse identify as being consistent with that of a person with anorexia nervosa?
A. "I'd like to grow up to be a model."
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