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NURSING NUR 254 Exam 4 Study Material (GRADED A+) Questions and Answers | Galen College of Nursing

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NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing NURSING NUR 254 Exam 4 Study Material (GRADED A) Questions and Answers | Galen College of Nursing NU...

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1 the nurse is caring for a child who has leukemia

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NURSING NUR 254 Exam4 Study Material ij ij ij ij ij ij

Maternal
1. The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of
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<1000 mm. Which of the following should the nurse include in the child’s plan of care?
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a. Administerprescribed influenza vaccination ij ij ij

b. Assign the child to a room with other children ij ij ij ij ij ij ij ij

c. Allow the child to play with other children who do not have a fever ij ij ij ij ij ij ij ij ij ij ij ij ij

d. Use sterile techniquesforany procedures ij ij ij ij ij

2. The nurse is providing a teaching session to the health care staff regarding
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osteosarcoma. Which of the following statements byan attendee indicates aneed
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foradditional teaching?
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a. “A commonclinical manifestation is limping if a weight-bearing limb is affected.”
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b. “The sternum is the most common site of this sarcoma.” ij ij ij ij ij ij ij ij ij

c. “Childrentypically experience pain at the primary tumorsite.” ij ij ij ij ij ij ij ij

d. “In the early stage, the symptoms of this disease are usually attributed to
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normalgrowing pains.” ij ij ij

3. The nurse is caring for a child who is suspected of having a Wilm’s tumor. Which of
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thefollowing actions by the nurse indicates the need for additional training?
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a. Instructing the parents that the child needs to remain in bed. ij ij ij ij ij ij ij ij ij ij

b. Preventing a child from playing tag inthe playroom. ij ij ij ij ij ij ij ij

c. Requesting a bland soft diet for the child.d. ij ij ij ij ij ij ij ij

Palpating the child’s abdomen.
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4. The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessmentof
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the child includes the following: respirations 10 and unarousable. The child is currently
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on intravenous (IV) fluids and continuous IV morphine sulfate Based on the assessment
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information, which of the following actions should the nurse take first?
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a. Increase the IVfluids todecrease vaso-occlusion. ij ij ij ij ij ij

b. Obtaina complete metabolic laboratory blood sample. ij ij ij ij ij ij

c. Elevate the head of the bed (HOB) to increase oxygen saturation.d. ij ij ij ij ij ij ij ij ij ij ij

Administer naloxone to reverse the effect of the morphine.
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5. The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of
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thefollowing interventions should the nurse anticipate to be prescribed for the child?
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a. Correction of alkalosis andreduction ofenergyexpenditure. ij ij ij ij ij ij ij

b. GlobulinsandfactorVIIIreplacement.c. ij ij ij ij ij

Hydration and pain management.
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d. Electrolyte replacement and administration of heparin.
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6. The nurse working in the emergency department (ED) is caring for a child who has
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hemophilia and developed a swollen knee after falling off a bicycle. The nurse is teaching the
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child’s parents about care when similar incidents occur at home in the future. Whichof the
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following actions should the nurse teach the parents?
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a. Take the child to thenearest emergency department(ED). ij ij ij ij ij ij ij ij

b. Keepthe child’s affected knee below the level of the heart.c. ij ij ij ij ij ij ij ij ij ij ij

Apply an ice pack and compression dressings to the knee.
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d. Administer recommended dose of aspirin.
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This study source was downloaded by 100000861453484 from CourseHero.com on 03 -07-2023 02:19:43
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GMT -06:00
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, 7. The newly hired nurse is talking with the nurse preceptor about the prevention of iron-
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deficiency anemia ininfants. Which ofthe following statements by the newly hired nurseis
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correct regarding prevention of this condition?
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a. “Whole cow’s milk should not be given until 1 year of age with limited ij ij ij ij ij ij ij ij ij ij ij ij ij

dailyintake.” ij ij

b. “Ferrous sulfate drops are contraindicated in infants less than 6months ofage.”c. ij ij ij ij ij ij ij ij ij ij ij ij ij

“Iron-fortified commercial formula should be givenfor the first 6 months of life.”
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d. “Iron-fortified infant cereal should be introducedto infants at 10 months.”
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8. The nurse is assessing a child who has severe iron deficiency anemia. Which of
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thefollowing assessment finds should the nurse expect to observe?
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a. Pallor.
b. Painful swelling of the hands. ij ij ij ij

c. An enlarged abdomen. ij ij

d. Visualdisturbances. ij

9. The nurse is caring for 4-year-old child who is 36 hours postoperative following a
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removalof a Wilm’s tumor. Which of the following requires immediatefollow up by
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thenurse?
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a. White blood cell (WBC) count of 15.0 mm³. ij ij ij ij ij ij ij

b. Bowel sounds present in all 4 quadrants. ij ij ij ij ij ij

c. Temperature of 100.4˚ F that occurs 1 time in a 24-hourperiod.d. ij ij ij ij ij ij ij ij ij ij ij ij

Incision site is pink at the edges.
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10. The nurse is providing discharge instructions tothe parents of a child who had
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surgicalresection of a neuroblastoma 4 days ago. Which of the following statements by
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the parents indicates teaching has been effective?
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a. “I will need to beginslowly reintroducing my child intosocial interaction.”b.
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“We will provide pain relief using pain medication and rest.”
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c. “Aprotective helmet will need to be worn until the incision is healed.”
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d. “Anincreaseintemperature isexpectedaftersurgery.” ij ij ij ij ij ij ij

11. The nurse is caring for a child who has increased intracranial pressure (ICP) and is in
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stable condition. Which of the following interventions should the nurse
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implementtodecrease ICP in the child?
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a. Limit number ofvisitors inside the child’s room. ij ij ij ij ij ij ij

b. Keep the child positioned on the left side. ij ij ij ij ij ij ij

c. Administeropioids forpaincontrol. ij ij ij ij

d. Administerhypertonic intravenous (IV)fluids. ij ij ij ij

12. The nurse is caring for a child who has Reye’s syndrome. Which of the following shouldthe
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nurse include in the child’s plan of care?
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a. Change the child’s body position every 2 hours. ij ij ij ij ij ij ij

b. Provide the child a quiet atmosphere with dimmed lighting. ij ij ij ij ij ij ij ij

c. Administer salicylates for increased temperature every 4hours as needed (PRN). ij ij ij ij ij ij ij ij ij ij

d. Assess fordiplopia in both of the child’s eyes. ij ij ij ij ij ij ij ij

This study source was downloaded by 100000861453484 from CourseHero.com on 03 -07-2023 02:19:43
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GMT -06:00
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