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Maternity and Pediatrics Ricci, Kyle and Carman Questions with Correct answers

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Nursing Pediatrics

Instelling
Nursing Pediatrics

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Instelling Nursing Pediatrics
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Maternity and Pediatrics Ricci, Kyle and Carman
Questions with Correct answers
1. The nurse is caring for a child who is experiencing an acute renal
transplant rejection and is to receive muromonab-CD3. What would the
nurse most likely expect to assess after the first dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite Correct Answer-Ans: A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest
tightness, wheezing, nausea, and vomiting. Cough and hyperkalemia are
associated with angiotensin-converting enzyme inhibitors.
Photosensitivity and GI upset are often associated with diuretics.
Urinary retention and decreased appetite are associated with imipramine.

2. The nurse is visually inspecting a urine specimen from a 12-year-old
boy. The nurse documents gross hematuria with a specimen of which
color?
A) Cloudy yellow
B) Cola colored
C) Pale to almost clear urine
D) Light orange to moderately yellow colored Correct Answer-Ans: B
Feedback:
Gross hematuria causes the urine to appear tea, cola, or even dirty green
colored. Cloudy urine is typically a sign of infection. Normal urine

,ranges from moderately yellow to pale or almost clear. Orange-colored
urine can occur because of medication.

3. The nurse is caring for a 4-year-old with a suspected urinary tract
infection. What would be most appropriate when obtaining a urine
specimen from the child?
A) "I will need a urine sample."
B) "Let your mom help you tinkle in this cup."
C) "Please tinkle in this cup right now."
D) "Please void in this cup instead of the toilet." Correct Answer-Ans: B
Feedback:
The nurse needs to use familiar terms to explain to the child what is
needed and to gain cooperation. The most positive approach would be to
let the child's mother help rather than demanding that he tinkle right
now. Using the terms "urine sample" or "void" is not appropriate for a 4-
year-old.

4. The nurse is providing postsurgical care for an infant who has
undergone a hypospadias repair. Which action by the nurse would be
most important to help keep the area clean while maintaining proper
position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position
B) Administering antibiotics as ordered
C) Administering analgesics as prescribed
D) Using a double-diapering technique Correct Answer-Ans: D
Feedback:

, Double diapering is a method used to protect a child's urethra and stent
or catheter after surgery and additionally helps to keep the area clean
and free from infection. Keeping the drainage tube taped in an upright
position, administering antibiotics, and administering analgesics are also
important, but double diapering keeps the area clean and helps prevent
infection.

5. The nurse is caring for an infant with bladder exstrophy. As part of
the infant's preoperative plan of care, the nurse monitors for abdominal
skin excoriation. Which action would be most appropriate for promoting
healing and preventing further skin breakdown?
A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on skin
C) Keeping the bladder moist and covered with a sterile bag
D) Covering the area with sterile gauze pads after tub baths Correct
Answer-Ans: B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding
skin to promote healing and prevent further skin breakdown. Diaper
wipes that contain fragrance or alcohol can sting if used on nonintact
skin and can worsen skin breakdown. It is important to protect the
bladder, but this will not address the skin excoriation. Meticulous
attention to cleanliness is important, but the nurse should sponge-bathe
the infant rather than immerse him in water to prevent pathogens from
the water possibly entering the bladder.

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