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PEDIATRIC NURSING EXAMINATION REVISION ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% $9.99
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PEDIATRIC NURSING EXAMINATION REVISION ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
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Scarlet Fever: Causative Agent - ANSWER- causative agent is group A beta-hemolytic streptococci (GAS) Scarlet Fever: Mode of Transmission - ANSWER- mode of transmission is direct contact with respiratory secretions, children with untreated infections remain contagious for weeks with the highest...

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  • October 17, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nursing Pediatrics
  • Nursing Pediatrics

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PEDIATRIC NURSING EXAMINATION REVISION ALL EXAM
REVISION QUESTIONS AND CORRECT ANSWERS
(ALREADY GRADED A+) (2024 UPDATE) 100%
Scarlet Fever: Causative Agent - ANSWER- causative agent is group A beta-hemolytic
streptococci (GAS)

Scarlet Fever: Mode of Transmission - ANSWER- mode of transmission is direct contact with
respiratory secretions, children with untreated infections remain contagious for weeks with the
highest risk during the acute phase. Should remain home until they have been on antibiotics for
hours and remain afebrile

Scarlet Fever: Incubation - ANSWER- incubation is 2-5 days

Scarlet Fever: Signs & Symptoms - ANSWER- acute onset of fever; sore throat; rhinitis;
headache; tender cervical nodes (looks like pharyngitis); sandpaper-like rash appears 12-48 hours
after onset of symptoms which disappears in 3-4 days and the tips of fingers and toes begin to peel;
day 4-5: a bright red strawberry tongue develops

Scarlet Fever: Nursing Care - ANSWER- supportive; administer antibiotics; manage throat
pain with lozenges or saline gargles; fever interventions (antipyretics)

Scarlet Fever: Complications - ANSWER- complications can lead to retropharyngeal abscess
if untreated; acute rheumatic fever; acute glomerulonephritis; toxic shock syndrome; bacteremia;
necrotizing fascitis

Lyme Disease: Early Localized Stage (3-30 days after bite) - ANSWER- red macule at the bite
site with a bulls-eye rash; fatigue; headache; arthralgia; neck pain; fever; myalgia
Lyme Disease: Early Disseminated Disease (2 weeks after bite until chronic symptoms occur) -
ANSWER- red, roundish, flat rash; fatigue; headache; arthralgia; fever; possible cranial nerve
palsy - 90% have positive serological conversion at this stage

Lyme Disease: Late Disease (weeks to months after bite) - ANSWER- arthritis - singular joint
at a time and migrates from joint to joint, joint is swollen and tender and can bear weight, but
uncomfortable

Lyme Disease: Signs & Symptoms - ANSWER- bulls-eye rash; ask family if there has been a
tick bite; bite found in groin, axilla, or thigh

Lyme Disease: Collaborative Care - ANSWER- Remove tick(s); clean area with soap and water
and save removed tick; oral antibiotics if infection is suspected

Lyme Disease: Medications - ANSWER- <8 years old: amoxicillin
>8 years old: doxycycline or tetracycline

, If gotten again: Rocephin (ceftriaxone)

Hepatitis B: Vaccination - ANSWER- 1st Dose: birth
2nd Dose: 1-2 months
3rd Dose: 6-18 months

Rotavirus: Vaccination - ANSWER- 1st Dose: 2 months
2nd Dose: 4 months

DTaP (<7 years): Vaccination - ANSWER- 1st Dose: 2 months
2nd Dose: 4 months
3rd Dose: 6 months

Tdap (>7 years): Vaccination - ANSWER- Vaccination given at 11-12 years old

Pertussis: Signs & Symptoms of Catarrhal Stage - ANSWER- Lasts 1-2 weeks; URI similar to
common cold; mild cough; coryza; sneezing; low-grade fever (<101°F)

Pertussis: Signs & Symptoms of Paroxysmal Stage - ANSWER- Lasts 2-4 weeks; coughing
accompanied by a red face and protruding tongue; absent or minimal fever; persistent paroxysmal
cough ending with an inspiratory "whoop"; cyanosis, sweating, prostration, and exhausting from
coughing; conjunctival hemorrhage and facial petechiae resulting from the force of the cough;
saliva, mucus, and tears may flow from mouth, nose, and eyes during the cough; vomiting may
accompany coughing

Pertussis: Signs & Symptoms of Convalescent Stage - ANSWER- Lasts 3 weeks-6 months;
symptoms diminish during this stage; coughing becomes less severe; paroxysms and whoops
slowly disappear; cough may persist for months and is aggravated by physical stress and
respiratory irritants (can't go back to sports immediately)

Pertussis: Diagnosis - ANSWER- C&S of B. pertussis taken from a swab of nasopharyngeal
secretions; blood test with profound lymphocytosis (>70% of WBC count); incomplete or absent
pertussis vaccination

Pertussis: Nursing Care - ANSWER- supportive; limit the number of irritants and paroxysms;
observe severity of cough; rest, nutrition, fluids; droplet precautions; monitor vital signs and
oxygen saturation; record coughing, feeding, vomiting, weight changes

Pertussis: Education - ANSWER- no special diet required; child can participate in regular
activities and play as much as tolerated once not infectious; follow-up checkups

Pulmonary Tuberculosis: Signs & Symptoms - ANSWER- may be asymptomatic; low-grade
fever; mild cough; night sweats; flu-like symptoms (that may resolve within a week); anorexia and
weight loss as disease progresses

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