Peds 2, Pedsssss Exam Questions With Complete Solutions
A nurse is caring for a client who has a blood sodium level 133
mEq/L and blood potassium level 3.4 mEq/L. The nurse should
recognize that which of the following treatments can result in
these lab values?
a. Three tap water enemas
b. 0.9% sodium chloride solution IV at 50 mL/hr
c. 5% dextrose with 0.45% sodium chloride solution with 30
mEq of K+ IV at 80 mL/hr
d. Antibiotic therapy - a. Three tap water enemas
A nurse is collecting data from an older adult client as part of a
neurological examination. Which findings should the nurse
expect as changeds associated with aging? (select all that apply)
a. slower light touch sensation
b. some vision and hearing decline
c. slower fine finger movement
d. some short-term memory decline
e. decreased risk of depression - a. slower light touch sensation
b. some vision and hearing decline
c. slower fine finger movement
e. decreased risk of depression
A nurse is performing a developmental screening on an 18 m/o.
Which of the following should the toddler be able to perform?
(select all the apply.)
a. build a tower with 6 blocks
b. throw a ball overhand
c. walk up and down stairs
d. stand on one foot for a few sec
,e. use a spoon without rotation - b. throw a ball overhand
e. use a spoon without rotation
Charge nurse prepares to make room assignment for newly
admitted school age child. Which considerations is the nurse's
priority?
Length of stay
Treatment schedule
Disease process
Self-care ability - Length of stay:
- some client rooms might be larger, and thus more comfortable
for families during long hospitalizations. However, this is not
the nurse's priority consideration.
Treatment schedule:
- children requiring frequent monitoring and treatment should be
assigned a room close to the nurses' station, if possible.
However, this is not the nurse's priority consideration.
ANS: Disease process:
- The transmission of infectious diseases is the greatest risk to
this child and other children on the unit. Therefore, the child's
disease process is the nurse's priority consideration.
Self-care ability:
- children who require more assistance from nurses or assistive
personnel should be assigned a room close to the nurses' station,
if possible. However, this is not the nurse's priority
consideration.
,Charge nurse prepares to make room assignment for newly
admitted school age child. Which considerations is the nurse's
priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - c. Disease process
Community health nurse assesses 18 month old toddler in
community day care. Which findings should the nurse ID as
potential indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - Resists having an axillary temperature
taken:
- A toddler has begun to develop a sense of body image and
boundaries and can be resistant to intrusive assessments such as
assessing the mouth or ears, or taking an axillary temperature.
Exhibits withdrawal behaviors when their parent leaves:
- Separation anxiety is an expected finding for a toddler.
Toddlers can become fearful and exhibit regressive behaviors
when left alone with strangers and separated from their parents.
Has multiple bruises on their knees:
- An 18-month-old toddler has typically accomplished the gross
motor skills of standing and walking, and has likely started
trying to run, which can result in them falling and bruising their
knees.
, ANS: Poor personal hygiene:
- A toddler who has poor personal hygiene can be a potential
indication of physical neglect. Because toddlers are still
dependent on their parents or guardians for help with hygiene
needs, poor personal hygiene can indicate a lack of supervision.
Community health nurse assesses 18 month old toddler in
community day care. Which findings should the nurse ID as
potential indication of physical neglect?
Resists having an axillary temperature taken
Exhibits withdrawal behaviors when their parent leaves
Has multiple bruises on their knees
Poor personal hygiene - Poor personal hygiene
Nure gives discharge teaching to guardian of school age child
who's undergone tonsillectomy. Which statements by guardian
indicates understanding of teaching?
"My child can resume usual activities since this was just an
outpatient surgery."
"My child will be able to drink the chocolate milkshake I
promised to get for them tonight."
"I will notify the doctor if I notice that my child is swallowing
frequently."
"I will have my child gargle with warm salt water to relieve their
sore throat." - "My child can resume usual activities since this
was just an outpatient surgery.":
- Activity should be limited following a tonsillectomy to
decrease the risk of hemorrhage.
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