Exam (elaborations)
Chapter 13. Health Problems of Toddlers and Preschoolers.
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 13. Health Problems of Toddlers and Preschoolers.
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Chapter 13. Health Problems of Toddlers and PreschoolersMULTIPLE CHOICE
1. A father calls the clinic because he found his young daughter squirting Visine eyedrops into
her mouth. What is the most appropriate nursing action?
a. Reassure the father that Visine is harmless.
, b. Direct him to seek immediate medical treatment.
c. Recommend inducing vomiting with ipecac.
d. Advise him to dilute Visine by giving his daughter several glasses of water to drink.
ANS: B
Visine is a sympathomimetic and if ingested may cause serious consequences. Medical treatment
is necessary. Inducing vomiting is no longer recommended for ingestions. Dilution will not
decrease risk.
DIF: Cognitive Level: Applying REF: dl. 548
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Physiological Integrity
2. The nurse suspects that a child has ingested some type of poison. What clinical
manifestation would be most suggestive that the poison was a corrosive product?
a. Tinnitus
b. Disorientation
c. Stupor, lethargy, and coma
d. Edema of the lips, tongue, and
pharynx ANS: D
Edema of the lips, tongue, and pharynx indicates a corrosive ingestion. Tinnitus is indicative of
aspirin ingestion. Corrosives do not act on the central nervous system.
DIF: Cognitive Level: Analyzing REF: dl. 546
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. A young boy is found squirting lighter fluid into his mouth. His father calls the
, emergency department. The nurse taking the call should know that the primary danger is
what?
a. Hepatic dysfunction
b. Dehydration secondary to vomiting
c. Esophageal stricture and shock
d. Bronchitis and chemical pneumonia
ANS: D
Lighter fluid is a hydrocarbon. The immediate danger is aspiration. Acetaminophen overdose,
not hydrocarbons, causes hepatic dysfunction. Dehydration is not the primary danger.
Esophageal stricture is a late or chronic consequence of hydrocarbon ingestion.
DIF: Cognitive Level: Applying REF: dl. 546
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
4. What is a clinical manifestation of acetaminophen poisoning?
a. Hyperpyrexia
b. Hepatic involvement
c. Severe burning pain in stomach
d. Drooling and inability to clear
secretions ANS: B
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