NSG MISC Family Nursing Final COMPLETE Exam Questions and Answers Latest 2024 Graded A+

NSG MISC Family Nursing Final COMPLETE Exam Questions and Answers Latest 2024 Graded A+. What is most important for a nurse to teach the parents of a child with Duchenne muscular dystrophy to do for their child? Perform ROM exercises  The nurse is counseling the parents of a 12-year-old child with Duchenne muscular dystrophy about problems that may develop during adolescence. What body system does the nurse expect will be affected? Cardiopulmonary  A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take? Notify the health care provider (HCP).  A child is placed in skeletal traction for treatment of a fractured femur. The nurse develops a plan of care and includes which intervention? Check the health care provider's (HCP's) prescriptions for the amount of weight to be applied.  The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction? "I should apply lotion under the brace to prevent skin breakdown."  Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot made at birth. Which statement by the parents indicates a need for further teaching regarding this disorder? "I need to bring my infant back to the clinic in 1 month for a new cast."  The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast applied to the left forearm. Which instructions should be included on the list? Select all that apply. Keep small toys and sharp objects away from the cast. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling. Contact the health care provider (HCP) if the child complains of numbness or tingling In the extremity.  A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). which of the following strategies should the nurse implement to promote the infant's growth and development? Allow infant to stand in the crib.  A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make? Normal bone growth can be affected  A home health nurse is developing a plan of care for a child who has hemiplegic cerebral palsy. which of the following goals is the priority for the nurse to include in the plan of care? modify the environment  A nurse is caring for a school-age client who possibly has Reye syndrome. Which of the following is a risk factor for developing Reye syndrome? Recent episode of gastroenteritis  A nurse is caring for a school-age child who has a concussion. Which of the following manifestations are late indications of increased intracranial pressure (ICP)? (Select all that apply) Bradycardia Decreased Motor response  A nurse is taking care of a 10-year-old child that weighs 30 kg. The doctor has ordered azithromycin PO 300 mg x 1 dose. Azithromycin comes in an oral suspension 100mg/5 mL in a 15 mL bottle. According to the drug handbook for children 2-15 years of age, 10 mg/kg/day but not to exceed 500 mg/day. How many milliliters should be given? 3 mL  A 16-year-old boy comes into the office of the school nurse complaining of left hip pain that began when playing basketball in gym class. The boy is in the 85th percentile for height and weight. He complains of increased pain with weight bearing. The nurse observes out-toeing of the left leg with ambulation. Which nursing action is a priority? Refer the boy to the emergency department.  A 12 year-old comes into the clinical with left thigh pain and a lump over the distal femur. The nurse is aware that these symptoms can be linked to which of the following medical problems. Osteosarcoma  The child has been complaining of joint pain in the knees and jaw for the last 6 weeks, both joints are swollen and warm to touch, but not red. The physician is ordering blood to rule out Junior Idiopathic Arthritis. Which of the following lab tests would the nurse expect the physician to order? (Select all that apply) antinuclear antibodies, sedimentation rate, CBC with differential  A nurse is planning care for a 6 year old who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? measure head circumference every shift - not necessary with a 6 year old  The 17 year-old Asian patient comes to the clinic with a butterfly rash on the face, photosensitivity, and recently had strep throat. What diagnosis would you expect the doctor to make? Systemic Lupus Erythematosus (SLE)  A patient recently came into the Emergency Department with a diagnosis of Guillain-Barre Syndrome (GBS). What is the priority system to initially monitor for this patient? Respiratory  Which assessment findings should the nurse note in a school-age child with Duchenne Muscular Dystrophy (DMD)? a. Lordosis b. Gower's sign c. Kyphosis d. Scoliosis e. Waddling gait ANS: A, B, E Difficulties in running, riding a bicycle, and climbing stairs are usually the first symptoms noted in DMD. Typically, affected boys have a waddling gait and lordosis, fall frequently, and develop a characteristic manner of rising from a squatting or sitting position on the floor (Gower's sign). Lordosis occurs as a result of weakened pelvic muscles, and the waddling gait is a result of weakness in the gluteus medius and maximus muscles. Kyphosis and scoliosis are not assessment findings with DMD.  The mother brings her child with cerebral palsy in to the clinic and is afraid the child is having seizures as the child has the slow worm like movements in her arms and she drools when this occurs. The nurse explains to the mother that this is not a seizure but what type of activity? A)Athetoid B)Ataxic C)Spastic D)Hypotonic A – Athetoid  An 11 year-old child has a recurrence of Ewing sarcoma and is verbalizing wanting to stop all treatments. The nurse is aware that the best ethical practice would be which of the following plan? A) Tell the parents that they need to force the child to have the treatment as she is too young to decide B) Have the parents discuss treatment with the child and take the child's view into consideration C) Inform the child that she is not allowed to decide the course of treatment D) Plan a meeting with the parents, child, and the medical team to provide an opportunity to discuss the child's concerns D - Plan a meeting with the parents, child, and the medical team to provide an opportunity to discuss the child's concerns  Nursing interventions for the child after a cardiac catheterization should include which actions? Lie flat, maintain a patent peripheral venous catheter, color and extremity affected by insertions, check pulse distally from insertion point of the catheterization minutes, PCA dose Acetaminophen 650 mg q4h PO for temperature 38° C (100.4° F) Oxygen at 2 L per nasal cannula titrating to maintain oxygen saturation 94%  An 8-year-old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis, and a dry cough. These manifestations are most suggestive of what complication? Circulatory overload The signs of circulatory overload include distended neck veins, hypertension, crackles, a dry cough, cyanosis, and precordial pain. Signs of air embolism are sudden difficulty breathing, sharp pain in the chest, and apprehension. Urticaria, pruritus, flushing, asthmatic wheezing, and laryngeal edema are signs and symptoms of allergic reactions. Hemolytic reactions are characterized by chills, shaking, fever, pain at infusion site, nausea, vomiting, tightness in chest, flank pain, red or black urine, and progressive signs of shock and renal failure.  Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? 1.Maintain the child in a semiprivate room. 2. Reduce exposure to environmental organisms. 3. Use strict aseptic technique for all procedures. 4.Ensure that anyone entering the child's room wears a mask. 5.Apply firm pressure to a needle stick area for at least 10 minutes ANS: 2. Reduce exposure to environmental organisms. 3. Use strict aseptic technique for all procedures. 4. Ensure that anyone entering the child's room wears a mask. Leukemia is a malignant increase in the number of leukocytes, usually at an immature stage, in the bone marrow. It affects the bone marrow, causing anemia from decreased erythrocytes, infection from neutropenia, and bleeding from decreased platelet production (thrombocytopenia). A common complication of treatment for leukemia is overwhelming infection secondary to neutropenia. Measures to prevent infection include the use of a private room, strict aseptic technique, restriction of visitors and health care personnel with active infection, strict hand-washing, ensuring that anyone entering the child's room wears a mask, and reducing exposure to environmental organisms by eliminating raw fruits and vegetables from the diet and fresh flowers from the child's room and by not leaving standing water in the child's room. Applying firm pressure to a needle stick area for at least 10 minutes is a measure to prevent bleeding. 29. The nurse is conducting a staff in-service on childhood blood disorders. Which describes the pathology of idiopathic thrombocytopenic purpura? a.Bone marrow failure in which all elements are suppressed b.Deficiency in the production rate of globin chains c.Diffuse fibrin deposition in the microvasculature d. An excessive destruction of platelets d.An excessive destruction of platelets Idiopathic thrombocytopenic purpura is an acquired hemorrhagic disorder characterized by an excessive destruction of platelets, discolorations caused by petechiae beneath the skin, and a normal bone marrow. Aplastic anemia refers to a bone marrow-failure condition in which the formed elements of the blood are simultaneously depressed. Thalassemia major is a group of blood disorders characterized by deficiency in the production rate of specific hemoglobin globin chains. Disseminated intravascular coagulation is characterized by diffuse fibrin deposition in the microvasculature, consumption of coagulation factors, and endogenous generation of thrombin and plasma.