Exam (elaborations)
Test Bank For Maternity And Pediatric Nursing 4th Edition All Chapters with Questions And Answers
Module
Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer
Institution
Introduction To Maternity And Pediatric Nursing 7th Edition By Leifer
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, ga...
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Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer
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Introduction to Maternity and Pediatric Nursing 7th Edition by Leifer
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Test Bank For Maternity And Pediatric Nu
rg rg rg rg rg rg
rsing 4th Edition All Chapters with Questi
rg rg rg rg rg rg
ons And Answers
rg rg
1.rgThergnursergisrgcaringrgforrgargchildrgwhorgisrgexperiencingrganrgacutergrenalrgtransplantrgrejecti
onrgandrgisrgtorgreceivergmuromonab-
CD3.rgWhatrgwouldrgthergnursergmostrglikelyrgexpectrgtorgassessrgafterrgthergfirstrgdosergisrgadmini
stered?
A)rgFeverrgwithrgchills,rgchestrgtightness
B)rgCough,rghyperkalemia
C)rgPhotosensitivity,rggastrointestinalrg(GI)rgupset
D)rgUrinaryrgretention,rgdecreasedrgappetiterg-rgcorrectrgans-Ans:rgA
Feedback:
Thergfirstrgdosergofrgmuromonab-
CD3rgcanrgcausergfever,rgchills,rgchestrgtightness,rgwheezing,rgnausea,rgandrgvomiting.rgCoughr
gandrghyperkalemiargarergassociatedrgwithrgangiotensin-
convertingrgenzymerginhibitors.rgPhotosensitivityrgandrgGIrgupsetrgarergoftenrgassociatedrgwithrg
diuretics.rgUrinaryrgretentionrgandrgdecreasedrgappetitergarergassociatedrgwithrgimipramine.
2.rgThergnursergisrgvisuallyrginspectingrgargurinergspecimenrgfromrgarg12-year-
oldrgboy.rgThergnursergdocumentsrggrossrghematuriargwithrgargspecimenrgofrgwhichrgcolor?
A)rgCloudyrgyellow
B)rgColargcolored
C)rgPalergtorgalmostrgclearrgurine
D)rgLightrgorangergtorgmoderatelyrgyellowrgcoloredrg-rgcorrectrgans-Ans:rgB
Feedback:
Grossrghematuriargcausesrgthergurinergtorgappearrgtea,rgcola,rgorrgevenrgdirtyrggreenrgcolored.rgCl
oudyrgurinergisrgtypicallyrgargsignrgofrginfection.rgNormalrgurinergrangesrgfromrgmoderatelyrgyellow
rgtorgpalergorrgalmostrgclear.rgOrange-coloredrgurinergcanrgoccurrgbecausergofrgmedication.
3.rgThergnursergisrgcaringrgforrgarg4-year-
oldrgwithrgargsuspectedrgurinaryrgtractrginfection.rgWhatrgwouldrgbergmostrgappropriatergwhenrgob
tainingrgargurinergspecimenrgfromrgthergchild?
A)rg"Irgwillrgneedrgargurinergsample."
B)rg"Letrgyourrgmomrghelprgyourgtinklerginrgthisrgcup."
C)rg"Pleasergtinklerginrgthisrgcuprgrightrgnow."
D)rg"Pleasergvoidrginrgthisrgcuprginsteadrgofrgthergtoilet."rg-rgcorrectrgans-Ans:rgB
Feedback:
Thergnursergneedsrgtorgusergfamiliarrgtermsrgtorgexplainrgtorgthergchildrgwhatrgisrgneededrgandrgtorgg
ainrgcooperation.rgThergmostrgpositivergapproachrgwouldrgbergtorgletrgthergchild'srgmotherrghelprgr
atherrgthanrgdemandingrgthatrghergtinklergrightrgnow.rgUsingrgthergtermsrg"urinergsample"rgorrg"voi
d"rgisrgnotrgappropriatergforrgarg4-year-old.
, 4.rgThergnursergisrgprovidingrgpostsurgicalrgcarergforrganrginfantrgwhorghasrgundergonergarghypos
padiasrgrepair.rgWhichrgactionrgbyrgthergnursergwouldrgbergmostrgimportantrgtorghelprgkeeprgthergar
eargcleanrgwhilergmaintainingrgproperrgpositionrgofrgthergdrainagergtubing?
A)rgKeepingrgthergdrainagergtubergtapedrginrganrguprightrgposition
B)rgAdministeringrgantibioticsrgasrgordered
C)rgAdministeringrganalgesicsrgasrgprescribed
D)rgUsingrgargdouble-diaperingrgtechniquerg-rgcorrectrgans-Ans:rgD
Feedback:
Doublergdiaperingrgisrgargmethodrgusedrgtorgprotectrgargchild'srgurethrargandrgstentrgorrgcatheterrga
fterrgsurgeryrgandrgadditionallyrghelpsrgtorgkeeprgthergareargcleanrgandrgfreergfromrginfection.rgKee
pingrgthergdrainagergtubergtapedrginrganrguprightrgposition,rgadministeringrgantibiotics,rgandrgad
ministeringrganalgesicsrgarergalsorgimportant,rgbutrgdoublergdiaperingrgkeepsrgthergareargcleanrg
andrghelpsrgpreventrginfection.
5.rgThergnursergisrgcaringrgforrganrginfantrgwithrgbladderrgexstrophy.rgAsrgpartrgofrgtherginfant'srgpre
operativergplanrgofrgcare,rgthergnursergmonitorsrgforrgabdominalrgskinrgexcoriation.rgWhichrgactio
nrgwouldrgbergmostrgappropriatergforrgpromotingrghealingrgandrgpreventingrgfurtherrgskinrgbreakd
own?
A)rgCleaningrgthergareargwellrgwithrgargscentedrgdiaperrgwipe
B)rgApplyingrgargbarrier/healingrgcreamrgorrgpastergonrgskin
C)rgKeepingrgthergbladderrgmoistrgandrgcoveredrgwithrgargsterilergbag
D)rgCoveringrgthergareargwithrgsterilerggauzergpadsrgafterrgtubrgbathsrg-rgcorrectrgans-Ans:rgB
Feedback:
Thergnursergshouldrgusergargbarrier/healingrgcreamrgorrgpastergonrgsurroundingrgskinrgtorgpromot
erghealingrgandrgpreventrgfurtherrgskinrgbreakdown.rgDiaperrgwipesrgthatrgcontainrgfragrancergorrg
alcoholrgcanrgstingrgifrgusedrgonrgnonintactrgskinrgandrgcanrgworsenrgskinrgbreakdown.rgItrgisrgimpo
rtantrgtorgprotectrgthergbladder,rgbutrgthisrgwillrgnotrgaddressrgthergskinrgexcoriation.rgMeticulousrga
ttentionrgtorgcleanlinessrgisrgimportant,rgbutrgthergnursergshouldrgsponge-
bathergtherginfantrgratherrgthanrgimmerserghimrginrgwaterrgtorgpreventrgpathogensrgfromrgthergwat
errgpossiblyrgenteringrgthergbladder.
6.rgThergnursergisrgcaringrgforrgarg4-year-
oldrggirlrgwithrgvulvovaginitis.rgAfterrgexplainingrgtorgtherggirl'srgmotherrghowrgtorghelprgpreventrgsu
bsequentrgepisodes,rgwhichrgstatementrgbyrgthergmotherrgindicatesrgargneedrgforrgadditionalrgtea
ching?
A)rg"Shergneedsrgtorgwipergfromrgfrontrgtorgback."
B)rg"Irgwillrgmakergsurergshergchangesrgherrgunderwearrgeveryrgday."
C)rg"Shergshouldrgprobablyrgavoidrgbubblergbaths."
D)rg"Irgwillrghelprgsupervisergherrgwipingrgafterrgbowelrgmovements."rg-rgcorrectrgans-Ans:rgA
Feedback:
Atrgthergagergofrg4,rgthergmotherrgshouldrgnotrgassumergthatrgtherggirlrgwillrgwipergproperly.rgThergm
otherrgwillrgneedrgtorgsupervisergherrgwipingrginrgorderrgtorgtrainrgherrgproperly.rgMakingrgsurergther
gchildrgchangesrgherrgunderwearrgdaily,rgavoidingrgbubblergbaths,rgandrgsupervisingrgherrgwipin
grgafterrgbowelrgmovementsrgindicatergthatrgthergmotherrghasrgunderstoodrgtherginstructions.
7.rgArgnursergisrgcaringrgforrgarg7-year-
oldrggirlrgscheduledrgforrganrgintravenousrgpyelogramrg(IVP).rgWhichrgactionrgwouldrgbergthergprio
rityrgbeforergthergtest?
A)rgCheckingrgwithrgthergparentsrgforrganyrgallergies