Saunders- Peds Written Exam 2024.

Saunders- Peds Written Exam 2024. A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? - CORRECT ANSWER Intravenous infusion of factor VIII Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? - CORRECT ANSWER Red blood cells that are microcytic and hypochromic The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? - CORRECT ANSWER Restrict fluid intake. Give meperidine (Demerol), 25 mg intravenously, every 4 hours for pain. -Normeperidine, a metabolite of meperidine, is a central nervous system stimulant that produces anxiety, tremors, myoclonus, and generalized seizures when it accumulates with repetitive dosing. The nurse is conducting staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease - CORRECT ANSWER Easy bruising occurs. Gum bleeding occurs. It is a hereditary bleeding disorder. Treatment and care are similar to that for hemophilia. The disorder causes platelets to adhere to damaged endothelium. diagnostic study for acute lymphocytic leukemia - CORRECT ANSWER bone marrow biopsy Which diagnostic test result will confirm the diagnosis of Hodgkin's disease? - CORRECT ANSWER The presence of Reed-Sternberg cells in the lymph nodes The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin's disease. The nurse understands that which assessment findings are specifically characteristic of this disease? - CORRECT ANSWER Abdominal pain and Painless, firm, and movable adenopathy in the cervical area The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action? - CORRECT ANSWER Encourage the child to drink liquids. If the urine output is less than 1 to 2 mL/kg/hour, potassium chloride should not be administered - CORRECT ANSWER x It is characterized by blood phenylalanine levels greater than 20 mg/dL - CORRECT ANSWER (normal level is 1.2 to 3.4 mg/dL in newborns and 0.8. 0.8 to 1.8 mg/dL thereafter). A result of 1 mg/dL is a negative test result. he nurse has just administered ibuprofen (Motrin) to a child with a temperature of 38.8° C (102° F). The nurse should also take which action? - CORRECT ANSWER Remove excess clothing and blankets from the child.