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Exam (elaborations)

Peds B 2023 VERIFIED

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A nurse on a pediatric unit is admitting a preschooler.After reviewing the information in the medical record, the nurse should identify that the child is at risk for developing which of the following conditions? Complete the following sentence by using the list of options. - CORRECT ANSWER ...

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  • August 5, 2024
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  • 2024/2025
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  • Peds B 2023
  • Peds B 2023
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Peds B 2023 VERIFIED
A nurse on a pediatric unit is admitting a preschooler.After
reviewing the information in the medical record, the nurse should
identify that the child is at risk for developing which of the following
conditions?

Complete the following sentence by using the list of options. -
CORRECT ANSWER dropdown 1: splenomegaly

dropdown 2: positive mononucleosis rapid test



Nurses' Notes

1000, 1 week ago:

Parent presents to primary care provider's office with 13-month-old.
Parent states the toddler is having trouble passing stool. States this
has been happening on and off for the last few months. Toddler is
awake and alert. S1 and S2 auscultated, no murmur. Respirations
unlabored. Hypoactive bowel sounds. Provider recommended over-
the-counter stool softener and encouraged hydration and increasing
fruits and vegetables in diet. - CORRECT ANSWER Click to
highlight the findings that require follow-up. To deselect a finding,
click on the finding again



highlight:

When recognizing cues, the nurse should identify that the
assessment findings of lethargy, disinterest in eating, hypoactive
bowel sounds, distended abdomen, palpable fecal mass, ribbon-like,

,Peds B 2023 VERIFIED
foul-smelling stools and elevated blood pressure require follow-up.
These findings indicate the toddler's constipation has worsened and
the toddler needs further evaluation for suspected Hirschsprung's
disease.



A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on the
cardiac monitor. Which of the following prescriptions should the
nurse clarify with the provider - CORRECT ANSWER
potassium chloride



For each assessment finding, click to specify if the finding is
consistent with nightmares, sleep terrors, or insomnia. Each finding
may support more than 1 disease process. - CORRECT ANSWER
When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night
after a scary dream. Nightmares are sleep disturbances that cause
distress after the dream is over. The child might be crying, fearful of
returning to sleep, and believe the dream is real. Sleep disturbances
cause interruptions in the sleep-wake cycle and can cause impaired
concentration, daytime fatigue, and impulsive behaviors.



When analyzing cues, the nurse should recognize that
manifestations of sleep terrors include partial awakening during a
deep sleep. Sleep terrors are sleep disturbances that cause a child to

, Peds B 2023 VERIFIED
exhibit behaviors such as thrashing, screaming, moaning, and
diaphoresis that disappear once the child awakens. The child does
not remember the episode and is not comforted by others during the
disturbance. The child usually falls asleep easily afterwards. Sleep
terrors cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytim



0830:Child is alert and responsive to stimuli. Skin is warm and dry.
Capillary refill less than 3 seconds. Respirations regular and
shallow. Mild intercostal retractions noted. Expiratory wheezes
auscultated in the anterior and posterior lung bases. Abdomen is
soft, flat, and non-distended. - CORRECT ANSWER arterial
blood gases, WBC, oxygen sat, respiratory assessment



A nurse is assessing a 3-year-old toddler at a well-child visit. Which
of the following manifestations should the nurse report to the
provider? - CORRECT ANSWER rest of 45 per min



Complete the diagram by dragging from the choices below to specify
what condition the client is most likely experiencing, 2 actions the
nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - CORRECT
ANSWER middle- cystic fibrosis

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