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Summary Nurs 337 exam 3 Questions and Answers with Rationales (Latest Update 2024)
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Nurs 337 exam 3 Questions and Answers with Rationales (Latest Update 2024)
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Nurs 337 exam 3 Questions and Answerswith Rationales (Latest Update 2024)
A hospitalized child is having a seizure. which action by the
nurse takes priority?
A. apply oxygen and oximeter
B. give anti-seizure medications
C. pad the side rails of the bed
D. turn the child on their side - Correct Answer ✅ Answer:
D
Rationale:
A - applying oxygen and oximeter would be done after
maintaining the airway
B - anti-seizure medications are appropriate, but the child's
airway should first be maintained
C - padding the side rails is an appropriate action for a
patient having seizures, but maintaining the airway takes
priority
D - maintained the child's airway takes priority. placing the
child in a side lying position decreases the risk of aspiration
and airway obstruction
A nurse admits a 5 YO child with bacterial meningitis to the
pediatric intensive care unit. which information obtained by
,Nurs 337 exam 3 Questions and Answers
with Rationales (Latest Update 2024)
the nurse during the intake history is most helpful for the
nurse to document
A. fell off swing hitting head 2 months ago
B. history of recent sinus infection
C. mother with history of herpes simplex
D. sibling with upper respiratory infection - Correct Answer
✅ Answer: B
Rationale:
A - blunt trauma from falling off a swing does not contribute
to bacterial meningitis
B - in a child this age, common causes of bacterial meningitis
include septicemia, surgical procedures involving the CNS,
penetrating wounds, otitis media, sinusitis, cellulitis of the
scalp or face, dental cavities, pharyngitis, and orthopedic
diseases
C - herpes simplex is an important cause of neonatal viral
meningitis
D - having a sibling with an URI does not contribute to
bacterial meningitis
,Nurs 337 exam 3 Questions and Answers
with Rationales (Latest Update 2024)
A nurse admits a child experiencing drowsiness and vomiting
who has had a seizure at home. the parents state the child
was healthy until 2 weeks ago when they had a viral illness.
which diagnostic testing does the nurse facilitate as a
priority?
A. complete blood count
B. liver biopsy
C. lumbar puncture
D. serum glucose - Correct Answer ✅ Answer: B
rationale:
A - a CBC would not give enough information to diagnose this
pt
B - child has manifestation of Reye's syndrome. the definitive
diagnosis of this disease is made via a liver biopsy
C. - child may have a lumbar puncture to rule out infections,
but this would be done after diagnostic testing for Reye's
syndrome has been performed
D - BG tests may be ordered but would not give enough
information to diagnose this pt
, Nurs 337 exam 3 Questions and Answers
with Rationales (Latest Update 2024)
A child is prescribed Baclofen (Lioresal) via intrathecal pump
to treat severe muscle spasms related to cerebral palsy. what
teaching does the nurse provide the child and parents
A. do not let this prescription run out
B. this medication may cause gingival hyperplasia
C. periodic serum drug levels are needed
D. watch for excessive facial hair growth - Correct Answer
✅ Answer: A
Rationale:
A - abrupt discontinuation of intrathecal baclofen can cause
drastic effects, such as high fever, altered mental status, and
exaggerated rebound spasticity and muscle rigidity. the
parents should ensure there is a supply of this drug on hand
at all times to avoid these effects.
B - gingival hyperplasia is a side effect of phenytoin (Dilantin)
C - serum drug levels are not obtained with an intrathecal
medication
D - Hirsutism is a side effect of phenytoin (Dilantin)
What would the nurse assess for in a child with a disturbance
in the basal ganglia?
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