Pulse and Demands High Level

Topics: Pulse, Upper respiratory tract infection, Infant Pages: 7 (1802 words) Published: May 25, 2011

1. What is the recommended treatment for scabies in a child who is under 1 year old? a. lindane (Kwell)
b. tolnaftate (Tinactin)
c. thiabendazole (Mintezol)
d. permethrin (Elimite)
2. When a preschooler’s family is exhibiting high levels of mistrust, checks everyone’s performance, asks to change rules and demands high level of information, which action or strategy is inappropriate? a. Ask their opinion and use their suggestions

b. Be positive about building a trusting relationship
c. Be flexible regarding rules.
d. Show support while controlling the child care.

3. The Nurse is performing CPR on an infant. Where should the nurse assess for pulse? a. Brachial Pulse
b. Carotid Pulse
c. Radial Pulse
d. femoral Pulse
4. A Physician prescribes acetaminophen (Tylenol) elixir, 120 mg every 4 hours for a 14 month old child who weighs 20 lb (9.08 kg) The drug is supplied in a bottle labeled 160 mg/tsp and has a safe dosage of 10 mg/kg/dose. The nurse should administer how many ml? a. None

b. 2.5 ml
c. 5 ml
d. 7.5 ml
5. What is the correct initial bolus of crystalloid fluid replacement for a pediatric client in shock? a. 20 ml/kg
b. 10 ml/kg
c. 30 ml/kg
d. 35 ml/kg
6. A nurse is preparing for the admission of a child with a diagnosis of acute-stage Kawasaki disease. On assessment of the child, the nurse expects to note which clinical manifestation of the acute stage of the disease? a. cracked lips

b. conjunctival hyperemia
c. a normal appearance
d. desquamation of the skin
7. Which statement that a family of a dying 4 year old maybe ready to consider organ donation? a. “My Wife and I feel that that our real child has moved on even though his body is still functioning.” b. “Those physicians are not doing everything they could for our child, I know he’s still i n there.” c. “When will our child wake up and be with us.”

d. “How can some parents all their child to be cut up like a piece of meat and be given away.” 8. A nurse is caring for a child with a suspected diagnosis of rheumatic fever. The nurse reviews the laboratory results, knowing that which laboratory study would assist in confirming the diagnosis? a. immunoglobulin

b. red blood cell count
c. white blood cell count
d. antistreptolysin O titer
9. A nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On admission assessment, which data would the nurse expect to obtain when asking the mother about the child’s symptoms? a. watery diarrhea

b. projectile vomiting
c. increased urine output
d. vomiting large amounts of bile
10. A parent asks the nurse for advice on disciplining a 3 year old child. During the teaching sessions, which fact should nurse empahsize? a. Children under age 3 or 4 rarely need to be punished.

b. Parental control should be firm and consistent.
c. Withdrawing affection is a highly effective strategy.
d. Parent should enforce rules rigidly.
11. A 2 year old girl is brought into the clinic with an upper respiratory tract infection. During the assessment, the nurse notes some bruising on the arm, legs and trunk. Which findings would prompt the nurse to evaluate for suspected child abuse? Select all that apply

a. A few superficial scrapes on the lower leg.
b. Welts or bruises in various stages on healing on the truck c. A deep blue-black bruise on the buttocks
d. One large bruise on the child’s thigh
e. Circular, symmetrical burns on the lower legs
f. A parent who is hysterical of the child and pushes the frightened child away 12. An emergency room nurse is caring for a child diagnosed with epiglotitis. Assessing the child, the nurse monitors for which indication that the child may be experiencing airway obstruction? a. The child exhibits nasal flaring and bradycardia

b. The child is leaning forward, with the chin thrust out
c. The child has low-grade fever and complains of sore throat d. The child is leaning backward, supporting himself or herself with the hands and arms 13. A...
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