• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/146

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

146 Cards in this Set

  • Front
  • Back

1. A 12-month-old girl with sickle cell anemia is admitted in sickle cell crisis. Her symptoms might include:
A. Fever, seizures, coma
B. Abdominal pain, swollen painful joints
C. Polycythemia, tachycardia
D. Severe itching, vomiting

b

2. Sickle cell disease is caused by:
A. A virus
B. An inherited defect in the formation of hemoglobin
C. Streptococcus bacterial infection attacking the blood cells
D. A blood transfusion reaction

b

3. Treatment for a 6-year-old in sickle cell crisis includes:
A. IV fluids, oxygen, analgesics for pain
B. NPO, nasogastric (NG) tube to suction, bed rest
C. Bone marrow transplant, IV fluids, oxygen
D. Analgesics for pain, pancreatic enzymes, bed rest

a

4. Treatment of leukemia includes administration of chemotherapy agent to lower the WBC count. This decrease in the WBC count may:
A. Lower the child’s resistance to infection
B. Cause joint pain and sores in the mouth
C. Lead to a decrease in hemoglobin and increase anemia
D. Lead to lethargy, petechiae, and bruising

a

5. Select all of the correct responses related to iron-deficiency anemia.
A. It is the most common anemia in children
B. There is a decrease in the size and number of red blood cells
C. It can result in severe hemorrhage in children
D. It results in decreased oxygen-carrying capacity of the blood
E. It is caused by a nutritional deficiency

a, b, d, e

6. The medication used to decrease fever and the incidence of coronary artery damage in Kawasaki disease is:
A. Dexamethasone
B. Ibuprofen
C. IV immune globulin
D. Sulfasalazine

c

7. The parents of a 4 month old noticed that many bruises were forming on their son’s knees, buttocks and thighs. The blood tests reveal that he has classic hemophilia. The nurse understands that hemophilia is
A. Caused by spontaneous mutation.
B. Transmitted by diseased mothers to affected sons on the X chromosome.
C. Transmitted by asymptomatic fathers to affected sons on the Y chromosome.
D. Transmitted by asymptomatic females to affected sons on the X chromosome.

d

8. Which information obtained from the visit to a client with hemophilia would cause the most concern?
A. Likes to play football
B. Drinks several carbonated drinks per day
C. Has two sisters with sickle cell trait
D. Is taking acetaminophen to control pain

a

9. A 4-year-old has been diagnosed as having iron deficiency anemia. A liquid iron preparation has been prescribed. When administering medication the nurse should
A. Ask the child if he wants to take his medicine.
B. Mix the medication in his milk bottle and give it to him at nap time.
C. Allow him to sip the medication through a straw.
D. Give the medication after lunch with a sweet dessert to disguise the taste.

c

10. A 10-year-old has hemophilia A and is admitted to the hospital for hemarthrosis of the right knee. He is in a great deal of pain. Which of the following interventions would aggravate his condition?
A. Applying an ice bag to the affected knee.
B. Administering children’s aspirin for pain relief.
C. Elevating the right leg above the level of his heart.
D. Keeping the right leg immobilized.

b

11. How could the nurse best evaluate if parents are giving their child with iron deficiency anemia iron as prescribed?
A. Parents state they offer orange juice when they give the medication.
B. Parents state the child has greenish black stools.
C. Parents state the child experiences nausea with the iron preparation.
D. Parents state they are giving the iron as prescribed.

b

12. A 5-year-old is admitted to the nursing care unit in vaso-occlusive crisis from sickle cell anemia. What is the priority nursing intervention?
A. Teaching the family about sickle cell anemia and home care needs.
B. Managing the child’s pain.
C. Encouraging a high protein, high calorie diet.
D. Administering oxygen via nasal cannula.

d

13. A child is admitted to the pediatric unit with hemarthrosis secondary to hemophilia. The most appropriate nursing intervention would be
A. Daily bleeding times.
B. Prophylactic antibiotic therapy.
C. Elevating and immobilizing the affected joint.
D. Encouraging active range of motion of affected joint.

c

14. An example of a cyanotic congenital heart defect is:
A. Tetrology of Fallot
B. Coarctation of the aorta
C. Atrial septal defect (ASD)
D. Patent ductus arteriosus (PDA)

a

15. A 3-month-old infant has unrepaired Tetralogy of Fallot. Which of the following signs and symptoms would the infant be expected to exhibit?
A. Tachycardia, hypertension, decreased femoral pulses
B. Circumoral cyanosis, hypoxic spells, feeding fatigue
C. Hypotension, bradycardia, dyspnea
D. Cyanosis, tachypnea, hypertension in upper extremities

b

16. Which of the following should be included in the nursing care plan for an infant with congestive heart failure?
A. Increase the calories per ounce of formula.
B. Increase the amount of water to be given.
C. Let the infant sleep for long periods.
D. Increase the amount of formula per feeding.

a

17. The most accurate assessment of fluid volume imbalance in a child is determined by
A. Measurement of intake and output.
B. Daily weighing.
C. Assessment of skin turgor.
D. Evaluation of areas of edema.

b

18. An early symptom of congestive heart failure in an infant is
A. Wheezing.
B. Ascites.
C. Tiring easily.
D. Cyanosis

c

19. The young patient has just been admitted for evaluation. The nurse reports that the physical assessment reveals a finding that may indicate coarctation of the aorta, which is
A. Weak femoral pulses.
B. High blood pressure in the legs.
C. Weak radial pulses.
D. Low blood pressure in the arms.

a

22. The staff is developing a care plan for a child who is to have a cardiac catheterization. Following the procedure, the plan of care will include
A. Maintaining NPO status for 6 hours.
B. Applying direct pressure over site for 1 hour.
C. Maintaining adequate hydration.
D. Keeping affected extremity straight

d

23. When congestive heart failure (CHF) in a 4-year-old child is well controlled, the nurse will evaluate that the
A. Heart rate will be normal.
B. Diuretic dose can be decreased.
C. Energy level is increased.
D. Digoxin dose can be decreased.

c

24. A 4-year-old with tetralogy of Fallot is seen in a squatting position near his bed. The nurse should
A. Administer oxygen.
B. Take no action if he looks comfortable but continue to observe him.
C. Pick him up and place him in Trendelenburg position in bed.
D. Have him stand up and walk around the room.

b

25. A 10-year-old with a ventricular septal defect (VSD) is going to have a cardiac catheterization. Which of the following needs to be a high priority for the nurse to assess?
A. Capillary refill.
B. Breath sounds.
C. Arrhythmias.
D. Pedal pulses.

d

26. An infant with congestive heart failure (CHF) is admitted to the hospital. Which goal has the highest priority when planning nursing care?
A. The infant will maintain an adequate fluid balance.
B. The infant will have digoxin at the bedside.
C. Skin integrity will be addressed.
D. Administer medications on time.

a

27. The LVN realizes that additional teaching is not needed when the parents of a child with Kawasaki's syndrome states, "It is a(n):
A. Systemic, acute inflammatory disease, also known as mucocutaneous lymph node syndrome.
B. Circulatory deficit with decreased cardiac output.
C. Inflammatory disorder caused by group A beta-hemolytic Streptococcus infection.
D. Mixed cardiac defect that affects both the systemic and pulmonary circulations.

a

28. The LVN understands the symptoms of acute lymphoblastic leukemia (ALL) are the results of:
A. A rare inherited sex-linked disorder.
B. An overproduction of immature lymphocytes.
C. A malignant disorder of the lymphatic system.
D. Cancer cells developing in the bone marrow.

b

29. Which of the following statements indicates that the parents understand the need for their child to receive long-term antibiotic therapy after an episode of rheumatic fever?
A. “It will prevent further streptococcal infections.”
B. “It will protect against further joint damage”
C. “The inflammation will subside more quickly.”
D. “The inflammation will be reduced with future attacks.”

a

30. A 6-year-old is admitted with a diagnosis of rheumatic fever. Which of the following goals is the most important when caring for her while she is in the hospital?
A. Providing rest.
B. Providing a nutritious diet.
C. Maintaining contact with school friends.
D. Keeping up with schoolwork.

a

31. A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that the lab test to check for a recent streptococcal infection is:
A. Throat culture.
B. Antistreptolysin-O (ASO) titer.
C. Erythrocyte sedimentation rate.
D. C-reactive protein.

b

1. In a 2 year old with increased intracranial pressure, which one of the following signs would be cause for alarm?
A. Diminishing sunset sign
B. Absence of nystagmus
C. Equal pupils that react to light
D. Increasing lethargy and drowsiness

d

2. The nurse is at the bedside when a 9 year old has a seizure shortly after admission. The first action during the seizure is to
A. Call the physician immediately.
B. Place a tongue blade between the child’s teeth.
C. Protect the child from injury by removing objects from the bed.
D. Observe the course of the seizure for future diagnosis.

c

3. A symptom of meningitis in a young infant is
A. Constipation.
B. Sunken fontanelles.
C. A change in feeding pattern.
D. A subnormal temperature

c

4. The nurse is caring for a newborn with meningomyelocele. The correct position for the baby to be placed preoperatively is
A. Semi-Fowler’s position.
B. Supine position.
C. Prone position.
D. Side-lying position.

c

5. Reye’s syndrome has been associated with the use of
A. Ampicillin.
B. Aspirin.
C. Pseudoephedrine.
D. Acetaminophen.

b

6. Reye’s syndrome usually develops following
A. Strep throat.
B. Bacterial meningitis.
C. Acetaminophen overdose.
D. Viral infection.

d

7. To improve the comfort of a child in the acute stage of meningitis, the nursing intervention is to
A. Play musical audiotapes.
B. Massage child’s neck and back.
C. Keep room lights dim.
D. Gently rock the child

c

8. The leading cause of mental retardation, physical disability, and seizures in children is
A. Cancer.
B. Congenital birth defect.
C. Head injury.
D. Cerebral palsy.

c

9. When a child with cerebral palsy is admitted to the hospital, the plan of care must include
A. Bed rest to speed recovery.
B. The child’s normal exercise program.
C. Physical restraints to prevent falls.
D. A low-calorie diet because of immobility.

b

10. When caring for a child who is having a diagnostic workup for meningitis, the primary responsibility of the nurse would be to
A. Tell the parents that this is a very easy test to perform.
B. Support the child in a side-lying position with the knees flexed.
C. Prepare the child for general anesthesia.
D. Reassure the parents that the child will not be uncomfortable.

b

11. A child with cerebral palsy needs a diet
A. High in calories.
B. High in iron.
C. Low in calories.
D. Low in fiber.

a

12. An infant is brought to the well-baby clinic. While the nurse is collecting data, which observation would lead the nurse to suspect a diagnosis of meningitis in the infant?
A. Severe constipation.
B. Increased pulse rate.
C. High-pitched cry.
D. Rigidity of lower extremities.

c

13. To prepare for discharge and home care for the infant who has had a ventriculoperitoneal shunt insertion, the parents are instructed in recognizing shunt malfunction. The nurse will instruct the parents to watch for the frequent complication of
A. Diuresis.
B. Infection.
C. Anorexia.
D. Strabismus.

b

14. The condition in which a child’s eyes are unable to focus and work together and visual acuity is reduced in one eye is called:
A. Strabismus
B. Esotropia
C. Amblyopia
D. Exotropia

c

15. A nurse caring for an infant that has a head injury because of a fall knows that the infant is at risk for
A. Compression fractures of the lower extremities.
B. Brain hemorrhage.
C. Cardiac system problems.
D. Hyperthermia.

b

16. The nurse's notes indicate that a child responds to vigorous stimulation only. The nurse caring for this child should assess the child's level of consciousness and
A. Urinary output.
B. Skin integrity and reflexes.
C. Fluid volume status.
D. Vital signs and respiratory pattern.

d

17. The nursing assessment reveals the child's systolic pressure is increased with a widened pulse pressure, the pulse rate has dropped, and respirations have become irregular. The most likely physiological cause is
A. Increased level of consciousness.
B. Respiratory failure.
C. Cardiac shock.
D. Increased intracranial pressure.

d

1. Before discharging a 3-year-old child to home in a hip spica cast, the nurse will want to be sure that the
A. Child is scheduled for a cast change in 2 or 3 days.
B. Child can crutch walk safely
C. Child’s mother understands the need to faithfully administer narcotic analgesics for pain.
D. Cast is not restricting her abdomen and the edges are nonirritating.

d

2. The nurse checks the young patient in Bryant’s traction. Proper body alignment is being maintained if the legs are perpendicular to the trunk and the buttocks are
A. Lower than his head.
B. Elevated over the mattress.
C. Flat on the mattress.
D. Raised on a pillow.

b

3. The LVN is caring for a client with osteosarcoma. Which symptoms would the nurse expect?
A. Difficulty using either hand
B. A stiff back
C. Pain in the femur especially on weight bearing
D. Swelling in the area of the clavicle

c

4. When assessing capillary refill on the toe of a casted leg, the original color returned in 2 seconds. The LVN's next action would be to:
A. Document the findings.
B. Immediately notify the supervising RN.
C. Elevate the extremity on two pillows and recheck the capillary refill.
D. Prepare the child for immediate removal of the cast.

a

5. Based on the knowledge of muscular dystrophy, which activity would a nurse anticipate the client having difficulty with first?
A. Breathing
B. Sitting
C. Standing
D. Swallowing

c

6. In caring for a 6-year-old child in a full leg cast, which of the following findings should the nurse report to the physician immediately?
A. The cast is still damp after 4 hours.
B. The child’s pedal pulse is 110 beats/minute.
C. The child complains of pain in his leg.
D. The child is unable to move his toes.

d

7. Which organism is the major cause of osteomyelitis?
A. Haemophilus influenza
B. Escherichia coli
C. Beta-hemolytic Streptococcus
D. Staphylococcus aureus

d

8. Russell traction, used as a part of the treatment of fractured femur in children, is a type of:
A. Skin traction
B. Skeletal traction
C. Wire traction
D. Pelvic traction

a

9. Because no cure has been discovered for muscular dystrophy (MD), the primary goal is to:
A. Prevent involvement of the respiratory muscles
B. Maintain function in unaffected muscles as long as possible
C. Limit the child’s food intake to avoid weight gain
D. Avoid physical activity whenever possible

b

10. A hereditary musculoskeletal disorder that exhibits symptoms of gradual muscle weakness, a “waddle gait”, and difficulty standing and sitting is known as:
A. Multiple sclerosis
B. Cerebral palsy
C. Talipes equinivarus
D. Muscular dystrophy

d

11. Which of the following information found in the infant’s birth history is most indicative of a true club foot condition?
A. The infant was born in the breech position
B. The heels were drawn in and the feet turned inward
C. The feet could not be corrected to a neutral position
D. Both feet were affected at birth

c

12. A 10-year-old child has juvenile rheumatoid arthritis. Which statement by the child indicates teaching about ibuprofen (Motrin) use has been effective?
A. “I should take Motrin every day to control my joint inflammation.”
B. “I should take Motrin when my temperature is 101° F (38.3° C) or higher.”
C. “I should take Motrin only when I am having muscle spasms
D. “I should take Motrin every day to thin my blood.”

a

13. The nurse advises the parents that, to detect possible complications of JRA, the child will require which periodic evaluation?
A. Chest X-rays
B. Dental examinations
C. Hearing examinations
D. Eye examinations

d

14. A child with a fracture femur is in skeletal traction. Which assessment finding should the nurse report immediately to the physician or charge nurse?
A. The pin protrudes through the skin on both sides.
B. The foot of the bed is elevated on blocks.
C. The weights of the traction are hanging freely.
D. A traction rope is out of the pulley groove

d

15. A 9-year-old girl is admitted to the pediatric unit with a fractured right femur. Which intervention is best to prevent complications associated with traction and immobility?
A. Offer the child fluids on a frequent basis
B. Assist the child to select low-fiber foods
C. Reposition the child onto her right side every 2 hours
D. Assist the child with right leg exercises daily

a

16. Which assessment finding may indicate a serious neurovascular problem that should be reported immediately to the charge nurse or physician?
A. The pulse is palpable in the right foot.
B. The toes of both feet are cool to the touch.
C. The child is unable to wiggle the toes of the right foot.
D. The capillary refill in the toes of the right foot is 2 seconds.

c

17. A child is to be fitted for a Milwaukee brace. The adolescent asks if the brace has to be worn when she is at school. The nurse correctly advises the adolescent that the brace has to be worn during which time period?
A. At all times, except when bathing
B. At least 8 hours each day
C. At night while sleeping
D. At all times, without exception

a

18. Which of the following statements made by the adolescent best supports the nurse’s suspicion that she has scoliosis?
A. “My friends are getting taller faster than I am.”
B. “One of my sleeves is always shorter than the other.”
C. “I have a difficult time sleeping on my side at night.”
D. “I always roll crooked when I am doing a somersault.”

b

19. An infant has a clubfoot and initial medical management is serial casting. The nurse caring for the child after the long leg cast has been applied should
A. Place the casted limb in a dependent position
B. Assess the casted lower extremity for circulation.
C. Apply powder to the edges of the cast to help the skin under the cast.
D. Cut off the rough edges of the cast.

b

20. The nurse providing discharge instructions to parents of a child with a cast should include
A. Skin care, possible complications, and when to call the physician.
B. Cast care, vital sign measurements, and activities of daily living.
C. Stretching exercises, possible complications, and skin care.
D. Musculoskeletal positions, decreasing calcium in diet, and when to call the doctor.

a

21. A 2-month-old infant has been placed in a Pavlik harness for hip reduction. To prevent shin irritation the nurse should instruct the parents to
A. Take the harness off two hours and leave it on for two hours.
B. Have the infant wear a shirt and socks under the harness.
C. Take the harness off and apply baby oil to the areas where the harness touches the skin.
D. Use the harness only at night

b

22. To care for a child that is in Bryant skin traction for dysplasia of the hip the nurse should ensure
A. The knots on the traction apparatus are loose.
B. The weights are on the floor.
C. The child is out of traction at least four hours a day.
D. Fluids and fiber are increased in the diet.

d

Which cardiovascular disorder is considered acyanotic?

- Patent ductus arteriosus (does not start with a "T")

A child with sickle cell anemia comes to the ER suspected of being in vaso-occlusive crisis. Which assessment finding would indicate that the client is having a vaso-occlusive crisis?

- Acute abdominal pain and hand-foot syndrome

A child is prescribed ASA as a part of the therapy for Kawasaki disease. The order is for 80 mg/kg/day orally in four divided doses until the child is afebrile. The child weighs 15kg. How much is given in one dose?

- 300 mg

To facilitate feeding in an infant that tires when eating, the nurse should:

- Hold the infant at a 45 degree angle while feeding

A 4 year old child is diagnosed with acute lymphocytic leukemia (ALL). His WBC count, especially the neutrophil count, is low. Which intervention should the nurse teach the parents?


- Protect the child from infections because his resistance to infection is decreased

When performing the initial assessment, the nurse found that when the child's head was flexed, his knees and hips are flexed. The nurse should document this finding as?

- Brudzinski's sign

The child grimaces when the light is on in the room. Which of the following interventions should the nurse implement to minimize photophobia?

- Avoid using the television

Which of the following vaccines should a nurse administer to protect an infant from bacterial meningitis? (Select all that apply)

- Pneumococcal conjugate vaccine (PVC)
- Haemophilus influenzae type B vaccine (Hib)

A child is admitted with possible Reye syndrome. The nurse should recognize that which of the following factors in the child's health history supports this diagnosis?

- Recent episode of gastroenteritis (viral)

Which of the following manifestations are indicative of stage II of Reye syndrome? (Select all that apply)

- Hyperventilation
- Combativeness
- Hyperactive deep-tendon reflexes

A child is admitted for a surgical procedure. The child has a seizure disorder and says that he is feeling "odd". The parent says that he thinks the child is about to have a seizure. Which of the following nursing interventions should be implemented for this child? (Select all that apply)

- Provide privacy
- Ease the child to the floor if standing
- Move furniture away from the child
- Loosen the child's clothing

A nurse is caring for a child who has an arm cast. Which of the following is an EARLY sign of altered neurovascular function?

- Pain

A nurse is caring for a preschooler who walks but has difficulty keeping up with peers. The nurse is assessing the preschooler for possible right developmental dysplasia of the hip (DDH). Which of the following assessments should the nurse use to assess for DDH?

- Trendelenburg sign

A nurse is caring for a toddler who is diagnosed with hip dysplasia and has been placed in a hip spica cast. The child's mother asks the nurse why a Pavlik harness is not being used. Which of the following responses by the nurse appropriately addresses the mother's question?

- "The Pavlik harness is used for infants less than 6 months of age."

A nurse is caring for a child who has muscular dystrophy. For which of the following findings should the nurse assess? (Select all that apply)

- Muscular weakness in lower extremities
- Unsteady, wide-based or waddling gait

The nurse in the newborn nursery is doing the admission assessment on a neonate. Congenital hip dysplasia will be suspected when the nurse observes:

- Asymmetry of the gluteal and thigh fat folds

The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state:

- "We're happy this is the only cast our baby will need."

An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. Which of the following should the nurse do first?

- Elevate the legs on pillows

The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip (DDH). Which of the following is appropriate for the nurse to include in parental education in relation to the Pavlik harness?

- Check at least two or three times a day for red areas under the straps.

4 year old with Tetralogy of Fallot in squatting position

- Take no action if comfortable but continue to observe

Sickle cell anemia crisis S/S

- Abdominal pain, swollen painful joints

Sickle Cell

- Inherited defect of hemoglobin

Sickle Cell Tx

- IV fluids, Oxygen. analgesics for pain, blood transfusion

Hemophilia safest sport

- Swimming

Leukemia - 3 consequences bone marrow dysfunction

- Infection, anemia, bleeding

Leukemia Tx

- Chemo lowers WBC count which may lower child's resistance to infection

Medication that decreases fever and incidence of CAD in kawasaki

- IV immune Globin

Example of a cyanotic congentital heart defect is?

- Tetrology of Fallot (starts with a "T")


- Transition of great arteries


Cardiac defect in 1 month infant may cause

- Poor nutritional intake (failure to thrive)

Cardiovascular disorder that is considered acyanotic

- PDA (Patent Ductus arteriosus)

CHF intervention

- Cluster nursing activities

Cardiac Catheterization, significant bleeding, what is nursing action?

- Apply direct pressure

Ventricular septal defect - S/S (description)

- Failure of septum to develop completely between the ventricles

Observation with Tetrology of Fallot (TOF)?

- Increased cyanosis with crying or activity (blue baby)

Cancer in children

- Leukemia

Cardiac Catheterization

- It provides visual of heart and great vessels with radioopaque dye

Diet plan in infant with heart failure

- Increase caloric content per ounce (low energy)

1 week infant with hydrocephalus

- Increased head size

Nurse Dx first 12 hours neonate with myelomeningocele

- Risk for infection

S/S neonate with bacterial meningitis

- Hypothermia, irritability, poor feeding

2 year old with bacterial meningitis, intervention measure

- Place in respiratory isolation

Bacterial meningitis on Antibiotics, nursing action

- Wearing a mask while providing care

Bacterial meningitis, what nursing plan

- Decreased environmental stimulation

2 month old infant, head circumference at 95th percentile, nursing action

- Measure head again

Cerebral Palsy

- Cerebral Palsy is a condition that does not get worse

Head injury S/S of most concern

- Nonreactive pupils (late sign)

19 months palpating fontanels

- Both fontanels closed

Acute bacterial meningitis, nurse is looking for

- Irritability, fever, vomiting

S/S of increased ICP in a 10 month old infant (all that apply)

- Bulging Fontanels, high pitched cry, irritability

Increased ICP, cause for concern

- Increased lethargy and drowsiness (LOC)

Cerebral Palsy diet

- Increase in calories

Early S/S of increased ICP in children

- Headache

Meningomyelocele newborn going into surgery

- Keep newborn in prone position pre surgery

Nursing interventions in increased ICP

- Suctioning and position changes

Cerebral Palsy goals

- Promoting optimum development

Child eyes unable to focus and work together

- Amblyopia

9 year old child with head injury

- Clear nasal fluid (CSF)

Blow to head instructions

- Awaken child ever 4 hours 1st night (every 1-2 hours)

Strabismus

- Pretend child is a pirate when eye is patched for treatment

Hydrocephalus

- Blockage of CSF circulation

Surgery for reduction of myelomeningocele, post-op intervention

- Daily measurement of the head circumference (risk for infection and increased ICP)

A common hallmark with febrile seizures with young children?

- With a rise in body temp above 102 degrees

Patient with increased ICP, what intervenions can decrease ICP (all that apply)

- HOB at 30 degree angle, supplemental oxygen, IV osmotic diuretics as ordered

Viral meningitis, nurse action (all that apply)

- Allow child to assume position for comfort, Tylenol pain, watch child for seizures

Hydrocephalus, early S/S in child

- Early morning Headache

3 year old with early Duchenne's muscular dystrophy, assessment seen

- Difficulty riding a trycycle

Patient needs more instructions with Milwaukee brace

- "I understand that I can take off the brace for a few hours to go to party"

Developmental dysplasia of Hip (DDH) in infant

- Pavlik harness for 3-4 months

Newly casted leg (all that apply)

- Elevate leg on pillow first 24-48 hours, observe drainage on cast, call doctor if numbness or tingling

Osteomyelitis, interventions

- Assess for infection, increased fluid intake, IV antibiotics

Skeletal traction, providing care

- Clean pinsite with N/S, make sure weights are in the proper position, apply an antibiotic ointment around pin if ordered

Cerebral Palsy, mother understands

- "Non-progressive, brain damage caused by injury

Duchenne's muscular dystrophy, primary nursing goal

- Maintaining function of unaffected muscles

Fractured femor check

- Pulmonary Emboli

NSAIDS for Juvenile Rheumatoid Arthritis, adverse effects (all that apply)

- Abdominal pain, blood in the stool, reduced blood clotting ability

Left thigh swollen, nurse does?

- Assess the neurologic status of the toes

Immobilized with traction in legs, play activity?

- Pounding Board (to relieve stress and use up energy)

Juvenile Rheumatoid Arthritis (Chronic autoimmune disorder)-10 year old, S/S not associated with the disease

- Rhinitis Associated (Rash, Fever, Lymphadenopathy)