Reading...
Play button
Play button
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;
15 Cards in this Set
- Front
- Back
|
Which of the following types of diarrhea is commonly seen in malabsorption syndromes because the intestine cannot absorb nutrients or electrolytes?
a) Chronic b) Secretory c) Acute d) Intractable diarrhea of infancy |
Chronic
|
|
|
Which of the following is the viral pathogen that frequently causes acute diarrhea in young children?
a) Giardia organisms b) Shigella organisms c) Rotavirus d) Salmonella organsisms |
Rotavirus
|
|
|
A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells. This is most suggestive of which of the following conditions?
a) Parasitic infection b) fat malabsorption c) Protein intolerance d) Bacterial gastroenteritis |
Bacterial gastroenteritis
|
|
|
Therapeutic management of the child with acute diarrhea and dehydration usually begins with which of the following?
a) Clear liquids such as fruit juice and soft drinks b) Adsorbents, such as kaolin and pectin c) Oral rehydration solution d) Antidiarrheal medications such as paregoric |
Oral rehydration solution
|
|
|
A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child begins with:
a) Intravenous fluids b) Oral rehydration solution c) Clear liquids, 1 to 2 oz at a time d) Administration of antidiarrheal medication |
Intravenous fluids
|
|
|
A 2 month old breast fed infant is successfully rehydrated with oral rehydration solutions for acute diarrhea. Instructions to the mother about breast-feeding should include which of the following?
a) Continue breast-feeding b) Stop breast-feeding until breast milk is cultured c) Stop breast-feeding until diarrhea is absent of 24 hours d) Express breast milk and dilute with sterile water before feeding it |
Continue breast-feeding
|
|
|
The nurse is explaining to a parent how to care for a child with vomiting associated with a viral illness. Which of the following should the nurse include?
a) Give nothing by mouth for 24 hours b) Avoid carbohydrate-containing liquids c) Brush teeth or rinse mouth after vomiting d) Give plain water until vomiting ceases for at least 24 hours |
Brush teeth or rinse mouth after vomiting
|
|
|
Which of the following should the nurse recognize as an early clinical sign of compensated shock in a child?
a) Confusion b) Sleepiness c) Hypotension d) Apprehension |
Apprehension
|
|
|
Which of the following occurs in septic shock?
a) Massive vasodilation b) Increased respiratory rate c) Decreased capillary permeability d) Increased systemic vascular resistance |
Massive vasodilation
|
|
|
The school nurse is called to the cafeteria because a child "has eaten something he is allergic to." The child is in severe respiratory distess. The nurse should do which of the following first?
a) Determine what the child has eaten b) Administer diphenhydramine (Benadryl) c) Move child to nurse's office or hallway d) Have someone call for an ambulance or paramedic rescue squad |
Have someone call for an ambulance or paramedic rescue squad
|
|
|
Which of the following statements regarding burn injuries in children is correct?
a) Burns are the most frequent cause of accidental death during childhood b) Prognosis for burned child is directly related to amount of tissue destroyed c) Standard "rule of nines" chart is typically used for assessing the size of a burn in small children d) Children under age 2 years have significantly lower mortality than older children with similar burns |
Prognosis for burned child is directly related to amount of tissue destroyed
|
|
|
An adolescent girl is cooking on a gas stove when her bathrobe catches fire. Her father smothers the flames with a rug and calls an ambulance. She has sustained major burns over much of her body. Which of the following is also important in her immediate care?
a) Cool with a signle application of tepid water b) Encourage her to drink clear liquids c) Remove her burned clothing and jewelry d) Leave the rug in place until the ambulance arrives |
Cool with a single application of tepid water
|
|
|
Enteral feedings are ordered for a young child with burns covering 40% of total body surface area. The nurse should know that:
a) Oral feedings are contraindicated b) Enteral feedings must be stopped during painful procedures c) Presence of a paralytic ileus does not preclude use of enteral feedings d) The feedings will be high carbohydrate, low protein |
Presence of a paralytic ileus does not preclude use of enteral feedings
|
|
|
The nurse is caring for a 12 year old boy who sustained major burns when he put charcoal lighter on a campfire. The nurse observes that he is "very brave" and appears to accept pain with little or no response. The most appropriate nursing action related to this is which of the following?
a) Request a psychologic consultation b) Ask child why he doesnt have pain c) Praise child for ability to withstand pain d) Encourage continued bravery as a coping strategy |
Request a psychologic consultation
|
|
|
To prevent burns from hot water in the home, the nurse should recommend that families set their water heater thermostat to:
a) 38 degree C (100F) b) 49 C (120F) c) 60 C (140F) d) 71 C (160F) |
49 C (120F)
|
