Pediatric Nursing Demystified

(dillionhill2002) #1

(^340) Pediatric Nursing Demystified



  1. When giving instructions to a parent whose child has scabies, what should the
    school nurse include?
    a. Treat all family members if symptoms develop.
    b. Be prepared for symptoms to last 2 to 3 weeks.
    c. Carefully treat only those areas where there is a rash.
    d. Notify practitioner so an antibiotic can be prescribed.

  2. Fluid replacement should be determined by which most reliable guide for an
    infant with burns?
    a. Absence of thirst
    b. Decreased hematocrit level
    c. Increased serous drainage from burn wound
    d. Urinary output of 1 to 2 mL/kg of body weight per hour

  3. What condition does not require family teaching regarding control of the spread
    of disease to the caregiver or another child?
    a. Impetigo
    b. Lyme disease
    c. Scabies
    d. Pustules

  4. A nurse working in a pediatric burn unit is caring for a 10-year-old client with
    full-thickness burns over 25% of the body. The laboratory tests ordered to assess
    the client’s fluid and electrolyte balance are reviewed. Which laboratory value
    should the nurse report to the physician immediately?
    a. Arterial pH: 7.4
    b. Hematocrit: 42%
    c. Serum sodium: 137mEq/L
    d. Serum potassium: 6.8 mEq/L

  5. The nurse can explain to a family that Lyme disease is which of the following?
    a. An nonpreventable condition that affects some children
    b. Easily treated with oral antibiotics in stages I, II, and III
    c. Caused by a spirochete that enters the skin through a tick bite
    d. The result of ingesting soil containing the mycotic spores that cause the disease

  6. What finding might indicate a need for additional fluids therapy for a small
    child with burn injury?
    a. Absence of thirst
    b. Elevated hematocrit
    c. Decreased burn wound drainage
    d. Urinary output 5 mL/kg of body weight per hour

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