(^356) Pediatric Nursing Demystified
- Parents of a child who was diagnosed with polyarticular juvenile rheumatoid
arthritis wonder how this differs from juvenile rheumatoid arthritis. How
should you respond?
a. This is a type of juvenile rheumatoid arthritis that affects fewer than five joints
and might exhibit inflammation of the iris without joint symptoms.
b. This is a type of juvenile rheumatoid arthritis that affects the entire body result-
ing in high fevers that suddenly drop to normal.
c. This is a type of juvenile rheumatoid arthritis that has a rash that suddenly appears
and disappears.
d. This is a type of juvenile rheumatoid arthritis that affects the small joints of the
hands and weight-bearing joints. - How should you care for a child who has scoliosis?
a. Support the back, feet, and knees with pillows when the patient lies on the side.
b. Avoid twisting or turning the spine when moving the child.
c. Perform range-of-motion exercises to maintain muscle tone.
d. All of the above. - Parents of a child diagnosed with torticollis asked what caused this disorder.
What is your best response?
a. Viral infection
b. Bacterial infection
c. Intrauterine malposition
d. Fungal infection - A child who has a cast on his left arm complains about pain and being unable
to move his fingers on his left hand. You notice that the left hand is pale and you
are unable to detect a pulse. What is your best response?
a. Open the cast immediately per protocol.
b. Call the health-care provider immediately.
c. Assess if the child can move fingers on his right hand.
d. Assess if the child can move his legs. - You have been assigned to care for an infant diagnosed with diphtheria. What
must be monitored?
a. Reverse isolation procedures.
b. That the infant doesn’t scratch scabs on the sites of the rash.
c. The child’s airway. Lesion can obstruct the airway especially in infants.
d. That the infant’s legs are kept at a 30-degree angle. - The health-care provider orders you to administer penicillin G to a child who
has been diagnosed with diphtheria. What is your best response?
a. Question the order because diphtheria is a viral infection.
b. Administer the medication.
c. Assess if the child is allergic to penicillin.
d. Administer the medication because diphtheria is a bacterial infection.