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Pediatric Nursing Questions and Answers

Which of the following is TRUE about sickle cell disease (SCD)?

Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. Sickle cell anemia requires the inheritance of two sickle cell genes. Sickle cell trait. which is the inheritance of one sickle gene. almost never causes problems. Virtually all of the major symptoms of sickle cell anemia are the direct result of the abnormally shaped sickled red blood cells obstructing the flow of blood. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as they occur.Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. It requires the inheritance of two sickle cell genes. Sickle cell trait. which is the inheritance of one sickle gene. almost never causes problems. Virtually all of the major symptoms of sickle cell anemia are the direct result of the abnormally shaped sickled red blood cells blocking the flow of blood. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as they occur.

Which of the following is TRUE about sickle cell disease (SCD)?

Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. Sickle cell anemia requires the inheritance of two sickle cell genes. Sickle cell trait. which is the inheritance of one sickle gene. almost never causes problems. Virtually all of the major symptoms of sickle cell anemia are the direct result of the abnormally shaped sickled red blood cells obstructing the flow of blood. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as they occur.Sickle cell anemia (SCD) is an inherited disorder of the hemoglobin in blood. It requires the inheritance of two sickle cell genes. Sickle cell trait. which is the inheritance of one sickle gene. almost never causes problems. Virtually all of the major symptoms of sickle cell anemia are the direct result of the abnormally shaped sickled red blood cells blocking the flow of blood. The contemporary treatment of sickle cell anemia is focused primarily toward managing the individual features of the illness as they occur.

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Which traction system should be anticipated by the nurse when preparing the patient’s room? A 1-year-and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital...

Bryant’s traction should be used for a 1-year-and 2-month-old child weighing 26 lb. (11.8 kg) Admitted for traction to treat congenital hip dislocation. Bryant’s traction is a form of orthopedic traction standard in pediatrics. It is used to treat fractures in the femur and congenital hip dislocation in children below the age of 2 who also weigh below 30 lb. For children over the age of 2, 90 – 90 traction (option D) is used to treat femoral fractures. Buck’s extension fracture (option B) is a form of skin traction used in the management and correction of fractures in the lower limb. Overhead suspension traction is used to treat fractures in the upper limb (humerus)

Which traction system should be anticipated by the nurse when preparing the patient’s room? A 1-year-and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital...

Bryant’s traction should be used for a 1-year-and 2-month-old child weighing 26 lb. (11.8 kg) Admitted for traction to treat congenital hip dislocation. Bryant’s traction is a form of orthopedic traction standard in pediatrics. It is used to treat fractures in the femur and congenital hip dislocation in children below the age of 2 who also weigh below 30 lb. For children over the age of 2, 90 – 90 traction (option D) is used to treat femoral fractures. Buck’s extension fracture (option B) is a form of skin traction used in the management and correction of fractures in the lower limb. Overhead suspension traction is used to treat fractures in the upper limb (humerus)

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What laboratory test will the nurse anticipate in a child with a poor nutritional status and weight loss at risk for a negative nitrogen balance?

Total proteinA negative nitrogen balance may result from inadequate protein intake and is best detected by measuring the total protein level.Options A. B. and C: Measuring total iron-binding capacity. hemoglobin. and serum transferrin levels would help detect iron-deficiency anemia. not a negative nitrogen balance.

What laboratory test will the nurse anticipate in a child with a poor nutritional status and weight loss at risk for a negative nitrogen balance?

Total proteinA negative nitrogen balance may result from inadequate protein intake and is best detected by measuring the total protein level.Options A. B. and C: Measuring total iron-binding capacity. hemoglobin. and serum transferrin levels would help detect iron-deficiency anemia. not a negative nitrogen balance.

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What should the nurse in chargekeep in mind when assessing a child’s cultural background?

Behavioral patterns are passed from one generation to the nextA familys behavioral patterns and values are passed from one generation to the next.Option A: Cultural background commonly plays a major role in determining a familys health practices.Option B: Physical characteristics do not indicate a childs culture.Option C: Although heritage plays a role in culture. it does not dictate a groups shared values and its effect on culture is weaker than that of behavioral patterns.

What should the nurse in chargekeep in mind when assessing a child’s cultural background?

Behavioral patterns are passed from one generation to the nextA familys behavioral patterns and values are passed from one generation to the next.Option A: Cultural background commonly plays a major role in determining a familys health practices.Option B: Physical characteristics do not indicate a childs culture.Option C: Although heritage plays a role in culture. it does not dictate a groups shared values and its effect on culture is weaker than that of behavioral patterns.

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When obtaining the child’s history?

A recent episode of pharyngitisA recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in food. these findings are not specific to rheumatic fever.

When obtaining the child’s history?

A recent episode of pharyngitisA recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in food. these findings are not specific to rheumatic fever.

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What dose in milligrams is safest for this child? Archie who weighs 44 lb has been given an order for amoxicillin 500 mg b.i.d. The drug text notes that the daily dose of amoxicillin is 50...

500 mgFirst. calculate the childs weight in kg: 44/2.2 = 20 kg. Then calculate the appropriate daily dose according to the drug text: 50 mg/kg/day = 50 mg x 20 kg = 1.000 mg/day. the abbreviation b.i.d. means twice daily; therefore 1.000 divided by 2 equals 500 mg.

What dose in milligrams is safest for this child? Archie who weighs 44 lb has been given an order for amoxicillin 500 mg b.i.d. The drug text notes that the daily dose of amoxicillin is 50...

500 mgFirst. calculate the childs weight in kg: 44/2.2 = 20 kg. Then calculate the appropriate daily dose according to the drug text: 50 mg/kg/day = 50 mg x 20 kg = 1.000 mg/day. the abbreviation b.i.d. means twice daily; therefore 1.000 divided by 2 equals 500 mg.

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What age is the diagnosis of SIDS most likely at? Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants.

At I week to 1 year of age. peaking at 2 to 4 monthsSIDS can occur any time between 1 week and 1 year of age. The incidence peaks at 2 to 4 months of age.

What age is the diagnosis of SIDS most likely at? Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants.

At I week to 1 year of age. peaking at 2 to 4 monthsSIDS can occur any time between 1 week and 1 year of age. The incidence peaks at 2 to 4 months of age.

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What is the primary purpose of administering corticosteroids to this child? Dr. Jones prescribes corticosteroids for a child with nephritic syndrome.

To decrease proteinuriaThe primary purpose of administering corticosteroids to a child with nephritic syndrome is to decrease proteinuria.Option A: Corticosteroids have no effect on blood pressure.Option B: Although they help reduce inflammation. this is not the reason for their use in patients with nephritic syndrome.Option D: Corticosteroids may predispose a patient to infection.

What is the primary purpose of administering corticosteroids to this child? Dr. Jones prescribes corticosteroids for a child with nephritic syndrome.

To decrease proteinuriaThe primary purpose of administering corticosteroids to a child with nephritic syndrome is to decrease proteinuria.Option A: Corticosteroids have no effect on blood pressure.Option B: Although they help reduce inflammation. this is not the reason for their use in patients with nephritic syndrome.Option D: Corticosteroids may predispose a patient to infection.

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What is the following finding associated with when performing a physical examination on an infant. the nurse in charge notes abnormally low-set ears?

Renal anomaliesNormally the top of the ear aligns with an imaginary line drawn across the inner and outer canthus of the eye. Ears set below this line are associated with renal anomalies or mental retardation.Options A. B. and C: Low-set ears do not accompany otogenous tetanus. tracheoesophageal fistula. or congenital heart defects.

What is the following finding associated with when performing a physical examination on an infant. the nurse in charge notes abnormally low-set ears?

Renal anomaliesNormally the top of the ear aligns with an imaginary line drawn across the inner and outer canthus of the eye. Ears set below this line are associated with renal anomalies or mental retardation.Options A. B. and C: Low-set ears do not accompany otogenous tetanus. tracheoesophageal fistula. or congenital heart defects.

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When obtaining the child’s history, the nurse considers which information to be most important? Molly, with suspected rheumatic fever, is admitted to the pediatric unit. This question is...

A recent episode of pharyngitisA recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in food. these findings are not specific to rheumatic fever.

When obtaining the child’s history, the nurse considers which information to be most important? Molly, with suspected rheumatic fever, is admitted to the pediatric unit. This question is...

A recent episode of pharyngitisA recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumatic fever. Although the child may have a history of fever or vomiting or lack interest in food. these findings are not specific to rheumatic fever.

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What is the primary purpose of administering corticosteroids to this child? Dr. Jones prescribes corticosteroids for a child with nephritic syndrome.

To decrease proteinuriaThe primary purpose of administering corticosteroids to a child with nephritic syndrome is to decrease proteinuria.Option A: Corticosteroids have no effect on blood pressure.Option B: Although they help reduce inflammation. this is not the reason for their use in patients with nephritic syndrome.Option D: Corticosteroids may predispose a patient to infection.

What is the primary purpose of administering corticosteroids to this child? Dr. Jones prescribes corticosteroids for a child with nephritic syndrome.

To decrease proteinuriaThe primary purpose of administering corticosteroids to a child with nephritic syndrome is to decrease proteinuria.Option A: Corticosteroids have no effect on blood pressure.Option B: Although they help reduce inflammation. this is not the reason for their use in patients with nephritic syndrome.Option D: Corticosteroids may predispose a patient to infection.

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What should the nurse keep in mind when planning care? Lily, age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation.

Mildly retarded but educableAccording to the American Association on Mental Deficiency. a person with an intelligence quotient (IQ) between 50 and 70 is classified as mildly mentally retarded but educable.Option C: One with an IQ between 35 and 50 is classified as moderately retarded but trainable.Option D: One with an IQ below 36 is severely and profoundly impaired. requiring custodial care.

What should the nurse keep in mind when planning care? Lily, age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation.

Mildly retarded but educableAccording to the American Association on Mental Deficiency. a person with an intelligence quotient (IQ) between 50 and 70 is classified as mildly mentally retarded but educable.Option C: One with an IQ between 35 and 50 is classified as moderately retarded but trainable.Option D: One with an IQ below 36 is severely and profoundly impaired. requiring custodial care.

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