Peds Exam 2 Clinical manifestations of increased ICP in children include all of the following except: Headache Vomiting, w/ or w/o nausea Seizures Setting-sun sign FYI: late signs of inc’d ICP Dec’d LOC Dec’d motor response to command Dec’d sensory response to painful stimuli
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Nurse monitoring child for bleeding post brain tumor resection. Checks head dressing & notes colorless drainage on back of dressing. Which would be most appropriate intervention?
Post op removal of brain tumor, physician order to maintain child in flat position. Nurse monitoring notes child is restless, pulse rate is elevated & BP has dropped significantly from baseline. Suspects shock. Which would be most appropriate nursing action?
Adolescent discharged w/ prescription for phenytoin (Dilantin). Which of the following by father indicates discharge teaching has been effective?
During which of the following periods of growth & dev’t should a nurse anticipate behavioral problems form a child w/ untreated GH deficiency?
When providing health teaching to group of adolescents w/ type 1 d.m., a nurse instructs them that a hypoglycemic reaction can occur b/c of:
Nurse caring for child w/ type 1 d.m. who has been taking insulin for 3 mos. Which diagnostic study will provider likely order to determine how well child’s diabetes is being managed?
Child experiences 3rd degree burns to both legs after they were immersed in boiling water. Which nursing diagnoses will receive priority during the first 24 hours?
Mother of 3yo arrives at clinic & tells nurse that child has been scratching the skin continuously & has developed a rash. Nurse assess & suspects scabies. Nurse bases this suspicion on which finding:
Parents of child w/ glomerulonephritis concerned about activity restrictions after discharge. Nurse bases response on the fact that urinary findings are near normal.
A child is admitted w/ glomerulonephritis. Nurse should expect to see a recent _______ infection in the history given by the mother.
13mo old dx’d w/ L hip dysplasia & scheduled for surgery & spica cast. Child’s mother questions why a pavlik harness is not being used. Appropriate response is:
Mother brings 2wk old to clinic for tx following dx of clubfoot made at time of birth. Which statements, indicates need for further teaching?
Nurse providing instructions to parents of child w/ scoliosis regarding use of a brace. Which statement indicated need for further instructions?
Nurse reviewing sick day mangement w/ parent of a child w/ type 1 diabetes. Which of following should be included in teaching? (all that apply)
Providing health teaching to group of adolescents w/ D.M., nurse teaches them to observe for s/s of hypoglycemia. Which of following should be included? (all that apply)
Child w/ type 1 D.M. on insulin for 3 months. Which of the following diagnostic studies will provider order to how well child’s D.M. is being managed?
Nurse asks 12yo w/ GH deficiency to draw a pic off herself playing w/ children on a playground. List potential characteristics that might represent positive & negative self-esteem.
Child standing off to side while other children are playing
Drawing indicates teasing &/or ridicule
Child appears much smaller than others
Dark picture that is scribbled
6yo who has been bladder trained w/o enuresis since age 4 has begun having accidents both at night & occasionally during the day. Which of the following should be ruled out as possible causes? (all that apply)
8 yr old R femur fracture after falling off skateboard. After 3 wks traction w/ pin, casted & discharged. Teaching instructions include: (all that apply)
Adolescent w/ rheumatoid arthritis reports severe pain during PT exercises & states she doesn’t want to go back to PT again. Intervention to solve this problem:
5 yo child unable to sit through meals, easily distracted. At night, gets up while family is sleeping & wanders about house. Doing poorly in kindergarten d/t inability to concentrate on work. Which should child be evaluated for?
Nurse is discussing w/ parents of 3mo w/ Down syndrome ways to help prevent recurrent resp infections. Which interventions should nurse discuss? (all that apply)
9yo w/ autism continually hits head on desk. During planning w/ teachers, school nurse has devised one outcome for the problem, which states child “will develop self-control measures to prevent behavior”. Nurse should evaluate this outcome to be met when child:
Nurse evaluating family in which child abuse has occurred. Which is best indicator that parents are making progress toward resolution of violence?