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Family Health 1 Final Review


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When caring for a 10-month old infant with RSV, an important nursing consideration would be:

a. encouraging infant to drink 8oz of formula every 4 hours.

b. administering antibiotics

c. administer cough syrup

Place in a mist tent.

Has moist cool air and O2. Let them breathe.
Which description is most descriptive of bronchiole asthma?

a. heightened airway reactivity

b. decreased resistance in the airway

c. the single cause of asthma is an allergic hypersensitivity

d. inherited
It's not inherited. It's heightened airway reactivity.
Which of the following drugs is usually given first in the emergency treatment of status asthmaticus in a young child:

a. epi

b. theophyllin

c. another drug

d. short acting b2 antagonist
short acting b2 antagonist
Which type of dehydration is defined as dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportions?
A young child is brought to the emergency department with dehydration secondary to acute diarrhea and vomiting. The nurse's assessment reveals weight of 71 pounds, sunkin eyes, and capillary refill times 5 seconds. The mother tells the nurse that the chi
IV fluids
5 year-old child with hirschsprung's disease is hospitalized for surgery, a temporary colostomy will be necessary. The nurse should recognize that preparing this child is:

a. not necessary because of the child's age

b. not necessar
necessary and should be explained in concrete terms
Shortly after delivery of an infant with an Omphecele, the nurse would initially:

a. weigh the infant

b. insert an oralgastric tube

c. call the blood bank to get 2 units of blood

d. pack with moistened sterile
pack with moistened sterile gauze
an 18-month old with a history of cleft lip and palate has been admitted for palate surgery. The nurse teaches the parents not to use a toothbrush immediately after surgery because:

a. the toothbrush would be frightening for the child
The suture line could be interrupted.
vit k
vit k
Although infants may be allergic to a variety of foods, the most common allergens are:

a. fruit and eggs

b. fruit, vegetable, and wheat

c. cow's milk and green vegetables

d. eggs, cow's milk, and wheat
eggs, cow's milk, and wheat
If lactose intolerance is diagnosed in a 14 month-old child, the nurse could recommend:

a. yogurt

b. ice cream

c. fortified cereal

d. cow's milk formula
Infants are predisposed to fluid imbalances because they have:

a. a decrease in surface area

b. a lower metabolic rate

c. immature kidney function

d. a decreased daily exchange of extracellular fluid
immature kidney function
A 6 year-old child is admitted to the hospital with diptheria, which nursing intervention will be related towards nursing care of this patiient:

a. soft liquid diet

b. observe for airway obstruction

c. antipyretics
observe for airway obstruction. It's always airway!
A 3 year-old child has cystic fibrosis, the child is admitted to the pediatric unit. The nurse needs to administer pancreatic enzyme, the best way to administer this drug would be by:

a. deep IM injection

b. dissolving the medicatio
mixing in a teaspoon of apple sauce
A 6 month-old is hospitalized for bronciolitis from a respiratory RSV infection. On auscultating breath sounds you would expect to hear narrowing of the lower airways which you would document as:

a. rales

b. stridor

c. wh
A 5 year-old is admitted to the unit following a tonsilechtomy. Of the assessments below, which of the following would be the most important:

a. assess for any pain in the ears

b. observe for frequent swallowing

c. assess
observe for frequent swallowing
A 2 year-old toddler is admitted with LTB. Which of the following observations would make you most concerned for this child:

a. temp of 100.2

b. productive cough with yellow sputum

c. frequent barking cough

continually increasing respiratory rate
4 month-old is brought to the ER with a hacking cough and difficulty breathing. On assessment the nurse determines the infant is in respiratory distress when the following signs are present:

a. bilateral bronchiole breath sounds

substernal retractions
A 9 month-old is receiving O2 in a mist tent, it is most important for the nurse to:

a. provide fluids every three hours to maintain hydration

b. remove the child from the mist tent for a few minutes every hour for warming

change the child's clothes frequently so the child remains dry
A nurse should teach the parents of a 1 year-old child with nasopharyngitis to call the physician if the child develops:

a. yellow drainage, irritability and sneezing

b. constipation, dry skin, and fever

c. runny nose, co
ever, irritability, and pulling on the ears
A 9 year-old child is brought to the ER with a severe asthma episode. ABG's reveal the following: pH is 7.25, PCO2 is 55, HCO2 is 24. The child is in what?
Respiratory acidosis
A 2 year-old is seen in a pediatrician's office with a suspected diagnosis of Hirschsprung's disease. On assessment the child's abdomen is distended and hard. A test that would confirm this finding is:

a. X-ray to determine if the bowel has he
rectal biopsy
A child has been diagnosed with having celiac disease. On teaching the parents dietary changes, which of the following statements made by the parents indicate that they have an understanding of the diet:

a. child can eat eggs, orange juice, pu
child can eat eggs, orange juice, puffed rice cereal for breakfast
A child has surgery for pyloric stenosis. The child has his/her first feeding postoperatively. After feeding the child should be placed in which position:

a. prone to encourage digestion

b. trendelenburg to prevent pressure on the s
on the right side to encourage flow through the pyloris
A 19 moth-old toddler has a cleft palate repair. When giving postoperative care the nurse should:

a. spoon feed the infant

b. keep the child NPO for 48 hours

c. position the child in a prone position

d. avoid h
avoid having the child cry
Which of the following patients would the nurse assess first when working on a pediatric unit:

a. a 3 year-old with complaints of new onset of greasy bulky stool with a foul odor

b. a 12 year-old admitted from the ER with abdominal
a 2 month-old four hours post cleft palate
The most common long-term problem for children who have had cleft palate repair is:

a. proper tooth alignment

b. at risk for situational low self-esteem

c. increased risk for ear infections

d. impaired verbal c
impaired verbal communication
An 8 week-old infant is admitted to the pedi unit preoperatively with a diagnoses of pyloric stenosis. The nurse assesses the baby for which cardinal sign of pyloric stenosis:

a. diarrhea

b. vomiting

c. abdominal distenti
A 6 moth-old is admitted with dehydration related to diarrhea. The nurse would expect to see:

a. sunken fontanels, decreased hematocrit, increased pulse

b. lack of tears, decreased weight, increased hematocrit

c. sunken f
lack of tears, decreased weight, increased hematocrit
A 3 year-old is admitted with respiratory distress and started on albuterol nebulizer treatment every 2 hours. The mechanism of action for albuterol is:

a. suppress inflammation in the lungs

b. decrease viscosity of secretions
promote bronchodilation
A baby is born with a tracheal esophageal fistula and esophageal atresia. This baby diplays one of the most classic signs of esophageal atresia, which is:

a. projectile vomiting

b. excessive drooling

c. tachycardia with f
excessive drooling
A nurses intervention to assist a preop patient cope with the fear of pain would be to:

a. describe the degree of pain expected

b. explain the availability of pain medication

c. divert the patient when talking about pain<
explain the availability of pain medication
Post-operative nausea and vomiting presents the greastest risk for who?
The 500 lb women under general anethesia
Following admission of the post-op patient to the clinical unit which of the following assessments data require the immediate attention:

a. O2 stat of 80

b. respiratory rate of 13

c. b/p 90/60

d. temp of 94.3
O2 stat of 80
Pain is best described as:

a. a creation of a person's imagination

b. an unpleasant subjective experience

c. a maladaptive response to a stimulus

d. a neurologic event resulting from activation of neuroreceptor
an unpleasant subjective experience
What's the neurotransmitter known for its involvement in pain modulation?
Which statement by an 8 year-old child with asthma indicates that she understands the use of her peak flow meter?

a. if i use my peak flow meter everyday i will not have asthma attack

b. i always start with the meter reading above h
my peak flow meter can tell me if an asthma episode may be coming
A high school experiences an outbreak of hepatitis B. In teaching the high school students about hep B, the nurse would explain:

a. hep-B cannot exist in the carrier state

b. hep-b is primarily transmitted via the fecal-oral route
hep-B can be prevented by receiving the hep-b vaccine
A 3 month-old has GI reflux and is thriving without other complications. The mother wants to know if there's anything she can do differently to decrease the reflux. Which of the following interventions should the nurse suggest to minimize reflux:
place the infant in a car seat after feedings.
A mother of a neonate hospitalized with a URI asks why her baby won't take the bottle. The nurse's best answer would be:

a. she's probably not hungry

b. it's okay because we're giving her IV fluids therefore she's not hungry
newborns breathe through their nose, congestion may be interfering with her breathing and eating at the same time
A 15 year-old with a history of cystic fibrosis is admitted to pediatrics with the following assessment findings - crackles, increased cough, and green sputum. A 2 week hospitalization is anticipated. Which of the following nursing interventions hold the
gaining IV access
A 7 year-old child is brought to the ER for acute asthma attack. He's wheezing, takipnic?, diaphoretic, and looks frightened. The nurse should prepare to administer:

a. IV methoprednisone

b. epinephrine

c. oral prednisone

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