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[Show more]1) A nurse is taking care of four different pediatric clients. Which client poses the great risk for dehydration? 1. A 15-year-old working out in a weight room for an hour before football practice 2. A 10-year-old playing baseball outdoors in 85-degree heat 3. A 5-year-old refusing to eat because of...
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Add to cart1) A nurse is taking care of four different pediatric clients. Which client poses the great risk for dehydration? 1. A 15-year-old working out in a weight room for an hour before football practice 2. A 10-year-old playing baseball outdoors in 85-degree heat 3. A 5-year-old refusing to eat because of...
A child presents with anorexia, right lower quadrant pain, and nausea. Which instruction can the nurse give to the child to enhance comfort? "Lie on your back." 
"Lie on your abdomen." 
"Lie on your left side with knees bent." 
"Sit up straight in the chair with your legs dangling." "Lie on...
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Add to cartA child presents with anorexia, right lower quadrant pain, and nausea. Which instruction can the nurse give to the child to enhance comfort? "Lie on your back." 
"Lie on your abdomen." 
"Lie on your left side with knees bent." 
"Sit up straight in the chair with your legs dangling." "Lie on...
A male newborn is found to have exstrophy of the bladder. The nurse should evaluate the infant for which of the following? SATA 
a) hypospadias b) epispadias c) cryptoorchidism d) acute tubular necrosis e) bilateral inguinal hernias B) Epispadias E) Bilateral Inguinal Hernias 
Epispadias and bilater...
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Add to cartA male newborn is found to have exstrophy of the bladder. The nurse should evaluate the infant for which of the following? SATA 
a) hypospadias b) epispadias c) cryptoorchidism d) acute tubular necrosis e) bilateral inguinal hernias B) Epispadias E) Bilateral Inguinal Hernias 
Epispadias and bilater...
The nurse is preparing a 3-year-old child for the examination of the urethra and taking a urine sample. What strategy should the nurse use while preparing the child? 1 Demonstrate and explain the procedure on a doll. 2 Explain the urinary system and procedure to the child. 3 Show pictures of the uri...
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Add to cartThe nurse is preparing a 3-year-old child for the examination of the urethra and taking a urine sample. What strategy should the nurse use while preparing the child? 1 Demonstrate and explain the procedure on a doll. 2 Explain the urinary system and procedure to the child. 3 Show pictures of the uri...
1. The nurse is providing care to a male infant who is diagnosed with hypospadias. Which clinical manifestation does the nurse anticipate when assessing this infant? 
1. A urethral meatus that is located on the ventral surface of the penis 
2. The presence of foreskin 
3. A small opening or a fissur...
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Add to cart1. The nurse is providing care to a male infant who is diagnosed with hypospadias. Which clinical manifestation does the nurse anticipate when assessing this infant? 
1. A urethral meatus that is located on the ventral surface of the penis 
2. The presence of foreskin 
3. A small opening or a fissur...
The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered? A) Fever with chills, chest tightness B) Cough, hyperkalemia C) Photosensitivity, gastroint...
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Add to cartThe nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered? A) Fever with chills, chest tightness B) Cough, hyperkalemia C) Photosensitivity, gastroint...
Renal and urethral structure: oLarger kidneys in relation to abdomen. 
oUrethral opening close to rectum. 
oShorter urethras. 
Renal and urinary function: oAll nephrons present at birth but immature. 
oReduced glomerular filtration rate. 
oUnable to concentrate urine. 
oLess urine output per day but...
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Add to cartRenal and urethral structure: oLarger kidneys in relation to abdomen. 
oUrethral opening close to rectum. 
oShorter urethras. 
Renal and urinary function: oAll nephrons present at birth but immature. 
oReduced glomerular filtration rate. 
oUnable to concentrate urine. 
oLess urine output per day but...
When is the GI system fully mature? 2 years 
A newborn's stomach is approximately ___ - ___ mL and increases to ____ mL by several months of age. 10-42 ; 200 mL 
In a child, pancreatic enzymes reach adult level by age ___ 2 years 
Why are children at an increased risk for fluid loss? Infants and ch...
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Add to cartWhen is the GI system fully mature? 2 years 
A newborn's stomach is approximately ___ - ___ mL and increases to ____ mL by several months of age. 10-42 ; 200 mL 
In a child, pancreatic enzymes reach adult level by age ___ 2 years 
Why are children at an increased risk for fluid loss? Infants and ch...
The nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which clinical manifestation was likely noted in this child? a. hypotension b. decreased specific gravity c. bloody urine d. increased nocturia c 
The nurse is reinforcing teaching with the caregiver of 5-year-...
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Add to cartThe nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which clinical manifestation was likely noted in this child? a. hypotension b. decreased specific gravity c. bloody urine d. increased nocturia c 
The nurse is reinforcing teaching with the caregiver of 5-year-...
A nurse is caring for an 11-month-old infant admitted for watery, green diarrhea; vomiting; and fever. He is diagnosed with gastroenteritis with no known source at this time. Which nursing diagnosis should be the highest priority? 
a. Altered Nutrition b. Anxiety related to hospitalization c. Fluid ...
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Add to cartA nurse is caring for an 11-month-old infant admitted for watery, green diarrhea; vomiting; and fever. He is diagnosed with gastroenteritis with no known source at this time. Which nursing diagnosis should be the highest priority? 
a. Altered Nutrition b. Anxiety related to hospitalization c. Fluid ...
What is cryptorchidism? undescended testicles 
What is anorchism? no testes; very rare 
how do you determine undescended testes from the more common retracted testes? retractile testes can be pushed back into scrotum, undescended cannot 
How do you know if a baby has cryptorchidism? the testes are n...
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Add to cartWhat is cryptorchidism? undescended testicles 
What is anorchism? no testes; very rare 
how do you determine undescended testes from the more common retracted testes? retractile testes can be pushed back into scrotum, undescended cannot 
How do you know if a baby has cryptorchidism? the testes are n...
1. The bladder capacity of a 3-year-old is approximately how much? 1. 1.5 fl. oz. 2. 3 fl. oz. 3. 4 fl. oz. 4. 5 fl. oz. 4. The capacity of the bladder in fluid ounces can be estimated by adding 2 to the child's age in years. 
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 1...
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Add to cart1. The bladder capacity of a 3-year-old is approximately how much? 1. 1.5 fl. oz. 2. 3 fl. oz. 3. 4 fl. oz. 4. 5 fl. oz. 4. The capacity of the bladder in fluid ounces can be estimated by adding 2 to the child's age in years. 
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 1...
The specialty of medicine that cares for children from birth until essentially adulthood is: a. pediatrics. b. family medicine. c. adolescence. d. geriatrics. a. pediatrics. 
Almost immediately after birth, the infant is evaluated by the_____scoring system. Apgar 
How old should a child generally be...
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Add to cartThe specialty of medicine that cares for children from birth until essentially adulthood is: a. pediatrics. b. family medicine. c. adolescence. d. geriatrics. a. pediatrics. 
Almost immediately after birth, the infant is evaluated by the_____scoring system. Apgar 
How old should a child generally be...
A&P - GI - Mouth: highly vascular, common entry point for infections (as noted in first lecture) - Esophagus: lower esophageal sphincter not developed until 1 month allowing regurgitation. May continue this until one year - Stomach: capacity 10-20 mL in newborns vs. adults 2000ml-3000ml. Hydrochlori...
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Add to cartA&P - GI - Mouth: highly vascular, common entry point for infections (as noted in first lecture) - Esophagus: lower esophageal sphincter not developed until 1 month allowing regurgitation. May continue this until one year - Stomach: capacity 10-20 mL in newborns vs. adults 2000ml-3000ml. Hydrochlori...
What ages are considered to be school aged? 6-12 yrs -Wong defines this period as 'beginning with losing deciduous (baby) teeth & ending with puberty' -Height increases 2 inches per year, has pre-pubescent growth spurt -weight increases 2-3 kg per year -Gain skeletal length, lose fat, gain muscle:...
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Add to cartWhat ages are considered to be school aged? 6-12 yrs -Wong defines this period as 'beginning with losing deciduous (baby) teeth & ending with puberty' -Height increases 2 inches per year, has pre-pubescent growth spurt -weight increases 2-3 kg per year -Gain skeletal length, lose fat, gain muscle:...
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac ? Which of the following interventions should the nurse include in the plan of care? a. Initiate contact precautions . b. Provide a latex - free environment c. Limit visitors to...
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Add to cartA nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac ? Which of the following interventions should the nurse include in the plan of care? a. Initiate contact precautions . b. Provide a latex - free environment c. Limit visitors to...
The nurse should recognize which laboratory value as being abnormal? A. pH: 4 B. Specific gravity: 1.020 C. Protein level: absent D. Glucose level: absent A. pH: 4 
The expected pH is 4.8 to 7.8. This is within the normal specific gravity range of 1.016 to 1.022. Protein should not be present in the...
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Add to cartThe nurse should recognize which laboratory value as being abnormal? A. pH: 4 B. Specific gravity: 1.020 C. Protein level: absent D. Glucose level: absent A. pH: 4 
The expected pH is 4.8 to 7.8. This is within the normal specific gravity range of 1.016 to 1.022. Protein should not be present in the...
The parents of a school-age child tell the nurse that the child goes to the toilet frequently and the urine smells strong. For which condition is the nurse likely to evaluate the child? Urinary tract infection 
A child with acute renal failure is provided nourishment by an intravenous (IV) route. Wh...
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Add to cartThe parents of a school-age child tell the nurse that the child goes to the toilet frequently and the urine smells strong. For which condition is the nurse likely to evaluate the child? Urinary tract infection 
A child with acute renal failure is provided nourishment by an intravenous (IV) route. Wh...
Dehydration •Types of dehydration- isotonic, hypotonic, hypertonic •Degrees of dehydration-mild, moderate, severe •Diagnostic evaluation-clinical manifestations, labs •Therapeutic management •Oral rehydration solution •Parenteral fluid therapy •Nursing considerations- VS, weight checks...
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Add to cartDehydration •Types of dehydration- isotonic, hypotonic, hypertonic •Degrees of dehydration-mild, moderate, severe •Diagnostic evaluation-clinical manifestations, labs •Therapeutic management •Oral rehydration solution •Parenteral fluid therapy •Nursing considerations- VS, weight checks...
Four babies were delivered in the maternity unit during a 24-hour period. Which of the babies would the nurse most predict would exhibit cryptorchidism? 
1. 34 weeks' gestation, 2,200 grams, Apgar 9/9 2. 37 weeks' gestation, 4,000 grams, Apgar 8/9 3. 39 weeks' gestation, 3,500 grams, Apgar 7/8 4....
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Add to cartFour babies were delivered in the maternity unit during a 24-hour period. Which of the babies would the nurse most predict would exhibit cryptorchidism? 
1. 34 weeks' gestation, 2,200 grams, Apgar 9/9 2. 37 weeks' gestation, 4,000 grams, Apgar 8/9 3. 39 weeks' gestation, 3,500 grams, Apgar 7/8 4....
C and D Which of the following increases the risk for a urinary tract infection? Select all that apply 
A. African American race B. Male gender C. Bubble baths D. Constipation 
B Urethral opening located posterior to glans penis or at any point along the ventral surface describes which of the follow...
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Add to cartC and D Which of the following increases the risk for a urinary tract infection? Select all that apply 
A. African American race B. Male gender C. Bubble baths D. Constipation 
B Urethral opening located posterior to glans penis or at any point along the ventral surface describes which of the follow...
Renal development Born with all nephrons 
Kidney develops untli 5 y/o, full size and efficiency at adolescence 
Reach maturity at 2 yrs 
Bladder development 20-50ml capacity at birth 700 ml capacity as adult Nerves for bladder control not fully developed until 2 yrs 
Physiological issues with kidney...
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Add to cartRenal development Born with all nephrons 
Kidney develops untli 5 y/o, full size and efficiency at adolescence 
Reach maturity at 2 yrs 
Bladder development 20-50ml capacity at birth 700 ml capacity as adult Nerves for bladder control not fully developed until 2 yrs 
Physiological issues with kidney...
Refers to recurrent postprandial spitting and vomiting in healthy infants that resolve spontaneously Uncomplicated GERD 
Is present when reflux causes secondary symptoms or complications GERD 
If emesis contain bile: requires immediate evaluation as this may be a symptom of intestinal obstruction 
W...
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Add to cartRefers to recurrent postprandial spitting and vomiting in healthy infants that resolve spontaneously Uncomplicated GERD 
Is present when reflux causes secondary symptoms or complications GERD 
If emesis contain bile: requires immediate evaluation as this may be a symptom of intestinal obstruction 
W...
Embryonic developmental failures r/t multiple genetic and environmental factors. These developmental failures result in an abnormal opening in the lip, palate, and, sometimes, nasal cavity. This issue is an abnormal opening in the lip or palate. The defects may occur unilaterally (on either side) or...
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Add to cartEmbryonic developmental failures r/t multiple genetic and environmental factors. These developmental failures result in an abnormal opening in the lip, palate, and, sometimes, nasal cavity. This issue is an abnormal opening in the lip or palate. The defects may occur unilaterally (on either side) or...
Therapeutic management of most children with Hirschsprung's disease is primarily: a.Daily enemas. b.Low-fiber diet. c.Permanent colostomy. d.Surgical removal of affected section of bowel ANS: D. Surgical removal of affected section of bowel Most children with Hirschsprung's disease require surgica...
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Add to cartTherapeutic management of most children with Hirschsprung's disease is primarily: a.Daily enemas. b.Low-fiber diet. c.Permanent colostomy. d.Surgical removal of affected section of bowel ANS: D. Surgical removal of affected section of bowel Most children with Hirschsprung's disease require surgica...
6.Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? 
a. Notify the physician immediately b. Administer antidiarrheal medications c. Monitor child every 30 minutes d. Nothing, this is characteristic ofHirsch...
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Add to cart6.Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? 
a. Notify the physician immediately b. Administer antidiarrheal medications c. Monitor child every 30 minutes d. Nothing, this is characteristic ofHirsch...
A 5-day-old infant boy is brought to the pediatrician'soffice by his mother for his first visit. He was born full-term via spontaneous vaginal delivery with no complications. His mother is concerned because she noticed that milk continually flows out his nose during feedings and she is worried that...
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Add to cartA 5-day-old infant boy is brought to the pediatrician'soffice by his mother for his first visit. He was born full-term via spontaneous vaginal delivery with no complications. His mother is concerned because she noticed that milk continually flows out his nose during feedings and she is worried that...
A 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point? 
a) Endometriosis b) Mittelschmerz c) Toxic shoc...
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Add to cartA 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point? 
a) Endometriosis b) Mittelschmerz c) Toxic shoc...
Impact of pediatric differences in the GI system: - Small stomach capacity - Increased peristalsis (everything runs through quickly, not uncommon for a bowel movement with each feeding) - Relaxed cardiac sphincter - Decreased enzymes (do not digest as well, especially proteins) - Distention from gas...
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Add to cartImpact of pediatric differences in the GI system: - Small stomach capacity - Increased peristalsis (everything runs through quickly, not uncommon for a bowel movement with each feeding) - Relaxed cardiac sphincter - Decreased enzymes (do not digest as well, especially proteins) - Distention from gas...
A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The pain suddenly subsides, and the child is able to play normally but still has a fever. Which potential complication is an immediate concern for this child? Sepsis 
A child is admitted to the hospital with right low...
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Add to cartA child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The pain suddenly subsides, and the child is able to play normally but still has a fever. Which potential complication is an immediate concern for this child? Sepsis 
A child is admitted to the hospital with right low...
What is the facial malformation (unilateral or bilateral) that develops in the embryonic period when the *maxillary & the median nasal process fail to fuse properly*? *cleft lip/palate* (started in the *6th week* of gestation & is completed around the *12th week* ---> so usually when a woman find...
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Add to cartWhat is the facial malformation (unilateral or bilateral) that develops in the embryonic period when the *maxillary & the median nasal process fail to fuse properly*? *cleft lip/palate* (started in the *6th week* of gestation & is completed around the *12th week* ---> so usually when a woman find...
Anatomy and Physiology of the Gastrointestinal System of Children -Mouth: highly vascular; entry point of infection -Esophagus: LES not fully developed until age 1, causing regurgitation -Stomach capacity: --Newborn only 10 to 20 mL --2-month-old infant 200 mL --16-year-old adolescent 1,500 mL Small...
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Add to cartAnatomy and Physiology of the Gastrointestinal System of Children -Mouth: highly vascular; entry point of infection -Esophagus: LES not fully developed until age 1, causing regurgitation -Stomach capacity: --Newborn only 10 to 20 mL --2-month-old infant 200 mL --16-year-old adolescent 1,500 mL Small...
The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is which of the following? 
a) Performing a suprapubic aspiration b) Placing an indwelling urinary catherter c) Placing a cotton ball in the underwear to catch urine d) Obtaining...
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Add to cartThe first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is which of the following? 
a) Performing a suprapubic aspiration b) Placing an indwelling urinary catherter c) Placing a cotton ball in the underwear to catch urine d) Obtaining...
Nutritional Disorders -When a child doesn't receive enough nutrients, body can't grow and develop appropriately -Failure to Thrive *on the growth chart they fall off *also can be due to neglect or pathophysiology (disease process) -Nursing care for promotion of adequate nutrition *Encourage breast...
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Add to cartNutritional Disorders -When a child doesn't receive enough nutrients, body can't grow and develop appropriately -Failure to Thrive *on the growth chart they fall off *also can be due to neglect or pathophysiology (disease process) -Nursing care for promotion of adequate nutrition *Encourage breast...
1 An 18-month-old client is brought in for a well-child visit. The parent reports feeling a lump to the right of the "bellybutton" during bathing. Initial assessments should include: (Select all that apply.) 1. Measuring weight and height. 2. Palpation of the area. 3. Routine urine testing. 4. Vit...
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Add to cart1 An 18-month-old client is brought in for a well-child visit. The parent reports feeling a lump to the right of the "bellybutton" during bathing. Initial assessments should include: (Select all that apply.) 1. Measuring weight and height. 2. Palpation of the area. 3. Routine urine testing. 4. Vit...
Normal urethra is one way which means.... not allowing retrograde of urine No reflux of urine 
Renal function is not completely mature until? 2 years old 
Define enuresis involuntary urinating ("wet the bed") inappropriate voiding of urine at least twice a week for 3 months in a child who is 5 yea...
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Add to cartNormal urethra is one way which means.... not allowing retrograde of urine No reflux of urine 
Renal function is not completely mature until? 2 years old 
Define enuresis involuntary urinating ("wet the bed") inappropriate voiding of urine at least twice a week for 3 months in a child who is 5 yea...
1. The nurse is reviewing the basic anatomy and physiology of the genitourinary system. e The nurse knows that the bladder capacity of a 3-year-old could be estimated to be approximately how much? 1. 1.5 oz. 2. 3 oz. 3. 4 oz. 4. 5 oz. 4. The capacity of the bladder can be estimated by adding 2 to th...
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Add to cart1. The nurse is reviewing the basic anatomy and physiology of the genitourinary system. e The nurse knows that the bladder capacity of a 3-year-old could be estimated to be approximately how much? 1. 1.5 oz. 2. 3 oz. 3. 4 oz. 4. 5 oz. 4. The capacity of the bladder can be estimated by adding 2 to th...
What is the most common cause of acute diarrhea in peds? Rotavirus most common cause 
What is the Most common cause of vomiting in childhood? acute viral gastroenteritis 
What is recurrent abdominal pain? experience abdominal pain or discomfort at least once per week for at least 2 months (ALARM sym...
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Add to cartWhat is the most common cause of acute diarrhea in peds? Rotavirus most common cause 
What is the Most common cause of vomiting in childhood? acute viral gastroenteritis 
What is recurrent abdominal pain? experience abdominal pain or discomfort at least once per week for at least 2 months (ALARM sym...
A child is receiving cyclosporine after a kidney transplant. The child's parents ask the nurse the reason for the cyclosporine. The nurse's response is based on the knowledge that the medication's purpose is to: 1 Decrease pain 2 Boost immunity 3 Suppress rejection 4 Improve circulation to the ki...
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Add to cartA child is receiving cyclosporine after a kidney transplant. The child's parents ask the nurse the reason for the cyclosporine. The nurse's response is based on the knowledge that the medication's purpose is to: 1 Decrease pain 2 Boost immunity 3 Suppress rejection 4 Improve circulation to the ki...
The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? Insisting the sexual partners use condoms. (PID is an STI; use of condoms prevents PID) 
In caring for a child with nephrotic s...
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Add to cartThe nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? Insisting the sexual partners use condoms. (PID is an STI; use of condoms prevents PID) 
In caring for a child with nephrotic s...
Total body water -Involves ICF (fluid within the cells) -Involves ECF (fluid outside the cells) 
ECF Intravascular Interstitial Transcellular Sodium is the chief solute in ECG and the primary determinant of ECG volume 
Water Balance -under normal conditions the amount of water ingested closely appro...
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Add to cartTotal body water -Involves ICF (fluid within the cells) -Involves ECF (fluid outside the cells) 
ECF Intravascular Interstitial Transcellular Sodium is the chief solute in ECG and the primary determinant of ECG volume 
Water Balance -under normal conditions the amount of water ingested closely appro...
Which condition is appropriate for a previously healthy 10 year old boy who is hospitalized for weight gain over the past several days, generalized edema, and irritability? Nephrotic syndrome - weigh gain over several days preceding presentation, generalized edema and irritability are associated wit...
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Add to cartWhich condition is appropriate for a previously healthy 10 year old boy who is hospitalized for weight gain over the past several days, generalized edema, and irritability? Nephrotic syndrome - weigh gain over several days preceding presentation, generalized edema and irritability are associated wit...
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