Pediatrics Final Exam WITH COMPLETESOLUTION 2024/25 UPDATE
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Course
Pediatric nursing
Institution
Pediatric Nursing
key topics covered in a Pediatrics Final Exam include:
Normal newborn assessment, such as evaluating birth length, weight, tooth eruption, and other developmental milestones 1
Assessing activity tolerance and identification of iron deficiency anemia in infants 2
Thermoregulation in newborns 3...
Pediatrics Final Exam WITH
COMPLETE SOLUTION 2023/24
UPDATE
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Pediatrics Final Exam WITH COMPLETE
SOLUTION 2023/24 UPDATE
An emergency department nurse prepares to treat a child with acetaminophen
(Tylenol) overdose. The nurse reviews the physicians orders, expecting that which
of the following will be prescribed?
a. protamine sulfate.
b. succimer (chemet).
c. acetylcysteine (mucomyst).
d. vitamin K (aquaMEPHYTON) - CORRECT ANSWER c. acetylcysteine (mucomyst)
- Rationale: Acetylcysteine is the antidote for acetaminophen overdose. It is
administered orally or via nasogastric tube in a diluted form with water, juice or
soda. It can also be administered intravenously. Vitamin K is the antidote for
warfarin; protamine sulfate is the antidote for heparin; succimer is used in the
treatment of lead poisoning.
A mother arrives at the emergency department with her child, stating that she
just found the child sitting on the floor next to an empty bottle of aspirin. On
assessment, the nurse notes that the child is drowsy but conscious. The nurse
anticipates that the physician will prescribe which of the following?
a. ipecac syrup.
b. activated charcoal.
c. magnesium citrate.
d. magnesium sulfate. - CORRECT ANSWER b. activated charcoal.
- Rationale: Where as ipecac is administered to induce vomiting in certain
poisoning situations, it is not recommended as the initial treatment in the hospital
setting for ingestion of salicylates. This is because ipecac does not totally remove
the poison from the child's system. In this situation, the child is conscious and the
ingested substance (aspirin) would not damage the esophagus or lungs from
vomiting. However, activated charcoal would be prescribed as an antidote in this
poisoning situation, because its action is to absorb ingested toxic substances and
thus decrease absorption. Options C and D are unrelated to treatment for this
occurrence.
A female child, age 2, is brought to the emergency department after ingesting an
unknown number of aspirin tablets about 30 minutes earlier. On entering the
examination room, the child is crying and clinging to the mother. Which data
should the nurse obtain first?
a. Heart rate, respiratory rate and blood pressure.
1
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