Senior Seminar Peds Quiz 4 | Q & A (Complete Solutions) The nurse is monitoring a child with burns during treatment for burn shock. Which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? 1. Skin Turgor 2. Level of edema at burn site 3. Adequacy of cap...
The nurse is monitoring a child with burns during treatment for burn shock. Which
assessment provides the most accurate guide to determine the adequacy of fluid
resuscitation?
1. Skin Turgor
2. Level of edema at burn site
3. Adequacy of capillary filling
4. Amount of fluid tolerated in 24 hours
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has
been scratching the skin continuously and has developed a rash. The nurse assesses
the child and suspects the presence of scabies. The nurse bases this suspicion on
which finding noted on assessment of the child's skin?
1. Fine grayish red lines
2. Purple-colored lesions
3. Thick, honey-colored crusts
4. Clusters of fluid-filled vesicles
Permethrin is prescribed for a child with a diagnosis of scabies. The nurse should give
which instruction to the parents regarding the use of this treatment?
1. Apply the lotion to areas of the rash only
2. Apply the lotion and leave it on for 6 hours
3. Avoid putting clothes on the child over the lotion
4. Apply the lotion to cool, dry skin at least 30 minutes after bathing
The school nurse has provided an instructional session about impetigo to parents of the
children attending the school. Which statement, if made by a parent, indicates a need
for further instruction?
1. "It is extremely contagious."
2. "It is most common in humid weather."
3. "Lesions most often are located on the arms and chest."
4. "It might show up in an area of broken skin, such as an insect bite."
The clinic nurse is reviewing the health care provider's prescription for a child who has
been diagnosed with scabies. Lindane has been prescribed for the child. The nurse
questions the prescription if which is noted in the child's record?
,1. The child is 18 months old
2. The child is being bottle-fed
3. A sibling is using Lindane for the treatment of scabies
4. The child has a history of frequent respiratory infections
A topical corticosteroid is prescribed by the HCP for a child with atopic dermatitis
(eczema). Which instruction should the nurse give the parent about applying the cream?
1. Apply the cream over the entire body
2. Apply a thick layer of cream to affected areas only
3. Avoid cleansing the area before application of the cream
4. Apply a thin layer of cream and rub it into the area thoroughly
The school nurse is performing pediculous capitis (head lice) assessments. Which
assessment finding indicates that a child has a "positive" head check?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline or neck
3. White flaky particles throughout the entire scalp region
4. White sacs attached to the hair shafts in the occipital area
The nurse analyzes the lab results of a child with hemophilia. The nurse understands
that which result will most likely be abnormal in this child?
The nurse is providing home care instructions to the parents of a 10-year-old child with
hemophilia. Which sport activity should the nurse suggest for this child?
1. Soccer
2. Basketball
3. Swimming
4. Field hockey
The nursing student is presenting a clinical conference and discusses the cause of b-
thalassemia. The nursing student informs the group that a child at greatest risk of
developing this disorder is which of these?
1. A child of Mexican descent
2. A child of Mediterranean descent
3. A child whose intake of iron is extremely poor
4. A breast-fed child of a mother with chronic anemia
, A child with b-thalassemia is receiving long-term blood transfusion therapy for the
treatment of the disorder. Chelation therapy is prescribed as a result of too much iron
from the transfusions. Which medication should the nurse anticipate to be prescribed?
The clinic nurse instructs parents of a child with sickle cell anemia about the
precipitating factors related to sickle cell crisis. Which, if identified by the parents as a
precipitating factor, indicates the need for further instruction?
A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The
nurse should prepare to administer which prescription?
1. Injection of factor X
2. IV infusion of iron
3. IV infusion of factor VIII
4. IM injection of iron using the Z-track method
The nurse is instructing the parents of a child with iron deficiency anemia regarding the
administration of a liquid oral iron supplement. Which instruction should the nurse tell
the parents?
1. Administer the iron at mealtimes
2. Administer the iron through a straw
3.Mix the iron with cereal to administer
4. Add the iron to formula for easy administration
Lab studies are performed for a child suspected to have iron deficiency anemia. The
nurse reviews the lab results, knowing that which result indicates this type of anemia?
1. Elevated Hgb level
2. Decreased reticulocyte count
3. Elevated RBC count
4. RBCs that are microcytic and hypochromic
The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor.
The nurse checks the head dressing for the presence of blood and notes a colorless
drainage on the back of the dressing. Which intervention should the nurse perform
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