Pediatric Emergency Nursing #5

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| By Louise

Louise

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Quizzes Created: 3 | Total Attempts: 3,664

Questions: 5 | Attempts: 1,994 | Updated: Mar 21, 2023

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Doctors are believed to be helpful in the society as they save lives through their work but the nurses are as important. The quiz below on pediatric emergency nursing #5 tests all there is to know on the subject.

Questions and Answers

1.

In infants with hydrocephalus, the early signs of ventricular shunt malfunction are:
- A.
  
  A high-pitched cry, colic, and pupillary changes
- B.
  
  A tense fontanelle, vomiting, and irritability.
- C.
  
  Anorexia, and changes in pulse and respiration.
- D.
  
  Headaches, lethargy, and a loss of appetite.
Correct Answer
B. A tense fontanelle, vomiting, and irritability.

Explanation
These symptoms show increased intracranial pressure. Changes in heart rate and respiration would be a late sign. The other choices are not indicative of ICP.

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2.

A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:
- A.
  
  A heart rate of 50 beats/min
- B.
  
  A temperature of 102o F (38.8o C).
- C.
  
  Complaints of leg pain.
- D.
  
  Rales and rhonchi by auscultation.
Correct Answer
D. Rales and rhonchi by auscultation.

Explanation
Pulmonary edema should be monitored for closely as in septic shock, fluids can third space and leak into the lungs causing hypoxia and respiratory distress. The pt should receive additional fluids less rapidly and the practitioner may choose to move on to vasopressor therapy.

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3.

Which initial question directed to the parent assists the pediatric nurse in obtaining a patient's health history?
- A.
  
  “Are your child's immunizations up to date?"
- B.
  
  “Is your child allergic to anything?"
- C.
  
  “What brings you here today?"
- D.
  
  “What is the child's problem?"
Correct Answer
C. “What brings you here today?"

Explanation
SAMPLE history starts out by asking about Signs and Symptoms, then Allergies, Medications, Past history, Last food or drink consumed and Events leading up to the illness or chief complaint. Asking why they are here will give the RN a broad idea which they may then focus on and get more specific information.

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4.

An adolescent, with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations confides, “I wish I could stay here in the hospital because every time that I go home, I get sick again!” The pediatric nurse's best response is:
- A.
  
  “I think that you should consider participating on a swim team to improve your pulmonary function."
- B.
  
  “Let's talk about preventing and managing your asthma on a daily basis at home."
- C.
  
  “Why don't I speak with your parents about what they are doing at home to help control your asthma?"
- D.
  
  “Your insurance company does not pay for any additional days of hospitalization that are not medically necessary."
Correct Answer
B. “Let's talk about preventing and managing your asthma on a daily basis at home."

Explanation
The goal with asthma should be to manage it at home to prevent future attacks. An asthma action plan should be developed while in the hospital, and continued by the patient and the doctor to avoid future exacerbations.

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1
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5.

After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric ED nurse informs the child's parents that:
- A.
  
  the reaction is severe enough that they should bring the child to an emergency department
- B.
  
  they should delay future immunizations until the child is seen by an allergist.
- C.
  
  this is a mild reaction, and teaches them how to manage it.
- D.
  
  this is an appropriate reaction, and instructs them to do nothing.
Correct Answer
C. this is a mild reaction, and teaches them how to manage it.

Explanation
A severe reaction would present as Anaphylaxis. An appropriate reaction would be mild warmth over the site. This reaction is moderate and can be managed with Tylenol and Benadryl.

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Current Version
Mar 21, 2023

Quiz Edited by
ProProfs Editorial Team
Mar 23, 2017

Quiz Created by
Louise

Pediatric Emergency Nursing #5

In infants with hydrocephalus, the early signs of ventricular shunt malfunction are:

A pediatric ED nurse, who is caring for a 12-year-old patient with septic shock, perceives a potential complication of fluid resuscitation upon noting:

Which initial question directed to the parent assists the pediatric nurse in obtaining a patient's health history?

An adolescent, with chronic asthma, who has been hospitalized several times during the winter with severe asthmatic exacerbations confides, “I wish I could stay here in the hospital because every time that I go home, I get sick again!” The pediatric nurse's best response is:

After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric ED nurse informs the child's parents that: