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Chapter 14 Pedi
Terms in this set (62)
A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth. What is the most appropriate nursing action?
a. Reassure the father that Visine is harmless.
b. Direct him to seek immediate medical treatment.
c. Recommend inducing vomiting with ipecac.
d. Advise him to dilute Visine by giving his daughter several glasses of water to drink.
Visine is a sympathomimetic and if ingested may cause serious consequences. Medical treatment is necessary. Inducing vomiting is no longer recommended for ingestions. Dilution will not decrease risk.
2. The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product?
c. Stupor, lethargy, and coma
d. Edema of the lips, tongue, and pharynx
Edema of the lips, tongue, and pharynx indicates a corrosive ingestion. Tinnitus is indicative of aspirin ingestion. Corrosives do not act on the central nervous system.
A young boy is found squirting lighter fluid into his mouth. His father calls the emergency department. The nurse taking the call should know that the primary danger is what?
a. Hepatic dysfunction
b. Dehydration secondary to vomiting
c. Esophageal stricture and shock
d. Bronchitis and chemical pneumonia
Lighter fluid is a hydrocarbon. The immediate danger is aspiration. Acetaminophen overdose, not hydrocarbons, causes hepatic dysfunction. Dehydration is not the primary danger. Esophageal stricture is a late or chronic consequence of hydrocarbon ingestion.
What is a clinical manifestation of acetaminophen poisoning?
b. Hepatic involvement
c. Severe burning pain in stomach
d. Drooling and inability to clear secretions
Hepatic involvement is the third stage of acetaminophen poisoning. Hyperpyrexia is a severe elevation in body temperature and is not related to acetaminophen poisoning. Acetaminophen does not cause burning pain in stomach and does not pose an airway threat.
An awake, alert 4-year-old child has just arrived at the emergency department after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in which manner?
a. Giving half of the solution and then repeating the other half in 1 hour
b. Mixing with a flavorful beverage in an opaque container with a straw
c. Serving it in a clear plastic cup so the child can see how much has been drunk
d. Administering it through a nasogastric tube because the child will not drink it because of the taste
Although activated charcoal can be mixed with a flavorful sugar-free beverage, it will be black and resemble mud. When it is served in an opaque container, the child will not have any preconceived ideas about its being distasteful. The ability to see the charcoal solution may affect the child's desire to drink the solution. The child should be encouraged to drink the solution all at once. The nasogastric tube would be traumatic. It should be used only in children who cannot be cooperative or those without a gag reflex.
What is a significant secondary prevention nursing activity for lead poisoning?
a. Chelation therapy
b. Screening children for blood lead levels
c. Removing lead-based paint from older homes
d. Questioning parents about ethnic remedies containing lead
Screening children for lead poisoning is an important secondary prevention activity. Screening does not prevent the initial exposure of the child to lead. It can lead to identification and treatment of children who are exposed. Chelation therapy is treatment, not prevention. Removing lead-based paints from older homes before children are affected is primary prevention. Questioning parents about ethnic remedies containing lead is part of the assessment to determine the potential source of lead.
What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?
a. Maintain bed rest.
b. Maintain isolation precautions.
c. Keep an accurate record of intake and output.
d. Institute measures to prevent skeletal fracture.
The iron chelates are excreted though the kidneys. Adequate hydration is essential. Periodic measurement of renal function is done. Bed rest is not necessary. Often the chelation therapy is done on an outpatient basis. Chelation therapy is not infectious or dangerous. Isolation is not indicated. Skeletal weakness does not result from high levels of lead.
What is the most common form of child maltreatment?
a. Sexual abuse
b. Child neglect
c. Physical abuse
d. Emotional abuse
Child neglect, which is characterized by the failure to provide for the child's basic needs, is the most common form of child maltreatment. Sexual abuse, physical abuse, and emotional abuse are individually not as common as neglect.
A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?
a. Monitoring the parents whenever they are with the child
b. Reassuring the parents that the cause of the disorder will be found
c. Teaching the parents how to obtain necessary specimens
d. Supporting the parents as they cope with diagnosis of a chronic illness
MSBP refers to an illness that one person fabricates or induces in another. The child must be continuously observed for development of symptoms to determine the cause. MSBP is caused by an individual harming the child for the purpose of gaining attention. Nursing staff should obtain all specimens for analyzing. This minimizes the possibility of the abuser contaminating the sample. The child must be supported through the diagnosis of MSBP. The abuser must be identified and the child protected from that individual.
When only one child is abused in a family, the abuse is usually a result of what?
a. The child is the firstborn.
b. The child is the same gender as the abusing parent.
c. The parent abuses the child to avoid showing favoritism.
d. The parent is unable to deal with the child's behavioral style.
The child unintentionally contributes to the abuse. The "fit" or compatibility between the child's temperament and the parent's ability to deal with that behavior style is an important predictor. Birth order and gender can contribute to abuse, but there is not a specific birth order or gender relationship that is indicative of abuse. Being the firstborn or the same gender as the abuser is not linked to child abuse. Avoidance of favoritism is not usually a cause of abuse.
The parents of a 7-year-old boy tell the nurse that lately he has been cruel to their family pets and actually caused physical harm. The nurse's recommendation should be based on remembering what?
a. This is an expected behavior at this age.
b. This is a warning sign of a serious problem.
c. This is harmless venting of anger and frustration.
d. This is common in children who are physically abused.
Cruelty to family pets is not an expected behavior. Hurting animals can be one of the earliest symptoms of a conduct disorder. Abusing animals does not dissipate violent emotions; rather, the acts may fuel the abusive behaviors. Referral for evaluation is essential. This behavior may be seen in emotional abuse or neglect, not physical abuse
A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect?
a. Unintentional injury
b. Shaken baby syndrome
c. Congenital neurologic problem
d. Sudden infant death syndrome (SIDS)
Shaken baby syndrome causes internal bleeding but may have no external signs. Unintentional injury would not cause these injuries. With unintentional injuries, external signs are usually present. Congenital neurologic problems would usually have signs of abnormal neurologic anatomy. SIDS does not usually have identifiable injuries.
What statement is correct about young children who report sexual abuse?
a. They may exhibit various behavioral manifestations.
b. In more than half the cases, the child has fabricated the story.
c. Their stories should not be believed unless other evidence is apparent.
d. They should be able to retell the story the same way to another person.
Victims of sexual abuse have no typical profile. The child may exhibit various behavioral manifestations, none of which is diagnostic for sexual abuse. When children report potentially sexually abusive experiences, their reports need to be taken seriously. Other children in the household also need to be evaluated. In children who are sexually abused, it is often difficult to identify other evidence. In one study, approximately 96% of children who were sexually abused had normal genital and anal findings. The ability to retell the story is partly dependent on the child's cognitive level. Children who repeatedly tell identical stories may have been
What is probably the most important criterion on which to base the decision to report suspected child abuse?
a. Inappropriate response of child
b. Inappropriate parental concern for the degree of injury
c. Absence of parents for questioning about child's injuries
d. Incompatibility between the history and injury observed
Conflicting stories about the "accident" are the most indicative red flags of abuse. The child or caregiver may have an inappropriate response, but this is subjective. Parents should be questioned at some point during the investigation.
The nurse is caring for a child with suspected ingestion of some type of poison. What action should the nurse take next after initiating cardiopulmonary resuscitation (CPR)?
a. Empty the mouth of pills, plants, or other material.
b. Question the victim and witness.
c. Place the child in a side-lying position.
d. Call poison control.
Emptying the mouth of any leftover pills, plants, or other ingested material is the next step after assessment and initiation of CPR if needed. Questioning the victim and witnesses, calling poison control, and placing the child in a side-lying position are follow-up steps.
The nurse is teaching parents of a preschool child strategies to implement when the child delays going to bed. What strategy should the nurse recommend?
a. Use consistent bedtime rituals.
b. Give in to attention-seeking behavior.
c. Take the child into the parent's bed for an hour.
d. Allow the child to stay up past the decided bedtime.
For children who delay going to bed, a recommended approach involves a consistent bedtime ritual and emphasizing the normalcy of this type of behavior in young children. Parents should ignore attention-seeking behavior, and the child should not be taken into the parents' bed or allowed to stay up past a reasonable hour.
A child with acetaminophen (Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?
a. Carnitine (Carnitor)
b. Fomepizole (Antizol)
c. Deferoxamine (Desferal)
d. N-acetylcysteine (Mucomyst)
The antidote for acetaminophen (Tylenol) poisoning is N-acetylcysteine (Mucomyst). Carnitine (Carnitor) is an antidote for valproic acid (Depakote), fomepizole (Antizol) is the antidote for methanol poisoning, and deferoxamine (Desferal) is the antidote for iron poisoning.
A child with diazepam (Valium) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed?
a. Succimer (Chemet)
b. EDTA (Versenate)
c. Flumazenil (Romazicon)
d. Octreotide acetate (Sandostatin)
The antidote for diazepam (Valium) poisoning is flumazenil (Romazicon). Succimer (Chemet) and EDTA (Versenate) are antidotes for heavy metal poisoning. Octreotide acetate (Sandostatin) is an antidote for sulfonylurea poisoning.
A child is admitted to the hospital with lesions on his abdomen that appear like cigarette burns. What should accurate documentation by the nurse include?
a. Two unhealed lesions are on the child's abdomen.
b. Two round 4-mm lesions are on the child's lower abdomen.
c. Two round symmetrical lesions are on the child's lower abdomen.
d. Two round lesions on the child's abdomen that appear to be cigarette burns.
Burn documentation should include the location, pattern, demarcation lines, and presence of eschar or blisters. The option that includes the size of the lesions is the most accurate.
What do inflicted immersion burns often appear as?
a. Partial-thickness, asymmetrical burns
b. Splash pattern burns on hands or feet
c. Any splash burn with dry linear marks
d. Sharply demarcated, symmetrical burns
Immersion burns are sharply demarcated symmetrical burns. Asymmetrical burns and splash burns are often accidental.
A child has been admitted to the hospital with a blood lead level of 72 mcg/dL. What treatment should the nurse anticipate?
a. Referral to social services
b. Initiation of chelation therapy
c. Follow-up testing within 1 month
d. Aggressive environmental intervention
Severe lead toxicity (lead level ?5=70 mcg/dL) requires immediate inpatient chelation treatment. Referral to social service and follow-up in 1 month are prescribed for lead levels of 15 to 19 mcg/dL. Aggressive environmental intervention would be initiated after chelation treatments.
The nurse is teaching parents of preschoolers about plants that are poisonous. What plant should the nurse include in the teaching session?
c. Boston fern
d. Asparagus fern
All parts of the azalea are poisonous. Begonias, Boston ferns, and asparagus ferns are nonpoisonous plants.
A child with corrosive poisoning is being admitted to the emergency department. What clinical manifestation does the nurse expect to assess on this child?
a. Nausea and vomiting
b. Alterations in sensorium, such as lethargy
c. Severe burning pain in the mouth, throat, and stomach
d. Respiratory symptoms of acute pulmonary involvement
Severe burning pain in the mouth, throat, and stomach is a clinical manifestation of corrosive poisoning. Nausea and vomiting; alterations in sensorium, such as lethargy; and respiratory symptoms of acute pulmonary involvement are clinical manifestations of hydrocarbon poisoning.
A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?
An early clinical manifestation of acetylsalicylic acid (aspirin) poisoning is hyperventilation. Hematemesis, hematochezia, and hyperglycemia are clinical manifestations of iron poisoning.
A child with cyanide poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed for the child?
c. Amyl nitrate
d. Naloxone (Narcan)
Amyl nitrate is the antidote for cyanide poisoning. Atropine is an antidote for organophosphate poisoning, glucagon is an antidote for a beta-blocker poisoning, and naloxone (Narcan) is an antidote for an opioid poisoning.
The nurse is teaching parents of preschool children consequences of inadequate sleep. What should the nurse include in the teaching session? (Select all that apply.)
a. Behavior changes
b. Increased appetite
c. Difficulty concentrating
d. Poor control of emotions
e. Impaired learning ability
ANS: A, C, D, E
Consequences of inadequate sleep include daytime tiredness, behavior changes, hyperactivity, difficulty concentrating, impaired learning ability, poor control of emotions and impulses, and strain on family relationships. Increased appetite is not a consequence of inadequate sleep.
The nurse is administering activated charcoal to a preschool child with acetaminophen (Tylenol) poisoning. What potential complications from the use of activated charcoal should the nurse plan to assess for? (Select all that apply.)
c. Fluid retention
d. Intestinal obstruction
ANS: B, D
Potential complications from the use of activated charcoal include vomiting and possible aspiration, constipation, and intestinal obstruction. Diarrhea and fluid retention are not potential complications of activated charcoal administration.
What can the nurse suggest to families to reduce blood lead levels? (Select all that apply.)
a. Do not store food in open cans.
b. Ensure the child eats regular meals.
c. Mix formula with hot water from the tap.
d. Vacuum hard-surfaced floors and window wells.
e. Wash and dry the child's hands and face frequently.
ANS: A, B, E
To reduce blood lead levels, the family should ensure the child eats regular meals because more lead is absorbed on an empty stomach. The child's hands and face should be washed and dried frequently, especially before eating. Food should not be stored in open cans, particularly if cans are imported. Hot water dissolves lead more quickly than cold water and thus contains higher levels of lead. Hot water should not be used to mix formula. Hard-surfaced floors or window sills or wells should not be vacuumed because this spreads dust.
What are symptoms of abusive head trauma (AHT) in the more severe form that may be present? (Select all that apply.)
e. Altered level of consciousness
ANS: A, B, E
In more severe forms, presenting symptoms of abusive head trauma may include seizures, posturing, alterations in level of consciousness, apnea, bradycardia, or death.
The nurse is teaching parents of preschool-aged children strategies to prevent sexual abuse. What should the nurse include in the teaching session? (Select all that apply.)
a. Back up a child's right to say no.
b. Don't take what your child says too seriously.
c. Take a second look at signals of potential danger.
d. Don't be too detailed about examples of sexual assault.
e. Remind children that even "nice" people sometimes do mean things.
ANS: A, C, E
To provide protection and preparation from sexual abuse, parents should back up a child's right to say no, take a second look at signals of potential danger, and remind children that even "nice" people sometimes do mean things. Parents should take what children say seriously and they should give specific definitions and examples of sexual assault.
A parent asks the nurse about the "characteristics of a nightmare." What response should the nurse give to the parent? (Select all that apply.)
a. Nightmares are scary dreams.
b. The child can describe the nightmare.
c. The child is reassured by your presence.
d. Nightmares occur usually 1 to 4 hours after falling asleep.
e. Nightmares take place during non-rapid eye movement sleep
ANS: A, B, C
Nightmares are scary dreams, the child can describe the nightmare, and the child is reassured by a parent's presence. Sleep terrors occur usually 1 to 4 hours after falling asleep, but nightmares occur in the second half of sleep. Sleep terrors occur during non-rapid eye movement sleep, but nightmares occur during rapid eye movement sleep.
A parent asks the nurse about the "characteristics of a sleep terror." What response should the nurse give to the parent? (Select all that apply.)
a. The child screams during the sleep terror.
b. Return to sleep is delayed because of persistent fear.
c. The night terror occurs during the second half of night.
d. The child has no memory of the dream with a sleep terror.
e. The child is not aware of another's presence during a sleep terror.
ANS: A, D, E
During sleep terrors, the child screams and has no memory of the dream. The child is not aware of another's presence during a sleep terror. Return to sleep is usually rapid with a sleep terror, but it is delayed with a nightmare. The sleep terror occurs usually within 1 to 4 hours of sleep, but nightmares occur during the second half of night.
What are classified as hydrocarbon poisons? (Select all that apply.)
d. Lighter fluid
e. Oven cleaners
ANS: B, C, D
Gasoline, turpentine, and lighter fluid are classified as hydrocarbon poisons. Bleach and oven cleaners are classified as corrosive poisons.
What identified characteristics occur more frequently in parents who abuse their children? (Select all that apply.)
a. Older parents
b. Socially isolated
c. Middle class parents
d. Single-parent families
e. Few supportive relationships
ANS: B, D, E
Abusive families are often socially isolated and have few supportive relationships. Single-parent families are at higher risk for abuse. Younger parents more often are abusers of their children. Abusive parents have stressors such as low-income circumstances, with little education, and are not middle class parents.
What are classified as corrosive poisons? (Select all that apply.)
b. Paint thinner
c. Drain cleaners
d. Mineral seed oil
e. Mildew remover
ANS: A, C, E
Batteries, drain cleaners, and mildew removers are classified as corrosive poisons. Paint thinner and mineral seed oil are classified as hydrocarbon poisons.
Which one of the following does not contribute to sleep disturbances during preschool years
A. Evening media use
B. A consistent bedtime routines
C. limit setting
D. nighttime fears
Janie, age 3, has an adequate sleep patterns. The nurse, and preparing the care plan, recognizes seven consequences associated with an adequate sleep. List them.
6.strain on family relationships
7.Poor control of emotion and impulses
The nurse will conduct an assessment of sleep patterns of Janie and found that Janie delays going to bed each night. Which of the following interventions does the nurse recognize as least helpful.
A. Consistent bedtime ritual, like reading a book before bedtime
B. Not allowing the child to stay up past a reasonable hour
C. Keeping a light on in the room
D. Taking the child into parents bit
Reduction of poisonings in children and infants can be accomplished by:
A. Use of child resistant containers
B. Educating parents and grandparents to place products out of reach of small children
C. Educating parents to relocate plants out of reach of infants, toddlers, and small children
D. All of the above
Ingestion of injuries agents by children:
A. Occurs most frequently a grandparents or friends home
B. Occurs because infants and toddlers explore the environment through oral experimentation
C. Has increased despite the use of child resistant containers
D. Can be avoided by teaching preschoolers which substances are dangerous
The first action parents should be taught to initiate in a poisoning is to:
A. Induce vomiting
B. Take the child to the family physician's office or emergency center
C. Call the poison control center
D. Follow the instructions on the label of the product
Gastric lavage for pediatric poison ingestion:
A. can be associated with serious complications of gastrointestinal perforation, hypotension, and aspiration
B. is recommended in the emergency department fall cases of ingestion
C. Has been proven to decrease morbidity
D. is most useful when the child comes to the emergency department within three hours of ingestion of toxic.
Identify the general guidelines for emergency treatment of poisoning
Assess the victim
Terminate exposure to the poison
Identify the poison
Call poison control center for immediate advice
Which of the following statements about IPECAC use for poisonous substance ingestion is true?
A. IPECAC Helps to absorb the toxin
B. Ipecac is no longer recommended for routine home treatment for poisons
C. Ipecac is useful when a corrosive substance has been ingested
D. Ipecac is useful when a overdose of a calcium channel blocker has been ingested
Which one of the following actions taken by the nurse is least likely to prevent reoccurrence of poisonings?
A. In the emergency department, begin a discussion of ways to injury proof the home
B. Do a home visit to assess safety before the chalice discharge
C. Administer questionnaire for poison prevention to the parents when the chalice discharged
D. advise parents to Neil down to the child's level when determining what products need to be placed out of reach
The nurse expects to assist with administration of a specific antidote for poisoning in which one of the following pediatric patients?
A. the eight month old child admitted to the ER after eating 8 or 10 holly berries.
B. the 13-year-old girl who ingested an overdose of diazepam
C. The eight-year-old child who ingested three of his mother's birth control pills
D. The six-year-old child who ingested an overdose of an un-identified corrosive substance
Which of the following is the causative agent for erythema infectiosum (fifth disease)?
A. Paramyxovirus organisms
B. Human parvovirus B19
C. Human herpesvirus type 6
D. roup A α-hemolytic streptococci
B. The human parvovirus B19 is the causative agent. Mumps is caused by paramyxovirus organisms. The human herpesvirus type 6 is the virus responsible for exanthema subitum (roseola). Group A α-hemolytic streptococci infection causes scarlet fever.
Which of the following is an important consideration when the nurse is discussing enuresis with the parents of a young child?
A. Enuresis is more common in girls than boys.
B. Enuresis is neither inherited nor has a familial tendency.
C. Psychogenic factors that cause enuresis persist into
D. The child should be encouraged to take charge of
D. Because any treatment involves and requires the child's active participation, the child is in charge of the interventions, and the parents should learn to support the child rather than intervene. Enuresis is more common in boys than in girls, and it has a strong family tendency. Psychogenic factors may influence enuresis, but it is doubtful that they are causative.
A mother calls the school nurse saying that her daughter has developed school phobia. She has been out of school for 3 days. The nurse's recommendations should include which of the following?
A. Immediately return the child to school.
B. Determine the cause of the phobia before returning the child to school.
C. Explain to the child that this is the last day she can stay home.
D. Seek professional counseling before forcing the child to return to school. Incorrect
A. The primary goal is to return the child to school. Parents must be convinced gently, but firmly, that immediate return is essential and that it is their responsibility to insist on school attendance. The longer the child is permitted to stay out of school, the more difficult it will be for the child to reenter. This will only delay the return to school and inhibit the child's ability to cope. Professional counseling is recommended if the problem persists, but the child's return to school should not wait for the counseling.
Which of the following is a characteristic of children with depression?
A. Increased range of affective response
B. Preoccupation with the need to perform well in school
c. Change in appetite, resulting in weight loss or gain
D. Tendency to prefer play to schoolwork
C. Physiologic characteristics of children with depression include a change in appetite resulting in weight loss or gain, nonspecific complaints of not feeling well, alterations in sleeping pattern (insomnia or hypersomnia), and constipation. Children who are depressed have sad facial expressions with an absence or diminished range of affective response. Children who are depressed lack interest in doing homework or achieving in school, resulting in lower grades. These children withdraw from previously enjoyed activities and engage in solitary play or work. Schoolwork is not replaced by play.
The nurse is assessing a child with herpetic gingivostomatitis. In determining whether to wear gloves, the nurse bases the decision on which of the following?
A. This virus easily enters breaks in the skin. Correct
B. Gloves are always worn at the discretion of the nurse.
C. The lesions do not contain the virus, so gloves are not needed.
D. Herpes simplex is difficult to spread, minimizing the need for gloves.
A. The herpes simplex virus is highly contagious and can easily enter breaks in the skin of the hands. Although the nurse can decide not to wear gloves, this is a violation of universal precautions because contact with the oral mucosa may take place. Herpetic gingivostomatitis is present in the lesions and is easily spread.
A young child is being treated for giardiasis. Which of the following should the nurse recommend to the child's parent?
A. The child can swim in a pool if wearing diapers.
B. The parasite is difficult to transmit, so no special precautions are indicated.
C. Handwashing will be important to prevent transmission to other family members.
D. Be sure to withhold fluids to prevent further diarrhea episodes.
C. Proper handwashing technique is important to prevent transmission of the parasite to other family members. If a child with giardiasis is in a pool, contamination of the entire pool is a possibility. Treatment may be indicated for up to 1 month to treat parasites that have hatched since treatment began. It is imperative to promote fluid intake to prevent dehydration in the child, so withholding fluids is not an appropriate recommendation.
What is the first step in the emergency treatment of poisoning in a child?
A. Locate the poison.
B. Assess the child.
C. Prevent absorption of the poison.
D. Terminate exposure to the toxic substance.
B. The initial step in treating a poisoning is to assess the child. Then treat immediate life-threatening conditions and initiate cardiopulmonary resuscitation if indicated. Locating the poison, preventing absorption of the poison, and terminating exposure to the toxic substance are important but none of these is the first step.
A 7-year-old child has ingested a toxic dose of iron. The parent reports that the child vomited and had gastric pain an hour ago but "feels fine" now. The parent is not sure when the child ingested the iron tablets. The nurse should recommend which of the following?
A. Administer activated charcoal.
B. Observe the child closely for 2 more hours.
C. Bring the child to the hospital immediately.
D. Administer ipecac to induce vomiting if the child does not vomit again within 1 hour.
C . The critical period for observation after the ingestion of iron is 30 minutes to 6 hours. The child has had gastric pain, which may be symptomatic of toxicity, and needs to be monitored and possibly receive medical intervention. Although activated charcoal may be necessary, evaluation is indicated first. The child needs to be evaluated immediately. Ipecac is not recommended after the ingestion of toxic substances.
Which of the following is the most frequent source of symptomatic lead poisoning in children?
A. Folk remedies
B. Lead-based paint
C. Unglazed pottery
D. Cigarette butts and ashes
B. Lead-based paint in houses built before 1978 is the most frequent source of lead poisoning. Some folk remedies and unglazed pottery may contain lead, but they are not the most frequent source. Cigarette butts and ashes do not contain lead.
Which of the following is descriptive of a parent who is an abuser?
A. Usually has a good support system
B. Is usually well educated
C. Is likely a single parent or from a young parent family
D. Often has good knowledge of parenting skills
C. Younger parents and single parents are at higher risk to be abusers. Abusive families are often socially isolated and have few support systems. They often have additional stressors such as low-income circumstances and little education.
A common characteristic of those who sexually abuse children is which of the following?
A. Pressure victim into secrecy
B. Are usually unemployed and unmarried
C. Are unknown to victims and victims' families
D. Have many victims that are each abused only once
A. Sex offenders may pressure the victim into secrecy, referring to the activity as a "secret between us" that other people may take away if they find out. The offender may be anyone, from a family member to a stranger at any level of society. Sex offenders are usually trusted acquaintances of the victims and victims' families. Many victims are abused many times over a long period.
A.is odorless, tasteless, and delivered with fewer complications via gastric lavage.
B. stimulates the gastric mucosa
C. is often mixed with diet soda and served through a straw from opaque container
D. has a bitter taste
Potential cause of heavy metal poisoning in children include ______________, ______________, and_______________.
Lead; Mercury; and Iron
The nurse, while conducting a home visit finds the mother of a four-year-old Nathan is using a mercury thermometer to take his axillary temperature. Which one of the following is the best intervention for the nurse at this time?
A. Tell the mother to stop using the mercury thermometer because if the Mercury is ingested it can cause mercury toxicity
B. Explained to the mother that mercury poisoning can cause acrodynia
C. Explained to the mother that mercury thermometers are no longer recommended and that if broken the inhale vapors can cause toxicity
D. Reassure the mother that as long as the mercury thermometer is not broken is okay to continue to use
On routine physical examination, two-year-old Zach is found to have a elevated blood lead level. The most likely cause for this finding is:
A. Zach is allowed to play with the local sandbox at the park
B. Zach lives in a house built in 1980
C Zach is Fayette from pottery that the family brought in Mexico
D. Zach father is an artist and works at home
The nurses to give an injection of chelation drug calcium DIsodium edentate. Which of the following does the nurse recognize as the most appropriate?
A. Keeping the chow NPO for 24 hours after administration of drug
B. Mixing the drug with procaine to lessen the pain associated with the injection
C. Maintaining seizure precautions at the bedside
D. Making certain the patient has no peanut allergy before injection
THIS SET IS OFTEN IN FOLDERS WITH...
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