pediatric questions

The parents of a 2 year old are about topurchase a vaporizer for their child's room. What information described below is most important for the nurse to convey to the parents?
1. Vaporizers poise a risk of infection if not cleaned properly.
2. Steam vaporizers are ideal because they optimize the distribution of vapor.
3. Cool vaporizers should be used instead of steam to prevent burn injuries.
4. Cool vaporizers are ideal because they optimize the distribution of vapor.
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The parents of a 2 year old are about topurchase a vaporizer for their child's room. What information described below is most important for the nurse to convey to the parents?
1. Vaporizers poise a risk of infection if not cleaned properly.
2. Steam vaporizers are ideal because they optimize the distribution of vapor.
3. Cool vaporizers should be used instead of steam to prevent burn injuries.
4. Cool vaporizers are ideal because they optimize the distribution of vapor.
3
The nurse is caring for a 5 year old admitted with a head injury. Which of the following is the earliest sign of an increase in intracranial pressure?
1. Headache
2. Diplopia
3. Nausea
4. Change in the level of consciousness
4
Which of the following is the BEST position for a child who has a head injury?
1. Leftside
2. Semi-fowlers
3. Fowlers
4. supine
2.
The nurse is caring for a patient who is postop placement of a ventriculoperitoneal shunt on the left side of his head. How should this child be positioned postop?
1. Supine, Head of bed elevated 40 degrees.
2. Prone, Head of the bed flat.
3. Laterally on the left side, head of bed flat.
4. Laterally on the right side, head of bed flat.
4. Laterally on the right side, head of bed flat. Unoperative side to prevent pressure on the shunt, flat to prevent rapid reduction of intracranial fluid.
An eight year old diagnosed with conjunctivitis is preparing for discharge. Which statement, if made by his mother, would indicate the need for more teaching?
1. "His father and I will be careful to not share towels with him".
2. "He can return to school today as long as he receives his first dose of medication before returning to school."
3. "Warm compresses will lesson his discomfort."
4. "He cannot wear contacts until the infection clears".
2. "He can return to school today as long as he receives his first dose of medication before returning to school." Should be kept home form school or day care until antibiotic eye drops have been adm for 24 hrs.
Which of the following is the best method for administering ear drops to a 2 year old?
1. Position the child side-lying with the affected ear up, administer the drops directly into the ear.
2. Position the child prone, pull the pinna up and back.
3. Sit the child in the mother's lap, pull the pinna toward the back of the head.
4. Pull the pinna down and back.
1. Must reposition pinna
2.Up and back if older than 3 years
3. Close...must include "down"
4. correct
A 4 year old child and his mother have received discharge instructions post surgical placement of tympanoplasty tubes. Which statement below, if made by the mother, indicates that further teaching is necessary?
1. He must wear earplugs when I wash his hair.
2. He can go swimming this summer if he wears earplugs.
3. I have to be careful to not get water in his ears for the next 6 months.
4. He cannot swim on the bottom of the pool even with his earplugs in.
3. I have to be careful to not get water in his ears for the next 6 months. Careful of water in ears until tubes are no longer in place
What is the drug of choice for a child who has had a tonsillectomy and is experiencing a sore throat postop?
1. Advil
2. Aspirin
3. Codeine
4. Tylenol
4. avoid red liquid which stimulates the appearance of blood if the child vomits
The RN is caring for a child who is 4 hours postop tonsillectomy. Which of the following actions indicate that this nurse needs further review regarding the postop care of this type patient?
Select All that apply:
1. The child is positioned prone.
2. The child is allowed to drink cool milk.
3. The child is not allowed to use straws.
4. The child is allowed to drink room temperature cherry Kool-Aid.
5. The child's vital signs are assess every 4 hours asordered by the MD.
1. true, or side laying is ok
2. false, milk products coat the throat
3. true, no straws, forks, or sharp objects
4. false, red liquid
5. true, monitor for s/s of infection
35.Which of the following calls should the RN return first?
1. The parent describes the child's cough as "sounding like a seal".
2. The child is72 postop tonsillectomy and continues to refuse fluids because her "throat hurts".
3. The child has had an upper respiratory infection for 2 days and now has a temp of 101 degrees F. and is complaining of an earache.
4. The child has clear drainage from the left eye, the eye is red, and the child complains that it "itches".
1. indicative of inspiratory stridor ABC's