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PEDS QUIZZES 2

Terms in this set (35)

Solid tumors include everything except blood cancers.
True
Your 3 year old patient with leukemia is preparing for discharge. Which symptom would be most concerning?
Low grade fever
Your 14 year old patient is admitted with sickle cell crisis. Which statement indicates she understands her diagnosis?
The stress of traveling on a plane may have brought this on
Which of the following are chemo precautions?
Covering the toilet prior to flushing
Flushing the toilet twice
Gloving for changing damp linen
Rotationoplasty is s potential treatment for which type of cancer?
Osteosarcoma
What blood flow pattern occurs in an Atrioventricular Septal Defect?
Increased pulmonary blood flow
Name the congenital heart defect labeled as "4" in the above image.
Patent Ductus Arteriosus
Which goals are appropriate for a child in heart failure? Select all that apply.
Improved cardiac function
Removal of extra fluid and sodium
Improved tissue oxygenation
The nurse cares for a 1-week old infant with Tetralogy of Fallot. Which assessment supports this diagnosis?
Cyanosis when crying
A 6-week-old infant is hospitalized following cardiac catheterization. Which of the following are abnormal assessment findings? Select all that apply.
Weakened pulses below catheterization site
Bleeding from catheterization site
Pain not controlled with paid medications
You are caring for a 9-month-old child who weighs 10.5 kg.

The health care provider orders amoxicillin (400 mg/ 5mL) - 450 mg twice daily for an ear infection.

The safe dose range for amoxicillin is 80-90 mg/kg/ day.



Calculate the mg/ kg/ day that the patient is ordered to receive. Round to the nearest whole number.

Enter just the number for your answer.
Ordered: 86

450 mg X 2 (twice daily) = 900 mg
900 mg / 10.5 kg = 85.71 mg/ kg/ day
You are caring for a 9-month-old child who weighs 10.5 kg.

The health care provider orders amoxicillin (400 mg/ 5mL) - 450 mg twice daily for an ear infection.

The safe dose range for amoxicillin is 80-90 mg/kg/ day.

What is the safe LOW dose range for this child? Round to the nearest whole number.

Enter just the number as your answer.
Low dose safe: 420

80 mg X 10.5 kg = 840 mg/kg
840 mg/kg divided by 2 (twice daily) = 420 mg/dose
You are caring for a 9-month-old child who weighs 10.5 kg.

The health care provider orders amoxicillin (400 mg/ 5mL) - 450 mg twice daily for an ear infection.

The safe dose range for amoxicillin is 80-90 mg/kg/ day.

What is the safe HIGH dose range for this child? Round to the nearest whole number.

Enter just the number as your answer.
High dose safe: 473

90 mg X 10.5 kg = 945 mg/day
945 / 2 (dose daily) = 472.5 mg / dose
You are caring for a 9-month-old child who weighs 10.5 kg.

The health care provider orders amoxicillin (400 mg/ 5mL) - 450 mg twice daily for an ear infection.

The safe dose range for amoxicillin is 80-90 mg/kg/ day.

How many mL would nurse prepare to administer 450 mg? Round to the nearest tenth.

Enter just the number as your answer.
5.6 ml

400mg in 5mL = 80 mg/ml
450mg / 80mg = 5.62ml
You are caring for a 9-month-old child who weighs 10.5 kg.

The health care provider orders amoxicillin (400 mg/ 5mL) - 450 mg twice daily for an ear infection.

The safe dose range for amoxicillin is 80-90 mg/kg/ day.

Is it safe to administer this dose?
Yes
The nurse educates parents of a 5-year-old about factors that increase the risk of urinary tract infections. Which factors are important to include?
Wiping from back to front
Constipation
Urinary stasis
The nurse performs an admission assessment on a 4-year-old child who is hospitalized with nephrotic syndrome. Which assessment supports this diagnosis?
Periorbital edema
Which diet is the most appropriate for a child with chronic renal failure?
Low phosphorus
The parents of a healthy 4-year-old child are concerned that their child still wets the bed. Which advice should the nurse provide to the parents?
"It is common for preschool-aged children to wet the bed."
Hypertension in children is often related to kidney disease.
True
You are caring for a teen who has been seizure free for 3 years. The plan is to wean medication. Which behavior is not essential for safety during this weaning period?
Wear a helmet if driving alone
Which of the following are included in seizure first aid?
Clear away anything hard or sharp.
Turn the person gently onto one side.
Check for a medic alert bracelet
Comfort the person and speak calmly
Call 911 if seizure lasts longer than 5 minutes.
More than one seizure results in a diagnosis of epilepsy.
True
Which of the following statements indicates further teaching is needed about absence seizure:
My child will fall suddenly to the ground
In describing cerebral palsy (CP) which of the following statements would be incorrect.
Progressive movement and balance disorder
Jackson is an 8-year old boy with a New Diagnosis of Type I Diabetes.

Target Blood Sugar = 100
Correction Factor = 30
Insulin: Carb Ratio = 8
His breakfast tray includes the following items:

Scrambled eggs & cheddar cheese = 5 grams
Bacon = 1 gram
White toast = 12 grams
Strawberries = 10 grams
Whole milk = 13 grams
Blood glucose = 171 mg/ dL

Calculate the dose of insulin to be administered. Round down to the nearest 0.5 Unit and include the term "Units" in your answer.
7 units

Correction dose = (171-100)/ 30 = 2.367
Coverage dose = 41/8 = 5.125
Total dose = 7.492
Give = 7 Units
Sienna is a 4-year old girl with a New Diagnosis of Type I Diabetes.

Target Blood Sugar = 100
Correction Factor = 35
Insulin: Carb Ratio = 12


Her grandparents are visiting and bring her the following for lunch:

Macaroni and Cheese = 40 grams
Chocolate milk = 25 grams
Oreo Cookie = 8 grams


Calculate the dose of insulin to be administered. Round down to the nearest 0.5 Unit and include the term "Units" in your answer.

Pre-meal blood glucose = 201 mg/ dL
8.5 units

Correction dose = (201-100)/ 35 = 2.886
Coverage dose = 73/12 = 6.083
Total = 8.969
Give = 8.5 Units
Sarah is a 13-year old girl with Type I Diabetes.

Target Blood Sugar = 100
Correction Factor = 25
Insulin: Carb Ratio = 10


Sarah really wants to eat some popcorn while she watches a movie around 2:00 PM.

-Microwave popcorn = 22 grams


Sarah received a correction dose of insulin before lunch 2 hours ago for a blood glucose = 158 mg/ dL



Calculate the dose of insulin to be administered. Round down to the nearest 0.5 Unit and include the term "Units" in your answer.
2 units

Correction dose = NONE - she got a correction dose < 3 hours ago
Coverage dose = 22/10 = 2.2
Total = 2.2
Give = 2 Units
Jack is a 15-year old boy with Type I Diabetes.

Target Blood Sugar (nighttime) = 200
Correction Factor = 28
Insulin: Carb Ratio = 12


It is almost midnight and Jack is ready to go to bed - he has a snack before bed:

String cheese = 1 gram
Sugar free Jello = 0 grams
Pre-bedtime blood glucose = 254 mg/ dL

It has been > 3 hours since Jack has received a dose of insulin and his snack is <5 carbs so does not require coverage.

Calculate the dose of insulin to be administered. Round down to the nearest 0.5 Unit and include the term "Units" in your answer.
1.5 units

Correction dose = (254-200)/ 28 = 1.929
Coverage dose = NONE - snack < 5 carbs = no coverage needed
Total = 1.929
Give = 1.5 Units
You are caring for a 13 year old male child with type 1 diabetes. How much insulin should the nurse administer before his lunch?

His current blood sugar is 178mg/dL

Target Blood Sugar = 100mg/dL

Correction factor = 25

Insulin: Carbohydrate ratio 1:10

Carbs to be eaten at lunch:

Turkey sandwich = 30 grams

Whole milk = 13 grams

Strawberries = 10 grams

Include the word Units in your answer,
8 units

Correction dose: 178-100 = 78 /25 = 3.12 round down to 3 Units
Carb coverage: 53 grams of carbs /10 = 5.3 round down to 5 Units
Insulin to be delivered 8 units
A 3-month old infant presents with projectile vomiting that occurs right after a feeding. What disease should the nurse suspect?
Pyloric stenosis
A child has a nasogastric (NG) tube immediately after surgery for ruptured appendix. What is the purpose of the NG tube?
Prevent abdominal distention
The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record?
Choking with feedings
A child is hospitalized for persistent vomiting. For which problem should the nurse monitor the child closely?
Metabolic alkalosis
The nurse cares for a 2-month-old child who is preoperative for Hirschsprung's disease. Which orders by the healthcare provider should the nurse question? Select all that apply.
Breast milk 120 mL every 3 hours by mouth
Rectal temperatures Q4 hours
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