PN Live Review Nursing Care of Children 2020
Questions and Answers |Updated
1 /13
1.A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to admin- ister?: Albuterol
The nurse should expect to administer albuterol to a child who is experiencing an acute exacerbation of asthma because it is considered a rescue medication. Rescue medications are classified according to their rapid onset of action. Asthma is a chronic inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or reversible obstruction. Albuterol is a beta-adrenergic agonist used for the treatment of acute
exacerbations of asthma by promoting bronchodila- tion and suppressing histamine release
in the lungs. This medication can be given by inhalation, orally, or as a parenteral preparation. The inhaled medication has a more rapid onset of action than the oral form and reduces the adverse effects of irritability, tremors, nervousness, and insomnia.
2.A nurse is assisting with the care of a child who has sickle cell anemia. The
nurse should identify which of the following as the potential cause of pain associated with sickle cell crisis?: Abnormal red blood cells that clump together and occlude blood flow
The nurse should identify that pain is the most common clinical finding of sickle cell crisis
and is the result of tissue injury caused by poor oxygenation from obstructed blood flow.
The RBCs become a sickle shape and clump together, occluding blood flow and leading to
tissue hypoxia. This is also known as a vasoocclusive crisis.
3.A nurse is preparing to administer a parenteral dose of ketorlac to a child. Which
of the following actions should the nurse take?: Administer the medica- tion deep into
the muscle.
The nurse should administer ketorolac slowly and deeply into the muscle to optimize PN Live Review Nursing Care of Children 2020
Questions and Answers |Updated
2 /13
absorption.
4.A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?: Decreased bowel sounds The nurse should
expect a child who has acute appendicitis to exhibit decreased bowel sounds due to possible peritonitis and partial obstruction of the small bowel by the inflamed appendix.
5.A nurse is measuring the length and weight of a 6-month-old infant during a well-
baby visit. Which of the following actions should the nurse take?: Remove the infant's
diaper before weighing.
Use a stadiometer to measure the infant. Zero the
scale prior to use.
6.A nurse is speaking with a guardian of a child who has just died following a
terminal illness. Which of the following statements should the nurse make?: "I am
sorry for your loss."
Questions and Answers |Updated
1 /13
1.A school nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to admin- ister?: Albuterol
The nurse should expect to administer albuterol to a child who is experiencing an acute exacerbation of asthma because it is considered a rescue medication. Rescue medications are classified according to their rapid onset of action. Asthma is a chronic inflammatory disorder of the airways. Asthmatic episodes are associated with airflow limitation or reversible obstruction. Albuterol is a beta-adrenergic agonist used for the treatment of acute
exacerbations of asthma by promoting bronchodila- tion and suppressing histamine release
in the lungs. This medication can be given by inhalation, orally, or as a parenteral preparation. The inhaled medication has a more rapid onset of action than the oral form and reduces the adverse effects of irritability, tremors, nervousness, and insomnia.
2.A nurse is assisting with the care of a child who has sickle cell anemia. The
nurse should identify which of the following as the potential cause of pain associated with sickle cell crisis?: Abnormal red blood cells that clump together and occlude blood flow
The nurse should identify that pain is the most common clinical finding of sickle cell crisis
and is the result of tissue injury caused by poor oxygenation from obstructed blood flow.
The RBCs become a sickle shape and clump together, occluding blood flow and leading to
tissue hypoxia. This is also known as a vasoocclusive crisis.
3.A nurse is preparing to administer a parenteral dose of ketorlac to a child. Which
of the following actions should the nurse take?: Administer the medica- tion deep into
the muscle.
The nurse should administer ketorolac slowly and deeply into the muscle to optimize PN Live Review Nursing Care of Children 2020
Questions and Answers |Updated
2 /13
absorption.
4.A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?: Decreased bowel sounds The nurse should
expect a child who has acute appendicitis to exhibit decreased bowel sounds due to possible peritonitis and partial obstruction of the small bowel by the inflamed appendix.
5.A nurse is measuring the length and weight of a 6-month-old infant during a well-
baby visit. Which of the following actions should the nurse take?: Remove the infant's
diaper before weighing.
Use a stadiometer to measure the infant. Zero the
scale prior to use.
6.A nurse is speaking with a guardian of a child who has just died following a
terminal illness. Which of the following statements should the nurse make?: "I am
sorry for your loss."
