Pediatrics Capstone Pre-Assessment Quiz Questions and Correct Answers

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care? Measure head circumference every shift. SHOULD DO: A semi-Fowler's position, with the head of bed elevated to between 30° and 45°, will help to reduce edema in the brain. Isolation for the first 24 hr is indicated for a client who has bacterial meningitis due to the highly contagious nature of some types of bacterial meningitis. Decreasing the environmental stimuli is also an important action in the care of a client who has meningitis. Seizure precautions are appropriate because the child has an increased risk for seizure activity. The meningitis itself and corresponding brain edema and meningeal irritation can result in seizure activity. Meningitis typically causes a very high fever, which increases the risk of febrile seizure. A nurse is reviewing the history and physicality of an adolescent client who has conduct disorder. Which of the following is an expected finding? Suspended from school several times in the past year. Conduct disorder is an impulse-control disorder which includes a long-term pattern of violating the rights of others and performing violent or hostile acts. A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose? 1.5 A nurse is teaching the parents of a child who has ADHD about methylphenidate. Which of the following statements should the nurse include in the teaching? "Restrict your child's intake of caffeine while she is taking this medication." The nurse should instruct the parents that the child should avoid caffeine while taking methylphenidate as it increases the stimulating effects of the medication. Caffeine can also lead to irritability in the child. Common adverse effects include dry mouth, restlessness, insomnia, weight loss, and tachycardia. The nurse should instruct the parents that their child might lose weight while taking methylphenidate. This medication is a stimulant and increases metabolism while suppressing the appetite.