Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
Chapter 25: Atopic, Rheumatic, and Immunodeficiency DisordersTes
h h h h h h h
t Bank
h
Multiple Choice h
1. 1.hThehparenthofhahschool-
age child reports that the child usually has allergic rhinitis symptoms
h h h h h h h h h h h
beginning each fall and that non- h h h h h
sedating antihistamines are only marginally effective, especially for n
h h h h h h h h
asal obstruction symptoms. What will the primary care pediatric nurs
h h h h h h h h h
e practitioner do?
h h
a. a.
Order an intranasal corticosteroid to begin 1 to 2 weeks prior topoll
h h h h h h h h h h h h
en season.
h
b. b.
Prescribe a decongestant medication as adjunct therapy duringpol
h h h h h h h h
len season.
h
c. c.
Recommend adding diphenhydramine to the child’s regimen forad
h h h h h h h h
ditional relief. h
d. d. Suggest using an over-the-counter intranasal decongestant.
h h h h h
ANS: A h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
,Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
Intranasal corticosteroids are a key component in long-
h h h h h h h
term therapy to manage symptoms associated with AR. These should be
h h h h h h h h h h
h begun 1 to 2 weeksprior to the beginning of pollen season. Decongesta
h h h h h h h h h h h h
nts are not recommended for long-
h h h h h
term use because of side effects. Diphenhydraminecauses daytime dro
h h h h h h h h h
wsiness.
1. 2.hThehprimaryhcarehpediatrichnursehpractitionerhseeshahchildhforhfollow-
up care after hospitalization for ARF. The child has polyarthritis but no ca
h h h h h h h h h h h h
rdiacinvolvement. What will the nurse practitioner teach the family abo
h h h h h h h h h h
utongoing care for this child?
h h h h h
a. a.hAspirinhishgivenhforh2hweekshandhthenhtaperedhtohdiscontinuehthehme
dication.
b. b.hhhhh Prophylactichamoxicillinhwillhneedhtohbehgivenhforh5hyears.
c. c.hSteroidshwillhbehnecessaryhtohpreventhdevelopmenthofhhearthdise
ase.
d. d.hhhhhh Thehchildhwillhneedhcompletehbedresthuntilhallhsymptomshsubside.
ANS: A h
ASA is given for arthritis for 2 weeks and then will be tapered. Children with
h h h h h h h h h h h h h h
ARF will need penicillin prophylaxis, not amoxicillin. Steroids are someti
h h h h h h h h h h
mes
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
,Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
used for symptomatic relief but do not prevent chronic heart disease. B
h h h h h h h h h h h
edrest is indicated only when cardiac symptoms occur.
h h h h h h h h
1. 3.hAhschool-
age child with asthma is seen for a well child checkup and, in spite of “fe
h h h h h h h h h h h h h h h
eling fine,” has pronounced expiratory wheezes, decreased breath soun
h h h h h h h h
ds, and an FEV1 less than 70% of personal best. The primary care pediatr
h h h h h h h h h h h h h
ic nurse practitioner learns that the child’s parent administers the daily
h h h h h h h h h h h
medium-
dose ICS but that the child is responsible for using the SABA. A treatment
h h h h h h h h h h h h h
h of 4 puffs of a SABA in clinic results in marked improvement in the child’
h h h h h h h h h h h h h h
s status. What will the nurse practitioner do?
h h h h h h h
a. a. Have the parent administer all of the child’s medications.
h h h h h h h h
b. b. Increase the ICS medication to a high-dose preparation.
h h h h h h h
c. c. Reinforce teaching about the importance of using the SABA.
h h h h h h h h
d. d. Teach the child and parent how to use home PEF monitoring.
h h h h h h h h h h
ANS: D h
Home PEF monitoring is useful for children to identify when symptoms are
h h h h h h h h h h h h
worsening. This child does not appear to notice the presence of airwaytight
h h h h h h h h h h h h
ness or wheezing and so might benefit from PEF monitoring to knoww
h h h h h h h h h h h h
hen to use the SABA. School-
h h h h h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
, Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
age children should be learning how to manage their chronic disease, so h
h h h hh hh hh h h h h h h
aving the parent administer all medications is not the best choice, especial
h h h h h h h h h h h
ly since use of the SABA is still dependent on the child’s report of symptoms
h h h h h h h h h h h h h h
. Since the child responded well to administration of the SABA, increasing th
h h h h h h h h h h h h
e dose of ICS should not be done unless better management is not effective
h h h h h h h h h h h h h
. Reinforcing the teaching is part of the plan but, unless the child is aware of
h h h h h h h h h h h h h h h
symptoms, may not occur.
h h h h
1. 4.hAhchildhhashahfeverhandharthralgia.hThehprimaryhcarehpediatrichnurseh
practitioner learns that the child had a sore throat 3 weeks prior and
h h h h h h h h h h h h h
auscultates a murmur in the clinic. Which test will the nurse practition
h h h h h h h h h h h
erorder? h
a. a. Anti-DNase B test h h
b. b. ASO titer h
c. c. Rapid strep test h h
d. d. Throat culture h
ANS: B h
This child has symptoms and a history consistent with ARF. The ASO titer
h h h h h h h h h h h h
h peaks in 3 to 6 weeks and will confirm a recent strep infection. The anti-
h h h h h h h h h h h h h h
h DNase B test will also confirm a recent strep infection, but this doesn’t pe
h h h h h h h h h h h h h
akuntil 6 to 8 weeks after the initial infection. A rapid strep test and thro
h h h h h h h h h h h h h h h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
Chapter 25: Atopic, Rheumatic, and Immunodeficiency DisordersTes
h h h h h h h
t Bank
h
Multiple Choice h
1. 1.hThehparenthofhahschool-
age child reports that the child usually has allergic rhinitis symptoms
h h h h h h h h h h h
beginning each fall and that non- h h h h h
sedating antihistamines are only marginally effective, especially for n
h h h h h h h h
asal obstruction symptoms. What will the primary care pediatric nurs
h h h h h h h h h
e practitioner do?
h h
a. a.
Order an intranasal corticosteroid to begin 1 to 2 weeks prior topoll
h h h h h h h h h h h h
en season.
h
b. b.
Prescribe a decongestant medication as adjunct therapy duringpol
h h h h h h h h
len season.
h
c. c.
Recommend adding diphenhydramine to the child’s regimen forad
h h h h h h h h
ditional relief. h
d. d. Suggest using an over-the-counter intranasal decongestant.
h h h h h
ANS: A h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
,Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
Intranasal corticosteroids are a key component in long-
h h h h h h h
term therapy to manage symptoms associated with AR. These should be
h h h h h h h h h h
h begun 1 to 2 weeksprior to the beginning of pollen season. Decongesta
h h h h h h h h h h h h
nts are not recommended for long-
h h h h h
term use because of side effects. Diphenhydraminecauses daytime dro
h h h h h h h h h
wsiness.
1. 2.hThehprimaryhcarehpediatrichnursehpractitionerhseeshahchildhforhfollow-
up care after hospitalization for ARF. The child has polyarthritis but no ca
h h h h h h h h h h h h
rdiacinvolvement. What will the nurse practitioner teach the family abo
h h h h h h h h h h
utongoing care for this child?
h h h h h
a. a.hAspirinhishgivenhforh2hweekshandhthenhtaperedhtohdiscontinuehthehme
dication.
b. b.hhhhh Prophylactichamoxicillinhwillhneedhtohbehgivenhforh5hyears.
c. c.hSteroidshwillhbehnecessaryhtohpreventhdevelopmenthofhhearthdise
ase.
d. d.hhhhhh Thehchildhwillhneedhcompletehbedresthuntilhallhsymptomshsubside.
ANS: A h
ASA is given for arthritis for 2 weeks and then will be tapered. Children with
h h h h h h h h h h h h h h
ARF will need penicillin prophylaxis, not amoxicillin. Steroids are someti
h h h h h h h h h h
mes
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
,Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
used for symptomatic relief but do not prevent chronic heart disease. B
h h h h h h h h h h h
edrest is indicated only when cardiac symptoms occur.
h h h h h h h h
1. 3.hAhschool-
age child with asthma is seen for a well child checkup and, in spite of “fe
h h h h h h h h h h h h h h h
eling fine,” has pronounced expiratory wheezes, decreased breath soun
h h h h h h h h
ds, and an FEV1 less than 70% of personal best. The primary care pediatr
h h h h h h h h h h h h h
ic nurse practitioner learns that the child’s parent administers the daily
h h h h h h h h h h h
medium-
dose ICS but that the child is responsible for using the SABA. A treatment
h h h h h h h h h h h h h
h of 4 puffs of a SABA in clinic results in marked improvement in the child’
h h h h h h h h h h h h h h
s status. What will the nurse practitioner do?
h h h h h h h
a. a. Have the parent administer all of the child’s medications.
h h h h h h h h
b. b. Increase the ICS medication to a high-dose preparation.
h h h h h h h
c. c. Reinforce teaching about the importance of using the SABA.
h h h h h h h h
d. d. Teach the child and parent how to use home PEF monitoring.
h h h h h h h h h h
ANS: D h
Home PEF monitoring is useful for children to identify when symptoms are
h h h h h h h h h h h h
worsening. This child does not appear to notice the presence of airwaytight
h h h h h h h h h h h h
ness or wheezing and so might benefit from PEF monitoring to knoww
h h h h h h h h h h h h
hen to use the SABA. School-
h h h h h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
, Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
age children should be learning how to manage their chronic disease, so h
h h h hh hh hh h h h h h h
aving the parent administer all medications is not the best choice, especial
h h h h h h h h h h h
ly since use of the SABA is still dependent on the child’s report of symptoms
h h h h h h h h h h h h h h
. Since the child responded well to administration of the SABA, increasing th
h h h h h h h h h h h h
e dose of ICS should not be done unless better management is not effective
h h h h h h h h h h h h h
. Reinforcing the teaching is part of the plan but, unless the child is aware of
h h h h h h h h h h h h h h h
symptoms, may not occur.
h h h h
1. 4.hAhchildhhashahfeverhandharthralgia.hThehprimaryhcarehpediatrichnurseh
practitioner learns that the child had a sore throat 3 weeks prior and
h h h h h h h h h h h h h
auscultates a murmur in the clinic. Which test will the nurse practition
h h h h h h h h h h h
erorder? h
a. a. Anti-DNase B test h h
b. b. ASO titer h
c. c. Rapid strep test h h
d. d. Throat culture h
ANS: B h
This child has symptoms and a history consistent with ARF. The ASO titer
h h h h h h h h h h h h
h peaks in 3 to 6 weeks and will confirm a recent strep infection. The anti-
h h h h h h h h h h h h h h
h DNase B test will also confirm a recent strep infection, but this doesn’t pe
h h h h h h h h h h h h h
akuntil 6 to 8 weeks after the initial infection. A rapid strep test and thro
h h h h h h h h h h h h h h h
Nursing 6435 Test bank EXAM QUESTIONS AND ANSWE
h h h h h h h
RS 100% CORRECTLY/VERIFIED GUARANTEED SUCCE
h h h h
SS BEST GRADED A+ LATEST UPDATE 2022
h h h h h h
