VATI NURSING CARE OF CHILDREN
EXAM 100% VERIFIED 90 Q & A
What is glomerulonephritis?
inflammation of the tiny filters (glomeruli) in the kidneys
What foods should a nurse eliminate from a child's diet who has glomerulonephritis with
pitting edema?
Foods that are high in sodium because these foods can lead to edema, HTN,
hematuria, proteinuria.
- Hot dogs
- other processed meats
What is a manifestation that could be an early indication of ICP?
Nausea
- early findings of ICP
What interventions should a nurse include when caring for a school-age child with
moderate partial thickness burns on both lower extremities during dressing changes?
Maintain aseptic technique during the child dressing changes
1
,- to prevent infection
- delayed wound healing can occur due to infection, which can cause the partial
thickness to develop into full thickness
What types of clients and procedures would a nurse need to obtain informed consent
from a guardian?
Sign consent prior to surgical procedures for a minor
-Ex. 15-year-old client who requires an open reduction of a fracture
What statement should a nurse make to parents that ask about their child with terminal
leukemia about when they will know when their child is nearing the end of their life?
The child will lose movement in their legs
- lose movement in lower extremities; this progressive loss of movement will move up
the body as death nears
What is nephrotic syndrome?
a kidney disorder that causes the body to excrete too much protein in the urine
- often caused by damage to the small blood vessels in the kidneys that filter waste and
excess water from the blood
What instructions should a nurse include in teaching for the parents of a child who is in
the edema phase of nephrotic syndrome?
provide quiet activities for the child
- reading, coloring, during edema phase will minimize oxygen consumption and
preserve energy
What pain tools should a nurse use for a 2-year-old child?
FLACC scale
- used for infants and children from 2 months to 7 years
What does the FLACC scale measure?
2
, Pain.
1. Face
2. Legs
3. Cry
4. Consolability
What instructions should a nurse provide for the parents of a school-age child who has
epilepsy and prescription for phenytoin extended release capsule?
Encourage child to brush teeth after each meal
- dental hygiene is important because phenytoin can cause gingival hyperplasia
What is a complication of phenytoin?
Gingival hyperplasia (overgrowth of gums around teeth)
What is a manifestation that a nurse should identify as an indication of moderate
hypovolemia for a 6 month old infant who has acute vomiting and diarrhea?
Tachypnea
- as hypovolemia worsens, breathing become hyperpneic
What is a manifestation that a nurse would expect for a toddler who is experiencing
hyperglycemia?
Lethargic mood
- they will be irritable and have a labile mood (easily altered)
What statements by the parent indicates understanding of discharge teaching regarding
their 5-year-old child with leukemia receiving chemotherapy?
I will make sure to inspect my sons mouth every day for sores
- increase risk for mucositis. Open lesions can become infected in a child who is
immunocompromised
What is hemophilia A?
Disorder when blood does not clot normally
What instructions should a nurse provide to parents of a toddler with hemophilia A?
3
EXAM 100% VERIFIED 90 Q & A
What is glomerulonephritis?
inflammation of the tiny filters (glomeruli) in the kidneys
What foods should a nurse eliminate from a child's diet who has glomerulonephritis with
pitting edema?
Foods that are high in sodium because these foods can lead to edema, HTN,
hematuria, proteinuria.
- Hot dogs
- other processed meats
What is a manifestation that could be an early indication of ICP?
Nausea
- early findings of ICP
What interventions should a nurse include when caring for a school-age child with
moderate partial thickness burns on both lower extremities during dressing changes?
Maintain aseptic technique during the child dressing changes
1
,- to prevent infection
- delayed wound healing can occur due to infection, which can cause the partial
thickness to develop into full thickness
What types of clients and procedures would a nurse need to obtain informed consent
from a guardian?
Sign consent prior to surgical procedures for a minor
-Ex. 15-year-old client who requires an open reduction of a fracture
What statement should a nurse make to parents that ask about their child with terminal
leukemia about when they will know when their child is nearing the end of their life?
The child will lose movement in their legs
- lose movement in lower extremities; this progressive loss of movement will move up
the body as death nears
What is nephrotic syndrome?
a kidney disorder that causes the body to excrete too much protein in the urine
- often caused by damage to the small blood vessels in the kidneys that filter waste and
excess water from the blood
What instructions should a nurse include in teaching for the parents of a child who is in
the edema phase of nephrotic syndrome?
provide quiet activities for the child
- reading, coloring, during edema phase will minimize oxygen consumption and
preserve energy
What pain tools should a nurse use for a 2-year-old child?
FLACC scale
- used for infants and children from 2 months to 7 years
What does the FLACC scale measure?
2
, Pain.
1. Face
2. Legs
3. Cry
4. Consolability
What instructions should a nurse provide for the parents of a school-age child who has
epilepsy and prescription for phenytoin extended release capsule?
Encourage child to brush teeth after each meal
- dental hygiene is important because phenytoin can cause gingival hyperplasia
What is a complication of phenytoin?
Gingival hyperplasia (overgrowth of gums around teeth)
What is a manifestation that a nurse should identify as an indication of moderate
hypovolemia for a 6 month old infant who has acute vomiting and diarrhea?
Tachypnea
- as hypovolemia worsens, breathing become hyperpneic
What is a manifestation that a nurse would expect for a toddler who is experiencing
hyperglycemia?
Lethargic mood
- they will be irritable and have a labile mood (easily altered)
What statements by the parent indicates understanding of discharge teaching regarding
their 5-year-old child with leukemia receiving chemotherapy?
I will make sure to inspect my sons mouth every day for sores
- increase risk for mucositis. Open lesions can become infected in a child who is
immunocompromised
What is hemophilia A?
Disorder when blood does not clot normally
What instructions should a nurse provide to parents of a toddler with hemophilia A?
3
