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MULTIPLE CHOICE 1. What is the best intervention when a child with autism is hospitalized? a. Limit the individuals who enter the childs room. b. Perform all of the childs activities of daily living for her. c. Make sure the nurses know this child may be violent. d. Assign the strongest nurse to control the child. ANS: A The child with autism is often unable to tolerate the slightest change in routine. Limiting who enters the childs room to those knowledgeable about the childs rout...

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CHAPTER 31: ALTERATIONS IN ENDOCRINE FUNCTION

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Question 1 Type: MCSA 1. A school-age client diagnosed with diabetes insipidus (DI) is admitted to the pediatric unit. Which laboratory value does the nurse anticipate for this client based on the diagnosis? 1. Hyperglycemia 2. Hypernatremia 3. Hypercalcemia 4. Hypoglycemia Correct Answer: 2 Rationale 1: In all forms of diabetes insipidus, serum sodium can increase to pathologic levels, so hypernatremia can occur and should be treated. The glucose level is not affected, so hypogl...

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CHAPTER 34: PEDIATRIC EMERGENCIES

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1. Which nursing action would be most appropriate to assist a preschool-age child in coping with the emergency department experience? a. Explain the procedures and give the child some time to prepare. b. Remind the child that she is a big girl. c. Avoid the use of bandages. d. Use positive terms and avoid terms such as shot and cut. 2. Which action should the nurse incorporate into a care plan for a 14-year-old child in the emergency department? 3. The emergency department nurse notices...

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Test Bank Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp {Chapters 26-30}

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Chapter 26: Oncological Disorders Chapter 27: Alterations in Musculoskeletal Function Chapter 28: Alterations in Neuromuscular Function Chapter 29: Alterations in Integumentary Function Chapter 30: Alterations in Immune Function

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CHAPTER 28: ALTERATIONS IN NEUROMUSCULAR FUNCTION • Exam (elaborations)
CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION • Exam (elaborations)
CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION • Exam (elaborations)
CHAPTER 26: ONCOLOGICAL DISORDERS • Exam (elaborations)
CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION • Exam (elaborations)

CHAPTER 33: ALTERATIONS IN COGNITION AND MENTAL HEALTH

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Question 1 Type: MCSA 1. A nurse is caring for four pediatric clients in the hospital. Which client should the nurse refer for play therapy? 1. An adolescent with asthma 2. A preschool-age child with a fractured femur 3. A school-age child having an appendectomy 4. An infant with sepsis Correct Answer: 2 Rationale 1: Play therapy is often used with preschool and school-age children who are experiencing anxiety, stress, and other specific nonpsychotic mental disorders. In this cas...

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CHAPTER 27: ALTERATIONS IN MUSCULOSKELETAL FUNCTION

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MULTIPLE CHOICE 1. What is the primary method of treating osteomyelitis? a. Joint replacement b. Bracing and casting c. Intravenous antibiotic therapy d. Long-term corticosteroid therapy ANS: C Osteomyelitis is an infection of the bone, most commonly caused by Staphylococcus aureus infection. The treatment of choice is antibiotics. Joint replacement, bracing and casting, and long-term corticosteroid therapy are not indicated for infectious processes. 2. What nursing intervention...

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CHAPTER 26: ONCOLOGICAL DISORDERS

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1. A parent tells the nurse that 80% of children with the same type of leukemia as his sons have a 5-year survival. He believes that because another child on the same protocol as his son has just died, his son now has a better chance of success. What is the best response by the nurse? a. It is sad for the other family but good news for your child. b. Each child has an 80% likelihood of 5-year survival. c. The data suggest that 20% of the children in the clinic will die. There are still many h...

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CHAPTER 30: ALTERATIONS IN IMMUNE FUNCTION

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MULTIPLE CHOICE 1. What should the nurse include in a teaching plan for a mother of a toddler who will be taking prednisone for several months? a. The medication should be taken between meals. b. The medication needs to be discontinued because of the risks associated with long-term usage. c. The medication should not be stopped abruptly. d. The medication may lower blood glucose so the mother needs to observe the child for signs of hypoglycemia. ANS: C The dosage must be tapered bef...

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CHAPTER 29: ALTERATIONS IN INTEGUMENTARY FUNCTION

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Question 1 Type: MCSA 1. The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which should be the focus of the nurses care for this infant? 1. Maintaining adequate nutrition 2. Keeping the baby content 3. Preventing infection of lesions 4. Applying antibiotics to lesions Correct Answer: 3 Rationale 1: Nursing care should focus on preventing infection of lesions. Due to impaired skin- barrier function and cutaneous immunity, an infant with eczema is at great...

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Test Bank Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp {Chapters 01-05}

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Chapter 1: Bronchiolitis Chapter 2: Asthma Chapter 3: Ulnar Fracture Chapter 4: Urinary Tract Infection and Pyelonephritis Chapter 5: Gastroenteritis, Fever, and Dehydration