Question 1

Which method can be used to establish an endotracheal tube size for a child younger than 2 years of age?

Accepted Answer

A)  Match the endotracheal tube size to the infant's age. 
B)  Take the child's age, add 16, and divide by 4. 
C)  Measure the length of the child's little finger and divide by 2. 
D)  No method is needed, as only one size is available. 
A)  Match the endotracheal tube size to the infant's age. 
B)  Take the child's age, add 16, and divide by 4. 
C)  Measure the length of the child's little finger and divide by 2. 
D)  No method is needed, as only one size is available.

Question 2

A 4-year-old child is admitted with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Based on these clinical manifestations,what diagnosis would the nurse anticipate?

Accepted Answer

A)  Status epilepticus 
B)  Bacterial meningitis 
C)  Head trauma 
D)  Septic shock 
A)  Status epilepticus 
B)  Bacterial meningitis 
C)  Head trauma 
D)  Septic shock

Question 3

A 3-month-old infant presents with vomiting and diarrhea.The infant appears to be drowsy; his pulse rate is 180 beats/min; and he has had a dry diaper for the past 3 hours.The nurse suspects the patient has developed which condition?

Accepted Answer

A)  Mild dehydration 
B)  Moderate dehydration 
C)  Desiccation 
D)  Severe dehydration 
A)  Mild dehydration 
B)  Moderate dehydration 
C)  Desiccation 
D)  Severe dehydration

Question 4

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.The patient has been unable to eat,and tube feedings are to be initiated.What is the preferred method for determining the insertion length of the nasogastric tube?

Accepted Answer

A)  Measure from the naris to ear to xiphoid process. 
B)  Measure from the ear to the umbilicus. 
C)  Measure from the naris to the xiphoid to ear. 
D)  Measure from the naris to ear to a point between the xiphoid process and the umbilicus. 
A)  Measure from the naris to ear to xiphoid process. 
B)  Measure from the ear to the umbilicus. 
C)  Measure from the naris to the xiphoid to ear. 
D)  Measure from the naris to ear to a point between the xiphoid process and the umbilicus.

Question 5

A 4-year-old child is admitted with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Nursing management for this patient would include which intervention?

Accepted Answer

A)  Measuring and documenting head circumference. 
B)  Allowing the patient's siblings to visit. 
C)  Isolating the patient during initial antibiotic treatment and for 24 hours thereafter. 
D)  Administering anticonvulsant medications every 6 hours. 
A)  Measuring and documenting head circumference. 
B)  Allowing the patient's siblings to visit. 
C)  Isolating the patient during initial antibiotic treatment and for 24 hours thereafter. 
D)  Administering anticonvulsant medications every 6 hours.

Exam 39: The Pediatric Patient

Which method can be used to establish an endotracheal tube size for a child younger than 2 years of age?

A 4-year-old child is admitted with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Based on these clinical manifestations,what diagnosis would the nurse anticipate?

A 3-month-old infant presents with vomiting and diarrhea.The infant appears to be drowsy; his pulse rate is 180 beats/min; and he has had a dry diaper for the past 3 hours.The nurse suspects the patient has developed which condition?

A 4-year-old child is admitted to the critical care unit with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.The patient has been unable to eat,and tube feedings are to be initiated.What is the preferred method for determining the insertion length of the nasogastric tube?

A 4-year-old child is admitted with fever,chills,headache,vomiting,lethargy,photophobia,and nuchal rigidity.Nursing management for this patient would include which intervention?

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