Question 1

A child with diazepam (Valium)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?

Accepted Answer

A)  Succimer (Chemet) 
B)  EDTA (Versenate) 
C)  Flumazenil (Romazicon) 
D)  Octreotide acetate (Sandostatin) 
A)  Succimer (Chemet) 
B)  EDTA (Versenate) 
C)  Flumazenil (Romazicon) 
D)  Octreotide acetate (Sandostatin)

Question 2

The nurse is teaching parents of preschool-aged children strategies to prevent sexual abuse.What should the nurse include in the teaching session?

Accepted Answer

A)  Back up a child's right to say no. 
B)  Don't take what your child says too seriously. 
C)  Take a second look at signals of potential danger. 
D)  Don't be too detailed about examples of sexual assault. 
E)  Remind children that even "nice" people sometimes do mean things. 
A)  Back up a child's right to say no. 
B)  Don't take what your child says too seriously. 
C)  Take a second look at signals of potential danger. 
D)  Don't be too detailed about examples of sexual assault. 
E)  Remind children that even "nice" people sometimes do mean things.

Question 3

A health care provider prescribes naloxone (Narcan),0.01 mg/kg IV times one,stat,for an opioid overdose.The child weighs 16 kg.The medication label states: "Naloxone (Narcan),0.4 mg/1 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer to one decimal place.
________________

Accepted Answer

0.4
Follow the formula for dos

Question 4

When only one child is abused in a family,the abuse is usually a result of what?

Accepted Answer

A)  The child is the firstborn. 
B)  The child is the same gender as the abusing parent. 
C)  The parent abuses the child to avoid showing favoritism. 
D)  The parent is unable to deal with the child's behavioral style. 
A)  The child is the firstborn. 
B)  The child is the same gender as the abusing parent. 
C)  The parent abuses the child to avoid showing favoritism. 
D)  The parent is unable to deal with the child's behavioral style.

Question 5

A young boy is found squirting lighter fluid into his mouth.His father calls the emergency department.The nurse taking the call should know that the primary danger is what?

Accepted Answer

A)  Hepatic dysfunction 
B)  Dehydration secondary to vomiting 
C)  Esophageal stricture and shock 
D)  Bronchitis and chemical pneumonia 
A)  Hepatic dysfunction 
B)  Dehydration secondary to vomiting 
C)  Esophageal stricture and shock 
D)  Bronchitis and chemical pneumonia

Question 6

What is a significant secondary prevention nursing activity for lead poisoning?

Accepted Answer

A)  Chelation therapy 
B)  Screening children for blood lead levels 
C)  Removing lead-based paint from older homes 
D)  Questioning parents about ethnic remedies containing lead 
A)  Chelation therapy 
B)  Screening children for blood lead levels 
C)  Removing lead-based paint from older homes 
D)  Questioning parents about ethnic remedies containing lead

Question 7

A child has been admitted to the hospital with a blood lead level of 72 mcg/dL.What treatment should the nurse anticipate?

Accepted Answer

A)  Referral to social services 
B)  Initiation of chelation therapy 
C)  Follow-up testing within 1 month 
D)  Aggressive environmental intervention 
A)  Referral to social services 
B)  Initiation of chelation therapy 
C)  Follow-up testing within 1 month 
D)  Aggressive environmental intervention

Question 8

The parents of a 7-year-old boy tell the nurse that lately he has been cruel to their family pets and actually caused physical harm.The nurse's recommendation should be based on remembering what?

Accepted Answer

A)  This is an expected behavior at this age. 
B)  This is a warning sign of a serious problem. 
C)  This is harmless venting of anger and frustration. 
D)  This is common in children who are physically abused. 
A)  This is an expected behavior at this age. 
B)  This is a warning sign of a serious problem. 
C)  This is harmless venting of anger and frustration. 
D)  This is common in children who are physically abused.

Question 9

A health care provider prescribes activated charcoal (Actidose),25 g orally every 6 hours for an acetaminophen (Tylenol)overdose.The medication label states: "Activated charcoal (Actidose),50 g/240 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
________________

Accepted Answer

120
Follow the formula for dos

Question 10

What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?

Accepted Answer

A)  Maintain bed rest. 
B)  Maintain isolation precautions. 
C)  Keep an accurate record of intake and output. 
D)  Institute measures to prevent skeletal fracture. 
A)  Maintain bed rest. 
B)  Maintain isolation precautions. 
C)  Keep an accurate record of intake and output. 
D)  Institute measures to prevent skeletal fracture.

Question 11

A child with acetaminophen (Tylenol)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?

Accepted Answer

A)  Carnitine (Carnitor) 
B)  Fomepizole (Antizol) 
C)  Deferoxamine (Desferal) 
D)  N-acetylcysteine (Mucomyst) 
A)  Carnitine (Carnitor) 
B)  Fomepizole (Antizol) 
C)  Deferoxamine (Desferal) 
D)  N-acetylcysteine (Mucomyst)

Question 12

The nurse is teaching parents of preschool children consequences of inadequate sleep.What should the nurse include in the teaching session?

Accepted Answer

A)  Behavior changes 
B)  Increased appetite 
C)  Difficulty concentrating 
D)  Poor control of emotions 
E)  Impaired learning ability 
A)  Behavior changes 
B)  Increased appetite 
C)  Difficulty concentrating 
D)  Poor control of emotions 
E)  Impaired learning ability

Question 13

What statement is correct about young children who report sexual abuse?

Accepted Answer

A)  They may exhibit various behavioral manifestations. 
B)  In more than half the cases, the child has fabricated the story. 
C)  Their stories should not be believed unless other evidence is apparent. 
D)  They should be able to retell the story the same way to another person. 
A)  They may exhibit various behavioral manifestations. 
B)  In more than half the cases, the child has fabricated the story. 
C)  Their stories should not be believed unless other evidence is apparent. 
D)  They should be able to retell the story the same way to another person.

Question 14

What are classified as hydrocarbon poisons?

Accepted Answer

A)  Bleach 
B)  Gasoline 
C)  Turpentine 
D)  Lighter fluid 
E)  Oven cleaners 
A)  Bleach 
B)  Gasoline 
C)  Turpentine 
D)  Lighter fluid 
E)  Oven cleaners

Question 15

The nurse suspects that a child has ingested some type of poison.What clinical manifestation would be most suggestive that the poison was a corrosive product?

Accepted Answer

A)  Tinnitus 
B)  Disorientation 
C)  Stupor, lethargy, and coma 
D)  Edema of the lips, tongue, and pharynx 
A)  Tinnitus 
B)  Disorientation 
C)  Stupor, lethargy, and coma 
D)  Edema of the lips, tongue, and pharynx

Question 16

What identified characteristics occur more frequently in parents who abuse their children?

Accepted Answer

A)  Older parents 
B)  Socially isolated 
C)  Middle class parents 
D)  Single-parent families 
E)  Few supportive relationships 
A)  Older parents 
B)  Socially isolated 
C)  Middle class parents 
D)  Single-parent families 
E)  Few supportive relationships

Question 17

A health care provider prescribes flumazenil (Romazion),0.2 mg IV once,stat for a benzodiazepine poisoning.The medication label states: "Flumazenil (Romazion),1 mg/10 ml." The nurse prepares to administer the dose.How many milliliters will the nurse prepare to administer one dose? Fill in the blank.Record your answer in a whole number.
________________

Accepted Answer

2
Follow the formula for dosag

Question 18

A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth.What is the most appropriate nursing action?

Accepted Answer

A)  Reassure the father that Visine is harmless. 
B)  Direct him to seek immediate medical treatment. 
C)  Recommend inducing vomiting with ipecac. 
D)  Advise him to dilute Visine by giving his daughter several glasses of water to drink. 
A)  Reassure the father that Visine is harmless. 
B)  Direct him to seek immediate medical treatment. 
C)  Recommend inducing vomiting with ipecac. 
D)  Advise him to dilute Visine by giving his daughter several glasses of water to drink.

Question 19

The nurse is teaching parents of preschoolers about plants that are poisonous.What plant should the nurse include in the teaching session?

Accepted Answer

A)  Azalea 
B)  Begonia 
C)  Boston fern 
D)  Asparagus fern 
A)  Azalea 
B)  Begonia 
C)  Boston fern 
D)  Asparagus fern

Exam 14: Health Problems of Early Childhood

A child with diazepam (Valium)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?

The nurse is teaching parents of preschool-aged children strategies to prevent sexual abuse.What should the nurse include in the teaching session?

When only one child is abused in a family,the abuse is usually a result of what?

A young boy is found squirting lighter fluid into his mouth.His father calls the emergency department.The nurse taking the call should know that the primary danger is what?

What is a significant secondary prevention nursing activity for lead poisoning?

A child has been admitted to the hospital with a blood lead level of 72 mcg/dL.What treatment should the nurse anticipate?

The parents of a 7-year-old boy tell the nurse that lately he has been cruel to their family pets and actually caused physical harm.The nurse's recommendation should be based on remembering what?

What is an important nursing consideration when a child is hospitalized for chelation therapy to treat lead poisoning?

A child with acetaminophen (Tylenol)poisoning has been admitted to the emergency department.What antidote does the nurse anticipate being prescribed?

The nurse is teaching parents of preschool children consequences of inadequate sleep.What should the nurse include in the teaching session?

What statement is correct about young children who report sexual abuse?

What are classified as hydrocarbon poisons?

The nurse suspects that a child has ingested some type of poison.What clinical manifestation would be most suggestive that the poison was a corrosive product?

What identified characteristics occur more frequently in parents who abuse their children?

A father calls the clinic because he found his young daughter squirting Visine eyedrops into her mouth.What is the most appropriate nursing action?

The nurse is teaching parents of preschoolers about plants that are poisonous.What plant should the nurse include in the teaching session?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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