Wongs Essentials of Pediatric Nursing 11th Edition Test Bank

Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Related

Review Wongs Essentials of Pediatric Nursing 11th Edition Test Bank related questions and content

A client comes to the clinic complaining of weight loss, fatigue, and a low-grade fever. Physical examination reveals a slight enlargement of the cervical lymph nodes. To assess possible causes for the fever, it would be most appropriate for the nurse to initially ask: a."Have you bee sexually active lately?" b, "Do you have a sore throat at the present time?"

  • A. "Have you been exposed recently to anyone with an infection?"
  • B. "When did you first notice that your temperature had gone up?"
Correct Answer: A

Rationale: When assessing a client with symptoms of weight loss, fatigue, low-grade fever, and lymphadenopathy (enlarged lymph nodes), it is important to investigate potential causes of infection. In this scenario, considering the client's symptoms and signs, asking if they have been exposed recently to anyone with an infection helps in determining the possibility of an infectious etiology for their symptoms. This question can provide valuable information to guide further assessment and diagnostic evaluation.

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A nurse explains to a child's parents that the role of methotrexate (Rheumatrex®) in treating children with juvenile arthritis is to:

  • A. decrease the inflammatory response.
  • B. improve functional ability.
  • C. control the febrile response.
  • D. minimize the effects of uveitis.
Correct Answer: A

Rationale: Methotrexate, which is a disease-modifying antirheumatic drug (DMARD), is commonly used to treat juvenile arthritis by decreasing the inflammatory response in the joints. By suppressing the overactive immune response that causes inflammation in the joints, methotrexate helps reduce pain, swelling, and stiffness in children with juvenile arthritis. This ultimately helps to improve joint function and prevent joint damage. While methotrexate may indirectly contribute to improving functional ability and controlling febrile responses in some cases, its primary mechanism of action is to target and reduce inflammation in juvenile arthritis. The medication may also help in managing associated conditions like uveitis, but its main role lies in decreasing the inflammatory response in arthritis.

For children receiving steroid therapy, which of the following regimens is most appropriate for perioperative management?

  • A. Prednisone 1 mg/kg given 24 and 12 hours before surgery
  • B. Dexamethasone 0.6 mg/kg IV given 24 and 12 hours before surgery
  • C. Hydrocortisone 5 mg/kg IV given 24 and 12 hours before surgery
  • D. Methylprednisolone 10 mg/kg IV given 24 and 12 hours before surgery
Correct Answer: C

Rationale: Hydrocortisone is commonly used for perioperative steroid coverage due to its mineralocorticoid and glucocorticoid effects.

. Which of the following instructions should be included in the teaching plan for a client requiring insulin?

  • A. Administer insulin after the first meal of the day.
  • B. Administer insulin at a 45-degree angle into the deltoid muscle.
  • C. Shake the vial of insulin vigorously before withdrawing the medication.
  • D. Draw up clear insulin first when mixing two type of insulin in one syringe.
Correct Answer: D

Rationale: When mixing two types of insulin in one syringe, it is important to draw up the clear insulin first before drawing up the cloudy insulin. This is done to prevent contamination and ensure accurate dosing. Drawing up the clear insulin first helps to prevent the cloudy insulin from contaminating the clear insulin and maintains the proper ratio of each insulin type. It is an important technique to ensure the effectiveness and safety of insulin administration for the client.

The pediatric nurse prepares a patient, who is newly paralyzed, for discharge. The patient will require home care, ancillary therapies, complex medication regimens, and would benefit from a peer support group. To ensure adequate preparation for discharge and transition to home life, the nurse will:

  • A. ask the social worker or case manager to organize a care conference.
  • B. assess the family for transportation needs.
  • C. call the medical supply company to ensure delivery of home care equipment.
  • D. contact the patient's school to ensure its readiness to accommodate the patient.
Correct Answer: A

Rationale: Organizing a care conference ensures all aspects of the patient's care are addressed and coordinated effectively.

The entire process of toilet training need not be hurried and it can take

  • A. 2 months
  • B. 4 months
  • C. 6 months
  • D. 8 months
Correct Answer: C

Rationale: Toilet training typically takes around 6 months, though this varies from child to child.

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