Nokea
A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?
- A. Absence
- B. Akinetic
- C. Myoclonic
- D. Complex partial
Correct Answer: A
Rationale: Absence seizures are characterized by transient loss of consciousness where the child appears to stare blankly, and may last only a few seconds.
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The nurse urges the mother of a 6-month-old child to get her child inoculated with Haemophilus influenzae type B. What does this immunization protect against?
- A. Encephalitis
- B. Influenza
- C. Bacterial meningitis
- D. Otitis media
Correct Answer: C
Rationale: H. influenzae type B and conjugated pneumococcal vaccines have decreased the incidence of bacterial meningitis.
A child is diagnosed with nonparalytic strabismus. How will this disorder most likely be corrected?
- A. Patching the unaffected eye
- B. Corrective lenses
- C. Laser treatment
- D. Surgery
Correct Answer: B
Rationale: In nonparalytic strabismus, the refractory error is usually corrected with eyeglasses.
What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?
- A. The medication should be given on an empty stomach.
- B. Insomnia can be a significant side effect.
- C. Gums should be massaged regularly to prevent hyperplasia.
- D. Blood pressure should be closely monitored.
Correct Answer: C
Rationale: Dilantin can cause gum overgrowth, which can be minimized by regular massaging.
Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? (Select all that apply.)
- A. Hypersensitivity to noise
- B. Irritability
- C. Ecchymotic ear canal
- D. Rolls head from side to side
- E. Temperature of 39.4?°C (103?°F)
Correct Answer: B,D,E
Rationale: Infants signal ear infections by being irritable, rolling their heads from side to side, spiking a temperature, and pulling at or rubbing their ears.
Which assessment finding in a child with meningitis should be reported immediately?
- A. Irregular respirations
- B. Tachycardia
- C. Slight drop in blood pressure
- D. Elevated temperature
Correct Answer: A
Rationale: Irregular respirations in conjunction with slowing heart rate and increasing blood pressure are reported immediately, because they could indicate increased intracranial pressure.