Burns Pediatric Primary Care 7th Edition Test Bank

Burns Pediatric Primary Care 7th Edition Test Bank Related

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Lily , age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:

  • A. Within the lower range of normal intelligence
  • B. Mildly retarded but educable
  • C. Moderately retarded but trainable
  • D. Completely dependent on others for care
Correct Answer: C

Rationale: Lily, with an intelligence quotient of 65, falls into the category of moderate intellectual disability, which typically ranges from IQ 35-49 to 50-69. Children with moderate intellectual disability have limitations in intellectual functioning that result in difficulties with adaptive behaviors, learning, and social skills. They can benefit from training, therapies, and educational interventions to improve their functional abilities and quality of life. While they may require support and supervision in various aspects of daily living, they are not completely dependent on others for care like individuals with severe or profound intellectual disability. Therefore, the nurse should consider Lily as moderately retarded but trainable when planning care for her in the hospital.

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A client receives a sealed radiation implant to treat cervical cancer. When caring for this client, the nurse should:

  • A. Consider the client's urine, feces, and vomitus to be highly radioactive
  • B. Consider the client to be radioactive for 10 days after implant removal
  • C. Allow soiled linens to remain in the room until after the client is discharged
  • D. Maintain the client on complete bed rest with bathroom privileges only
Correct Answer: B

Rationale: When caring for a client who has received a sealed radiation implant to treat cancer, it is important to consider the client to be radioactive for a certain period of time. Typically, the client is considered radioactive for about 10 days after the implant is removed. During this time, precautions should be taken to limit exposure to radiation, including following the principles of time, distance, and shielding. It is important for healthcare providers to wear appropriate protective gear when caring for the client and to limit the time spent in close proximity to the client. After the radioactive period has passed, the client will no longer be considered radioactive, and standard precautions can be followed.

A client is receiving a blood transfusion. If this client experiences an acute hemolytic reaction, which nursing intervention is the most important?

  • A. Immediately stop the transfusion, infuse dextrose 5% in water (D5W), and call the physician.
  • B. Slow the transfusion and monitor the client closely.
  • C. Stop the transfusion, notify the blood bank, and administer antihistamines
  • D. Immediately stop the transfusion, infuse normal saline solution, notify the blood bank
Correct Answer: D

Rationale: In the case of an acute hemolytic reaction during a blood transfusion, the most important nursing intervention is to immediately stop the transfusion and infuse normal saline solution. This is crucial to prevent further complications associated with the hemolysis of red blood cells. Normal saline helps maintain blood pressure and support kidney function, which may be compromised during a hemolytic reaction. Additionally, notifying the blood bank is important to investigate and prevent future reactions, and to determine if there was an error in blood compatibility. Administering antihistamines or changing the fluid type (such as dextrose 5% in water) will not address the underlying issue of hemolysis and may not be the most appropriate interventions in this scenario.

Of the following, the WORST prognostic factor in pediatric osteosarcoma is

  • A. primary pelvic bone tumor
  • B. poor histologic response to treatment
  • C. bony metastases at the time of diagnosis
  • D. lung metastases at the time of diagnosis
Correct Answer: B

Rationale: Poor histologic response to neoadjuvant chemotherapy is a strong predictor of poor prognosis.

The nurse assesses the motor functions during a neurologic examination of a client. Which of the ff steps will help the nurse perform the examination effectively? Choose all that apply

  • A. Allow the client to grasp the nurses hand firmly
  • B. Check the patient's sensitivity to heat, cold, touch, and pain.
  • C. Ask the client to pick up small and large objects between the thumb and forefinger
  • D. Ask questions that require cognition and logic
Correct Answer: A

Rationale: A. Allowing the client to grasp the nurse's hand firmly is essential to assess grip strength, coordination, and muscle tone, which are important aspects of motor function evaluation during a neurologic examination.

The physical manifestations of fetal alcohol syndrome include:

  • A. abnormal facial tissue, cleft lip, and cleft palate.
  • B. hepatomegaly, hypotonia, and microphthalmia.
  • C. microcephaly, short philtrum, and intrauterine growth restriction.
  • D. hyperbilirubinemia, jaundice, and failure to thrive.
Correct Answer: C

Rationale: Fetal alcohol syndrome is characterized by microcephaly, a short philtrum, and intrauterine growth restriction, among other features.

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