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

The nurse is caring for a newborn who was born 24 hours ago to a mother who received no prenatal care. The newborn is a poor feeder but sucks avidly on his hands. Clinical manifestations also include loose stools, tachycardia, fever, projectile vomiting, sneezing, and generalized sweating. Which should the nurse suspect?

  • A. Seizure disorder
  • B. Narcotic withdrawal
  • C. Placental insufficiency
  • D. Meconium aspiration syndrome
Correct Answer: B

Rationale: The clinical manifestations described in the scenario are classic signs of neonatal abstinence syndrome (NAS), which occurs in newborns who were exposed to drugs, particularly narcotics, in utero. The newborn's symptoms of poor feeding, sucking on his hands, tachycardia, fever, projectile vomiting, loose stools, sneezing, and generalized sweating are consistent with NAS. These symptoms occur as the newborn experiences withdrawal from the drugs to which they were exposed during pregnancy. In this case, the lack of prenatal care suggests that the mother may have used narcotics during pregnancy, leading to NAS in the newborn. It is essential for healthcare providers to recognize these signs and provide appropriate care and support for infants experiencing NAS.

You may also like to solve these questions

all the following are true about seizures disorders except :

  • A. involve involuntary muscle contraction and relaxation
  • B. less than one third of seizures in children caused by epilepsy
  • C. febrile seizure usually occur late in the course of high fever
  • D. all the above are correct 120
Correct Answer: C

Rationale: A febrile seizure is a convulsion in a young child triggered by a spike in body temperature, often from an infection. Febrile seizures typically occur early in the course of a high fever in children between the ages of 6 months to 5 years old. They are usually brief, lasting for less than five minutes. In about one-third of cases, febrile seizures may occur before the fever is noted by a caregiver. Therefore, the statement that febrile seizures usually occur late in the course of high fever is incorrect.

Building a tower by a 22-month-old child requires

  • A. visual-motor coordination
  • B. uses visual and motor skills in combination
  • C. gross and fine motor coordination
  • D. symbolic thought
Correct Answer: A

Rationale: Tower building primarily involves visual-motor coordination.

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.

The nurse is caring for a patient, age 68, who is receiving digoxin (Lanoxin) 0.125 mg qd for cardiac myopathy. Which of the following assessments of the patient would indicate that he is experiencing a side effect of digoxin that requires follow-up?

  • A. Skin flushing c.Hypertension
  • B. Anorexia
  • C. Constipation
Correct Answer: B

Rationale: Anorexia, or loss of appetite, is a common side effect of digoxin. It can lead to weight loss, weakness, and fatigue. Monitoring for anorexia is important because it may indicate digoxin toxicity, which can be serious and require intervention. Skin flushing is not a common side effect of digoxin. Hypertension is also not associated with digoxin use. Constipation is generally not a common side effect of digoxin. Therefore, anorexia is the assessment that indicates a potential side effect of digoxin that requires follow-up.

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.

Copyright © 2025 Nokea. All rights reserved.