Chapter 23 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 23  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
A four-year-old child is admitted to the hospital secondary to dehydration. Lab tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. This fluid loss is indicative of which condition?
1. Hypernatremia
2. Metabolic acidosis
3. Hypotonic dehydration
4. Isotonic dehydration
Correct Answer: 3
Rationale 1: Hypernatremia is a condition where the body fluids are too concentrated and there is an excess of sodium.
Rationale 2: Metabolic acidosis refers to a condition where the pH of the blood is acidic.
Rationale 3: This occurs when fluid loss is characterized by a proportionately greater loss of sodium than water. Serum sodium is below normal levels. Hemoglobin and hematocrit will be high due to the loss of serum water.
Rationale 4: This occurs when fluid loss is not balanced by intake, and the losses of water and sodium are in proportion.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 23-3

Question 2
Type: MCSA
A nurse is taking care of four different pediatric clients. Which of the following children is at greatest risk for dehydration?
1. Seven-year-old child with migraine headaches
2. Four-year-old child with a broken arm
3. Two-year-old child with cellulitis of the left leg
4. 18-month-old child with tachypnea
Correct Answer: 4
Rationale 1: The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system is at a lower risk than is a toddler with a condition that increases insensible water loss.
Rationale 2: The pediatric client with an acute condition that does not directly affect electrolytes is at a lower risk than is a client with a condition that increases insensible water loss.
Rationale 3: The pediatric client with an acute condition, such as a patient with cellulitis that does not affect the GI or electrolyte system, is at a lower risk than is a toddler with a condition that increases insensible water loss.
Rationale 4: The pediatric client with the greatest risk is under two years of age and with a condition that increases insensible fluid loss.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 23-4

Question 3
Type: MCSA
The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
1. Wearing dark clothing during exercise is recommended
2. Water is the drink of choice to replenish fluids.
3. During activity, stop for fluids every 15 to 20 minutes.
4. Hydration should occur at the end of an exercise session.
Correct Answer: 3
Rationale 1: Light-colored, light clothing is best to wear during exercise activities; wearing of dark colors can increase sweating.
Rationale 2: A combination of water and sports drinks is best to replace fluids during exercise.
Rationale 3: During activity, stopping for fluids every 15 to 20 minutes is recommended.
Rationale 4: Hydration should occur before and during the activity, not just at the end.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 23-5

Question 4
Type: MCSA
The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes. Which other sign indicates the infant is still in the early to moderate stage of dehydration?
1. Bradycardia
2. Tachycardia
3. Increased blood pressure
4. Normal fontanels
Correct Answer: 2
Rationale 1: Bradycardia is not a sign of dehydration.
Rationale 2: Tachycardia is a sign that indicates moderate dehydration.
Rationale 3: In dehydration, the blood pressure is hypotensive.
Rationale 4: Fontanels would be sunken in moderate dehydration.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 23-4

 

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