Chapter 32 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 32  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The home health nurse is visiting a three-month-old who has been diagnosed with congenital hypothyroidism and is taking daily thyroxine. The baby is on soy formula and is at the 50th percentile for height and weight. It is important that the mother understands that:
1. Parents may stop the thyroxine as long as the baby remains in the 50th percentile for height and weight.
2. Soy-based formula can interfere with the absorption of thyroxine.
3. Dairy-based formula is contraindicated when an infant is taking thyroxine.
4. As long as the baby is growing along the same growth curve, no interventions are necessary.
Correct Answer: 2
Rationale 1: To ensure adequate growth and development, the hormone must be taken throughout life.
Rationale 2: Soy-based formula can interfere with the absorption of thyroxine.
Rationale 3: Dairy-based formula does not interfere with thyroxine.
Rationale 4: Frequent checks must be done to assess the baby for inadequate growth.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 32-2

Question 2
Type: MCMA
The nurse is providing information to a teenager newly diagnosed with diabetes and his parents. The nurse teaches them that the signs of diabetic ketoacidosis (DKA) include:
Standard Text: Select all that apply.
1. Change in mental status.
2. Tachycardia.
3. Fruity breath odor.
4. Rapid, shallow respirations.
5. Abdominal pain.
Correct Answer: 1,3,5
Rationale 1: A change in mental state can be associated with DKA.
Rationale 2: Tachycardia is not a typical symptom of DKA.
Rationale 3: A fruity breath odor is common when the client is in a state of ketoacidosis.
Rationale 4: Respirations are rapid, but deep (Kussmaul’s breathing) in DKA.
Rationale 5: Abdominal pain is commonly seen with DKA.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 32-3

Question 3
Type: MCSA
A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the hospital. Which of the physician’s orders would the nurse question?
1. Stat electrolytes
2. Urine specific gravity with each void
3. DDAVP (desmopressin) PO
4. Restrict oral fluids to 500 mL every 24 hours.
Correct Answer: 4
Rationale 1: Stat electrolytes would be an appropriate order to check for hypernatremia.
Rationale 2: Urine specific gravity is checked because it is often low.
Rationale 3: DDAVP is the drug of choice for a child with DI.
Rationale 4: Fluid replacement, not fluid restriction, is necessary for child with DI.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 32-3

Question 4
Type: MCSA
A five-year-old with a history of being treated for hypopituitarism comes to the physician with complaints of right hip and leg pain. The nurse understands that this symptom might be related to which medication that is used to treat hypopituitarism?
1. Daily growth hormone
2. Insulin before meals and bedtime
3. DDAVP (desmopressin acetate) at HS
4. Cortisone injections
Correct Answer: 1
Rationale 1: Growth hormone injections and hypopituitarism have been associated with slipped capital femoral epiphysis, which manifests with complaints of hip or knee pain.
Rationale 2: Insulin is not used to treat hypopituitarism.
Rationale 3: DDAVP reduces urinary output. It does not cause slipped capital femoral epiphysis.
Rationale 4: Cortisone is not used for hypopituitarism.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 32-4

 

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