IDEAL PROFESSIONAL INSTITUTE PEDIATRIC EXAM (RN) A child with leukemia is being
ID: 278789 • Letter: I
Question
IDEAL PROFESSIONAL INSTITUTE PEDIATRIC EXAM (RN) A child with leukemia is being discharged after beginning chemotherapy. Which o Following instructions will the nurse include when teaching the parents of this chil 1. a) provide a diet low in protein and high carbohydrates b) avoid fresh vegetables that are not cooked or peeled notify the doctor if the c hild's temperatu ure exceeds 101 F (39C) d) increase the use of humidifiers throughout the house 2. A client with hemophilia has a very swollen knee after falling from bicycle riding Whic following is the first nursing action? a) initiate an IV site to begin administration of cryoprecipitate b) ype and cross-match for possible transfusion c) monitor the client's vital signs for the first 5 minutes d) apply ice pack and compression dressings to the knee 3. A client and her husband are positive for the sickle cell trait. The client asks the nurse chances of her children having sickle cell disease. Which of the following is appropriat by the nurse? a) one of her children will have sickle cell disease b) only the male children will be affected each pregnancy carries a 25% chance of the child being affected c) d) if she had four children, one of them would have the disease 4. An 8 year old child has been diagnosed to have iron deficiency anemia. Which of the activities is most appropriate for the child to decrease oxygen demands on the body? a) b) c) d) Dancing playing video games reading a book riding a bicycle 5. A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable eat, and exhibits peeling skin on the hands and feet. Which of the following w nurse interpret as the priority? a) applying lotions to the hands and feet b) offering foods the toddler likes c) placing the toddler in a quiet environment d) encouraging the parents to get some rest Which of the following should the nurse do first after noting that a child With Hirsch sprung disease has a fever and watery explosive diarrhea 6. a. Notify the physician immediately b. Administer anti diarrheal medications c. Monitor child ever 30 minutes d. Nothing, this is characteristic of Hirsch sprung discrseExplanation / Answer
1.avoid fresh vegetables that are not cooked or peeled
2.apply ice pack and compression dressings to the knee
3.each pregnancy carries a 25% chance of the child being affected
4.reading a book
5.placing the toddler in a quiet environment
6.Notify the physician immediately