Wong’s Essentials of Pediatric Nursing, 10th Edition
Wong’s Essentials of Pediatric Nursing, 10th Edition
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Chapter 13: Health Problems of Toddlers and Preschoolers
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Tinnitus |
| b. | Disorientation |
| c. | Stupor, lethargy, coma |
| d. | Edema of lips, tongue, pharynx |
ANS: D
Edema of lips, tongue, and pharynx indicates a corrosive ingestion. Tinnitus is indicative of aspirin ingestion. Corrosives do not act on the central nervous system (CNS).
DIF: Cognitive Level: Analyze REF: p. 394
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity
| a. | Hepatic dysfunction |
| b. | Dehydration secondary to vomiting |
| c. | Esophageal stricture and shock |
| d. | Bronchitis and chemical pneumonia |
ANS: D
Lighter fluid is a hydrocarbon. The immediate danger is aspiration. Acetaminophen overdose, not hydrocarbons, causes hepatic dysfunction. Dehydration is not the primary danger. Esophageal stricture is a late or chronic issue of hydrocarbon ingestion.
DIF: Cognitive Level: Apply REF: p. 411
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Physiologic Integrity
| a. | Hyperpyrexia |
| b. | Hepatic involvement |
| c. | Severe burning pain in stomach |
| d. | Drooling and inability to clear secretions |
ANS: B
Hepatic involvement is the third stage of acetaminophen poisoning. Hyperpyrexia is a severe elevation in body temperature and is not related to acetaminophen poisoning. Acetaminophen does not cause burning pain in stomach or pose an airway threat.
DIF: Cognitive Level: Understand REF: p. 411
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity
| a. | Chemical pneumonitis |
| b. | Hepatic damage |
| c. | Retractions and grunting |
| d. | Disorientation and loss of consciousness |
ANS: D
ASA poisoning causes disorientation and loss of consciousness. Chemical pneumonitis is caused by hydrocarbon ingestion. Hepatic damage is caused by acetaminophen overdose. ASA does not cause airway obstruction.
DIF: Cognitive Level: Understand REF: p. 412
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Physiologic Integrity
| a. | Administer through a nasogastric tube because the child will not drink it because of the taste. |
| b. | Serve in a clear plastic cup so the child can see how much has been drunk. |
| c. | Give half of the solution, and then give the other half in 1 hour. |
| d. | Serve in an opaque container with a straw. |
ANS: D
Although the activated charcoal can be mixed with a flavorful beverage, it will be black and resemble mud. When it is served in an opaque container, the child does not have any preconceived ideas about its being distasteful. The nasogastric tube should be used only in children without a gag reflex. The ability to see the charcoal solution may affect the child’s desire to drink it. The child should be encouraged to drink the solution all at once.
DIF: Cognitive Level: Apply REF: p. 412
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiologic Integrity
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