Chapter 22 Principles of Pediatric Nursing 6th Ed By Ball

Chapter 22 Principles of Pediatric Nursing 6th Ed By Ball

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

A nurse begins an infusion of intravenous immune globulin (IVIG) to a child who has combined immunodeficiency disease. Which assessment finding indicates that the nurse should stop the infusion?

1. A mild headache
2. Clear yellow urine
3. Severe shaking, chills, and fever
4. Complaints of being “thirsty”

Correct Answer: 3

Rationale 1: Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction. A mild headache is an adverse side effect of IVIG but not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.

Rationale 2: Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction. A mild headache is an adverse side effect of IVIG but not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.

Rationale 3: Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction. A mild headache is an adverse side effect of IVIG but not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.

Rationale 4: Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction. A mild headache is an adverse side effect of IVIG but not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.

Global Rationale: Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction. A mild headache is an adverse side effect of IVIG but not a severe reaction. Thirst is not an indication of a reaction. Voiding clear yellow urine is a normal finding.

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 22.1 Describe the structure and function of the immune system and apply that knowledge to the care of children with immunologic disorders.

 

Question 2

Type: MCSA

A nurse is administering an intramuscular vaccination to an infant diagnosed with Wiskott–Aldrich syndrome (WAS). Which reaction is the infant more at risk for due to the diagnosis of WAS?

1. Pain at injection site
2. Bleeding at injection site
3. Redness and swelling at injection site
4. Mild rash at injection site

Correct Answer: 2

Rationale 1: Wiskott–Aldrich syndrome is characterized by thrombocytopenia, with bleeding tendencies appearing during the neonatal period. The syndrome would not put the child at higher risk for pain, redness, swelling, or rash at the injection site.

Rationale 2: Wiskott–Aldrich syndrome is characterized by thrombocytopenia, with bleeding tendencies appearing during the neonatal period. The syndrome would not put the child at higher risk for pain, redness, swelling, or rash at the injection site.

Rationale 3: Wiskott–Aldrich syndrome is characterized by thrombocytopenia, with bleeding tendencies appearing during the neonatal period. The syndrome would not put the child at higher risk for pain, redness, swelling, or rash at the injection site.

Rationale 4: Wiskott–Aldrich syndrome is characterized by thrombocytopenia, with bleeding tendencies appearing during the neonatal period. The syndrome would not put the child at higher risk for pain, redness, swelling, or rash at the injection site.

Global Rationale: Wiskott–Aldrich syndrome is characterized by thrombocytopenia, with bleeding tendencies appearing during the neonatal period. The syndrome would not put the child at higher risk for pain, redness, swelling, or rash at the injection site.

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 22.1 Describe the structure and function of the immune system and apply that knowledge to the care of children with immunologic disorders.

 

Question 3

Type: MCSA

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

1. Risk for Infection
2. Risk for Fluid-Volume Deficit
3. Ineffective Thermoregulation
4. Ineffective Tissue Perfusion, Peripheral

Correct Answer: 1

Rationale 1: A child with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. Risk for Fluid-Volume Deficit, Ineffective Thermoregulation, and Ineffective Tissue Perfusion, Peripheral would not be priority problems with this disease process.

Rationale 2: A child with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. Risk for Fluid-Volume Deficit, Ineffective Thermoregulation, and Ineffective Tissue Perfusion, Peripheral would not be priority problems with this disease process.

Rationale 3: A child with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. Risk for Fluid-Volume Deficit, Ineffective Thermoregulation, and Ineffective Tissue Perfusion, Peripheral would not be priority problems with this disease process.

Rationale 4: A child with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. Risk for Fluid-Volume Deficit, Ineffective Thermoregulation, and Ineffective Tissue Perfusion, Peripheral would not be priority problems with this disease process.

Global Rationale: A child with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. Risk for Fluid-Volume Deficit, Ineffective Thermoregulation, and Ineffective Tissue Perfusion, Peripheral would not be priority problems with this disease process.

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub: Safety and Infection Control

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: LO 22.3 Develop a nursing care plan in partnership with the family for a child with human immunodeficiency virus (HIV infection).

 

Question 4

Type: MCSA

A child is prescribed Didanosine (Videx), a nucleoside reverse transcriptase inhibitor, for human immunodeficiency virus (HIV). Which lab value will the nurse monitor closely for this child?

1. Potassium
2. Sodium
3. Red blood cell count
4. Glucose

Correct Answer: 3

Rationale 1: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.

Rationale 2: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.

Rationale 3: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.

Rationale 4: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.

Global Rationale: Didanosine (Videx) causes bone-marrow suppression with resulting anemia. Red blood cell counts are monitored at least monthly for changes. Potassium and sodium are electrolytes, and glucose is a laboratory test for checking diabetes. Didanosine (Videx) does not affect these values.

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 22.3 Develop a nursing care plan in partnership with the family for a child with human immunodeficiency virus (HIV infection).

 

Question 5

Type: FIB

A child with human immunodeficiency virus is started on sulfamethoxazole and trimethoprim (Bactrim) for Pneumocystis carinii pneumonia (PCP) prophylaxis. The recommended dose is based on the trimethoprim (TMP) component and is 15–20 mg TMP/kg/day in divided doses every 6–8 hours. The child weighs 6.8 kg. The highest dose of TMP the child can receive a day is ____.

Standard Text: Round your answer to the nearest whole number.

Correct Answer: 136

Rationale: 6.8 kg (the child’s weight) is multiplied by 20 mg. This yields the answer, which is 136 mg a day.

Global Rationale: 6.8 kg (the child’s weight) is multiplied by 20 mg. This yields the answer, which is 136 mg a day.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 22.3 Develop a nursing care plan in partnership with the family for a child with human immunodeficiency virus (HIV infection).