Caring for Children in Diverse Settings

The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which of the following would be the best way to approach the child for this procedure? a. "I need to take some blood" b. "We need to put a little hole in your arm" c. "I need to remove a little blood" d. "Why don't you sit on your mom's lap?"

D. "why don't you sit on your mom's lap"

The nurse has applied a restraint to the child's right wrist to prevent the child from pulling out an intravenous line. Which of the following assessment findings are important to note to ensure that there is proper circulation to the child''s right arm? Select all that apply a. capillary refill is less than 2 seconds in upper extremities bilaterally b. fingers are pink and warm bilaterally c. lungs are clear throughout d. radial pulses are easily palpable bilaterally e. bowel sounds present in all four quadrants

a, b, c

The nurse is preparing to admit a 4 year old who will be having a tympanostomy tubes placed in both ears. Which of the following strategies would most likely reduce the child's fear of the procedure? a. the doctor is going to insert tympanostomy tubes in your ears. b. Don't worry, you will be asleep the whole time. c. let me show you how tiny these tubes are. d. let me show you the operating room.

c. let me show you how tiny the tubes are

A nurse is preparing to admit a child for a tonsillectomy. How should the nurse establish rapport? a. let's take a look at your mouth. b. do you understand why you are here? c. Are you scared about having your tonsils out? d. Tell me about your cute stuffed dog you have.

d. tell me about your cute stuffed dog you have

The nurse is caring for a 7 year old boy in a body cast. He is shy and seems fearful of the numerous personnel in and out of his room. How can the nurse help reduce his fears? a. remind the boy he will be out of the hospital and going home soon b. encourage the boy's parents to stay with him at all times to reduce his fears c. write the name of his nurse on a board and identify all staff on each shift, every day d. tell him not to worry; explain that everyone is here to care for him

c. write the name of his nurse on a board and identify all staff on each shift, every day

The nurse is providing care for a hospitalized child. Rank the following phases in the order of occurrence based on the nurse's statements. a. let's sit over here and play a game of "go-fish" b. you handled that procedure so well! would you like me to get Mr. Snuggles for you? c. Would you like your medicine before or after your mom helps you take a bath? d. Hi, my name is Cindy and I'm going to be your nurse for today?

d, a, c, b

The nurse is documenting the child's intake. The child ate four cups of ice during this shift. How many cups of fluid did the child ingest? a. 4 cups of fluid b. 1 cup of fluid c. 1/2 cup of fluid d. 2 cups of fluid

d. 2 cups of fluid

The student nurse is assisting the more experienced pediatric nurse. Which of the following statements by the student indicates further education is required? Select all that apply a. Could you give the nauseated child some medicine before it is time for him to start thinking about ordering lunch? b. I'm going to redress the child's IV site while she is in the playroom. c. I took our new teenaged child down to show him the playroom d. It would be easy to perform a straight catheterization while the baby is in his crib. e. I told the child's mom to go ahead and bring in his blanket and stuffed animal

b, c, d

A nurse is developing a preoperative plan of care for a 2 year old. The nurse understands to pay particular attention to which of the child's age-related fears? a. separation from friends b. separation from parents c. loss of control d. loss of independence

b. separation from parents

The nurse is providing teaching for the parent's of a 7 year old boy, scheduled for surgery, to help prepare the child for hospitalization. Which of the following statements by the parents indicates a need for further teaching? a. We should talk about going to the hospital and what it will be like coming home. b. we should visit the hospital and go through the pre-admission tour in advance c. it is best to wait and let him bring up the surgery or any questions he asks us. d. it is a good idea to read stories about experiences with hospitals or surgery.

c. It is best to wait and let him bring up the surgery or any questions he has

A nurse is caring for a 6 year old boy hospitalized due to an infection requiring intravenous antibiotic therapy. The child's motor activity is restricted and he is acting out, yelling, kicking, and screaming. Which of the following responses by the nurse would help promote positive coping? a. your medicine is the only way you will get better b. let me explain why you need to sit still c. would you like to read or play video games? d. do I need to call your parents?

c. would you like to read or play video games?

The nurse is caring for an 18 month old boy hospitalized with a gastrointestinal disorder. the nurse knows that the child is at risk for separation anxiety. The nurse understands to watch carefully for which of the following behaviors, indicating that the first phase of separation anxiety is occurring? a. crying and acting out b. embracing others who attempt to comfort him c. disinterest in play and food d. exhibiting apathy and withdrawing from others

a. crying and acting out

The nurse is caring for a child hopsitalized with complications from asthma. Which of the following statements by the parents indicates a need for careful observation of the child's anxiety level? a. "my mother passed away here after surgery" b. "Our twins were born here 18 months ago" c. "My son was born at this hospital" d. "We attended a 'living with asthma' class here"

a. my mother passed away here after surgery

A nurse is telling the parents how to help their 10 year old daughter deal with an extended hospital stay due to surgery, following by traction. Which of the following responses indicates a need for further teaching? a. I should not tell her how long she will be here. b. she will watch our reactions carefully c. We must prepare her in advance d. She will be sensitive to our concerns.

a. I should not tell her how long she will be here