Chapter 30: Procedures and Treatments Maternal Prep - U, Chapter 30: Procedures and Treatments, Chapter 30 Procedures and Treatments- peds, Chapter 37 Nursing Care of a Family When a Child Needs Diagnostic or Therapeutic Modalities, PN108 PrepU Chapt…
The nurse is reinforcing teaching with a group of caregivers regarding steps that can be taken to lower a child's elevated temperature. Which action would the nurse include in the discussion? Select all that apply.
encourage fluids administer acetaminophen lower the room temperature
The nurse will apply which type of restraint for the infant recovering from cleft lip repair?
elbow
The nurse instructs the mother of a preschool-aged child on the use of ibuprofen prescribed for a temperature. Which statement indicates that the teaching has been effective?
"I should give this medication with food." Because ibuprofen can cause gastrointestinal irritation, it should be given with food or fluids. The medication dosage should be measured by using the device supplied with the medication and not using a kitchen spoon. Fluids should be encouraged when taking this medication because renal failure can occur if the child becomes dehydrated. If the child complains of a stomachache while taking this medication, notify the health care provider. This could be an indication of an adverse effect.
A nurse is teaching a parent ways to reduce fever in a child. What statement made by the parent would require further education?
"I will give my child a tepid sponge bath to reduce the fever."
A nurse is teaching a parent ways to reduce fever in a child. What statement made by the parent would require further education?
"I will give my child a tepid sponge bath to reduce the fever." Because of their ineffectiveness in reducing fever and associated discomfort, tepid sponge baths are no longer recommended for reducing fever.
A parent calls the nurse in the emergency department and reports giving a tepid bath to decrease temperature in a feverish child. The parent states the child is shivering and wants to know if this means the bath was effective. What is the best response by the nurse?
"Shivering means the child is chilling, which will cause the body temperature to increase." If a child begins to shiver, whatever method is being used to lower the temperature should be stopped. Shivering indicates the child is chilling, which will cause the body temperature to increase.
A parent calls the nurse in the emergency department and reports giving a tepid bath to decrease temperature in a feverish child. The parent states the child is shivering and wants to know if this means the bath was effective. What is the best response by the nurse?
"Shivering means the child is chilling, which will cause the body temperature to increase." Explanation:
A 7-year-old boy has been admitted to the hospital with a diagnosis of fever of unknown origin. He has numerous tests ordered for diagnosis. When preparing him for the blood tests ordered, the best explanation would be:
"The doctor needs to look at your blood to see why you are sick; it will hurt for a second."
The nurse needs to obtain a blood sample from a 7-year-old child. How should the nurse explain this procedure to the client?
"The doctor needs to look at your blood to see why you are sick; it will hurt for a second."
A 7-year-old boy has been admitted to the hospital with a diagnosis of fever of unknown origin. He has numerous tests ordered for diagnosis. When preparing him for the blood tests ordered, the best explanation would be:
"The doctor needs to look at your blood to see why you are sick; it will hurt for a second." Using the term "drawing blood" implies you are suggesting a game, not a momentary painful procedure. Being honest about pain allows the child to trust you.
The nurse is preparing to assist with a procedure on a child. The nurse states the child can pick a toy from the prize box after the procedure. The parent asks the nurse, "Are you trying to bribe my child?" Which response by the nurse is appropriate?
"We give rewards to help children remember the experience as not all bad."
A 4-year-old child is being prepared to undergo a bronchoscopy to remove an aspirated pea. The nurse knows that the parents need additional teaching based on which statement?
"We will be able to take our child home immediately after the procedure is completed." The child will not leave immediately. Procedural complications are not common but may include compromise to the airway such as hemorrhage, pneumothorax, and airway edema. After the procedure, the nurse will need to continue to assess the child's respiratory function and airway patency. Postprocedure complications may include bronchospasm, stridor, desaturation, or respiratory distress. The nurse will observe children carefully the first time they drink after the procedure to assess that the gag reflex is intact and they do not choke. All of the other options are correct.
A nurse is teaching the parents of a preschool-aged child how to collect a stool specimen at home for ova and parasites? The nurse determines that the teaching was successful based on which statement?
"We will take the specimen to the laboratory immediately."
A nurse has just received an order to apply an ice bag to a client's groin. Which of the following intervals for placement of the ice bag does the nurse plan to use?
20 minutes
A nurse has just received an order to apply an ice bag to a client's groin. Which of the following intervals for placement of the ice bag does the nurse plan to use?
20 minutes As with heat, a provider must order the use of cold applications. Intervals of 20 minutes are recommended for both dry and moist cold.
A nasogastric tube for enteral feedings has just been inserted in a 6-month-old infant. Which method would the nurse anticipate being used to confirm placement?
Have an abdominal X-ray completed
An infant is scheduled to have a painful procedure performed. Which nursing action provides the best support for the parents and infant?
Allow the parents to hold the infant during the procedure.
An infant is scheduled to have a painful procedure performed. Which nursing action provides the best support for the parents and infant?
Allow the parents to hold the infant during the procedure. It is important for the nurse to advocate for parents to remain in the procedure room to provide support to the infant. The parent may choose to hold the infant during a painful procedure, but it is best that the parent not restrain the infant during the procedure. Their role should be supportive and comforting, not one that causes pain. Having the parents remain outside the room leaves the infant without needed support. Infants experience pain but express it differently than adults.
A nursing student is learning how to insert and administer enteral feedings through a nasogastric (NG) tube. The student identifies the best way to check placement before each feeding as which of the following?
Aspirating stomach contents and checking pH Confirmation of placement by radiologic examination is the most accurate method of verifying placement and position of a feeding tube. Because of the risks of repeated radiation exposure, however, this procedure cannot be used before each feeding. The nurse should verify placement of the tube by aspirating stomach contents and checking the pH. Verifying position by inserting air into the feeding tube and listening for sounds in the stomach is now considered an unreliable method of checking for tube placement.
After inserting a nasogastric tube (NG) into a young child, how will the nurse tape the tube in place?
Below nose and to cheek The nurse will tape the tube below the nose and to the side of the cheek to avoid pressure on the naris, as also happens when taping to the forehead is done. Taping to the cheek and behind the ear will not stabilize the tube adequately. It will not be taped to the side of the mouth. A nasogastric tube enters the nose.
After a gavage feeding has been completed for a young infant, the nurse will encourage the parent to take what action?
Burp the infant.
The nurse needs to provide instructions to a school-age girl about how to obtain a clean catch midstream urine specimen. Which instructions are best?
Clean the labia from front to back, then void a small amount into the toilet before collecting in the cup.
The nurse needs to provide instructions to a school-aged girl about how to obtain a clean catch midstream urine specimen. Which instructions are best?
Clean the labia from front to back, then void a small amount into the toilet before collecting in the cup. For girls, clean the labia from front to back using a cleansing pad or cotton balls saturated with the agency's designated cleaning solution. During the child's voiding, ask the parent to collect a "midstream" sample into a sterile container provided. It is unnecessary to catheterize a school age child to get a clean catch urine specimen. Urinating into the cup is part of the process, but it follows cleaning the labia and voiding a small amount in the toilet. A urine collection bag is used for infants, not school age children.
Following the repair of a cleft palate, the nurse places an 18-month-old child in restraints. The caregivers are with the child and will stay in the room at all times. Which type of restraints would the nurse most likely use for this child?
Elbow restraint An elbow restraint prevents the child from being able to bend the elbows and thus prevents the child from reaching or touching the face or head areas.
How will the nurse properly collect and care for the child's 24-hour urine specimen?
Empty each void into a designated container that keeps the urine cool.
The nurse is reinforcing teaching with a group of caregivers regarding steps that can be taken to lower a child's elevated temperature. Which action would the nurse include in the discussion? Select all that apply.
Encourage fluids. Administer acetaminophen. Lower the room temperature. Methods used to reduce fever include maintaining hydration by encouraging fluids and administering acetaminophen. Keep room environment cool. Dress the child in lightweight clothing. Because of their ineffectiveness in reducing fever and the discomfort they cause, tepid or lukewarm sponge baths are no longer recommended for reducing fever.
A toddler has a peripheral IV and has pulled it out twice on one shift. The nurse decides to apply an elbow restraint on the right arm to prevent the client from pulling the IV out again. What interventions would the nurse implement in caring for a client in elbow restraints? Select all that apply.
Ensure that the restraint does not go too high under the axillae. Check the skin under the restraint every 1 to 2 hours. Pin the restraint to the child's shirt for stability. Tongue depressors can be used to construct the restraint.
The nurse is preparing a school-age child for a diagnostic procedure. What is an important nursing role in relation to obtaining informed consent for this procedure for this client?
Ensure the child understands and assents to the test.
When performing a procedure on a child in the health care setting, what should the priority intervention by the nurse be?
Ensuring the child's safety
The nurse is attempting to insert an intravenous (IV) line in a child. The child will not remain still, moving constantly. The caregiver asks, "Can you use a restraint? The IV has to be in for my child to get the medicine needed to get better." Which action will the nurse take?
Explain that restraints are used only as a last resort.
The nurse is about to place a gastrostomy tube in an infant. After gathering the supplies, which is the first step in the procedure?
Explain the procedure to the parents.
A 6-year-old has just returned to his room after a spinal tap. What could the nurse do to make this unpleasant procedure less memorable for the child?
Give him a little toy that he has been wanting.
A 6-year-old has just returned to his room after a spinal tap. What could the nurse do to make this unpleasant procedure less memorable for the child?
Give him a little toy that he has been wanting. Children given a treat or small toy after an uncomfortable procedure tend to remember the experience as not totally bad. The nurse should never say that any patient will not have to go through an uncomfortable experience again. Saying the child was brave when maybe he was not could foster mistrust in the nurse.
What action should the nurse take after collecting a stool specimen for ova and parasites from a preschool-aged child?
Have the specimen taken to the laboratory immediately. If a stool specimen is for ova and parasites, do not refrigerate it because refrigeration destroys the organisms to be analyzed. The specimen needs to arrive in the laboratory in less than 1 hour after collection so the parasites can be readily detected. Alcohol should not be added to the specimen container. The color of the stool sample is of no consequence.
When an infant is scheduled for a painful procedure, what is the most important action by the nurse?
Help to soothe and comfort the baby before and after the procedure.
When an infant is scheduled for a painful procedure, what is the most important action by the nurse?
Help to soothe and comfort the baby before and after the procedure. Infants undergoing procedures can experience pain. Thus, the important action is to help soothe and comfort the child before and after the procedure. The nurse should explain everything to the care provider, but the patient's comfort in this case is the highest priority.
A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. What would be the most appropriate method to clean and secure the gastrostomy tube?
If any drainage is present, use a presplit 2 × 2 and place it loosely around the site.
A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. What would be the most appropriate method to clean and secure the gastrostomy tube?
If any drainage is present, use a presplit 2 × 2 and place it loosely around the site. Skin around the gastrostomy or jejunostomy insertion site may become irritated from movement of the tube, moisture, leakage of stomach or intestinal contents, or the adhesive device holding the tube in place. Keeping the skin clean and dry is important and will help prevent most of these problems. If any drainage is present, a presplit 2 × 2 can be placed loosely around the site and changed when soiled. If no drainage is present, the nurse should not place a dressing as it can cause undue pressure and trap moisture, leading to skin irritation. Preventing movement of the tube helps reduce skin irritation; however, the tube should be able to move slightly in and out of the child's stomach.
A preschool-aged child has not been able to eat for several days until all diagnostic tests are complete to determine the cause of chronic diarrhea. Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time?
Imbalanced nutrition, less than body requirements, related to food restriction for procedures Because the child has not been able to eat for several days, the risk for imbalanced nutrition is high. This is the appropriate diagnosis for the nurse to select at this time. There is no enough information to determine if the child is at risk for injury, fearful of procedure rooms, or experiencing a deficiency in diversionary activities.
A nurse is preparing to apply heat therapy to a client who has a back abscess. Heat has which of the following benefits? Select all that apply.
Increases circulation Causes vasodilation Promotes muscle relaxation Local application of heat increases circulation by vasodilation and promotes muscle relaxation, thereby relieving pain and congestion. It also speeds the formation and drainage of superficial abscesses.
A nurse will explain to a child's caregiver any procedure that is to be done. What is the primary reason for this explanation?
It helps to reduce anxiety.
A child is reporting pain where an IV infiltrated his hand earlier in the shift. The doctor orders warm compresses to the right hand every 4 hours. What precautions would the nurse implement for this client?
Limit treatments to 20 minutes at a time.
A child is reporting pain where an IV infiltrated his hand earlier in the shift. The doctor orders warm compresses to the right hand every 4 hours. What precautions would the nurse implement for this client?
Limit treatments to 20 minutes at a time. Warm compresses are used to increase circulation to an area of the body and to promote pain relief. For a child having warm compresses, the length of each session is a maximum of 20 minutes to prevent skin damage. Towels used in warm compresses are never heated in a microwave because of uneven heating. Parents are not to apply compresses because the nurse needs to assess the skin before and after the treatment. Gauze is not a good material for compresses; it does not hold heat well.
How will the nurse determine the length of orogastric tubing needed to gavage the 14-month-old infant?
Measure from nose tip to earlobe to end of sternum.
A nurse is preparing to insert a nasogastric (NG) tube in an infant. How will the nurse determine the appropriate length of tubing to use for the infant?
Measure from the tip of the child's nose to the earlobe down to the tip of the sternum.
The floor nurse is making rounds on her clients and discovers that an 8-month-old admitted with pneumonia has an oxygen saturation of 91% on room air. The physician has standing orders to keep saturations at 96% or above. Which oxygen delivery system would the nurse choose for this client?
Nasal cannula For infants and older children, the nasal cannula is the most appropriate oxygen delivery system for this oxygenation level. It is the less invasive and most comfortable for the infant. A face mask or a non-rebreather mask are used if the nasal cannula is not successful in keeping the infant's oxygen saturations within the set parameters. Oxygen tents are rarely used due to the difficulty in maintaining a constant O2 level in the tent.
Parents asks the nurse why their premature infant is receiving a feeding through the mouth rather than the nose. What is the best explanation by the nurse?
Newborns are obligate nose breathers so nasogastric may obstruct their breathing.
Parents asks the nurse why their premature infant is receiving a feeding through the mouth rather than the nose. What is the best explanation by the nurse?
Newborns are obligate nose breathers so nasogastric may obstruct their breathing. Whether enteral catheters should be passed through the nares or the mouth is controversial. Because newborns are obligate nasal breathers, passing a catheter through the nose may obstruct their breathing space, and repeated insertion of a nasogastric tube can cause inflammation and obstruction of the nose; thus most tubes are inserted orally in small infants. Orogastric insertion can also decrease the possibility of striking the vagal nerve in the back of the throat and causing bradycardia, whereas nasogastric tubes increase the possibility of striking the vagal nerve.
A nurse receives a physician's order to collect a specimen for the diagnosis of respiratory syncytial virus. How should the nurse collect this specimen?
Obtain a nasal washing.
A nurse inserts a nasogastric (NG) tube into a child for enteral feeding. How will the nurse ensure appropriate placement of the tube after insertion?
Obtain radiologic confirmation.
The health care provider orders a urinalysis on a 15-month-old toddler. The mother states that the child is not potty-trained. What is the best way for the nurse to collect the specimen?
Place a urine collection bag on the child after cleaning off the perineum.
The doctor orders a urinalysis on a 15-month-old toddler. The mother states that the child is not potty trained. What is the best way for the nurse to collect the specimen?
Place a urine collection bag on the child after cleaning off the perineum. In patients that are not potty trained, the best method for collecting a urine specimen is to place a urine collection bag on the child and wait for them to void. The doctor did not order a urine culture, so a catheterized urinalysis is not needed and would be traumatic for the child. Trying to catch urine from a voiding toddler is nearly impossible and aspirating urine out of the diaper is not the best approach or one that ensures the best results.
If a urine specimen for analysis is ordered for an 8-month-old girl, which intervention would you use?
Place a urine collector on her just prior to feeding.
If a urine specimen for analysis is ordered for an 8-month-old girl, which intervention would you use?
Place a urine collector on her just prior to feeding. Most infants void following a feeding, so placing a urine collector just before a feeding will usually allow a urine specimen to be obtained.
The nurse is caring for a 2-year-old child in the pediatric unit. The child was being fed by unlicensed assistive personnel and had a temper tantrum and spit out the food. The child now needs to be taken for a diagnostic procedure. Which nursing action would be the best method of transporting this child?
Place the child in a crib with high side rails or in a crib with a bubble top.
A pediatric client is having difficulty breathing. Which nursing intervention is appropriate for this client?
Provide oxygen as needed to maintain oxygen saturation above 93% The nurse would provide oxygen to increase oxygen saturation as needed for this child. A decrease in oxygen saturation will cause the child to have an increase in the work of breathing. The positioning does not promote an open airway. Having family members leave the room could increase the child's anxiety, which would worsen the respiratory status. Continuing to monitor the child provides no assistance or relief.
A pediatric client is having difficulty breathing. Which nursing intervention is appropriate for this client?
Provide oxygen as needed to maintain oxygen saturation above 93%.
The nurse is caring for a comatose school-age child receiving gastrostomy tube feedings. The nurse aspirates 15 ml of stomach contents prior to administering a feeding. What is the appropriate action by the nurse?
Replace the stomach contents and continue with the feedings as prescribed.
The nurse is caring for a comatose school-age child receiving gastrostomy tube feedings. The nurse aspirates 15 ml of stomach contents prior to administering a feeding. What is the appropriate action by the nurse?
Replace the stomach contents and continue with the feedings as prescribed. The nurse should always aspirate nasogastric or gastrostomy tubes for stomach contents to check for tube placement and assess gastric residual amounts prior to administering feedings. The nurse will return any amount of stomach residue aspirated so the child does not lose large amounts of stomach acid. 15 ml is a very small amount of gastric contents and should not interfere with feedings.
The nurse has just inserted a nasogastric tube for an enteral feeding in a 6-month-old infant. The best way to assess whether the tube has reached her stomach is to:
aspirate the tube for stomach contents.
Colin, age 1, has been admitted for an injury on his head that requires sutures to be placed. He is crying and trying to sit up when he is placed on the examining table. To keep him safe during the procedure, the nurse would choose which method to restrain him?
Restrain him with a mummy restraint and release it as soon as the procedure is completed.
The nurse aspirates stomach contents before administering a nasogastric (NG) tube feeding. How will the nurse manage the aspirate? Select all that apply.
Return the aspirate to the stomach. Determine the pH of the aspirate. Record the amount of the aspirate.
An older school-aged child is taught to apply warm, nonsterile compresses to an inflamed area on one leg. Which suggestion by the nurse will increase the effectiveness and safety of the child's self-care?
Set a timer for not longer than 20 minutes as a removal reminder.
A 6-month-old infant requires a routine urine specimen for analysis. Which action by the nurse would be appropriate?
Squeezing the diaper to obtain the urine sample. urine Place a urine collector on the baby just prior to feeding.
The nurse is caring for a child receiving oxygen. The nurse observes the caregiver remove petroleum-based cream from a bag and prepare to apply the cream to the child. The caregiver states the child has dry skin and this cream is applied daily at home. Which action will the nurse take?
Stop the caregiver from applying the cream.
A nurse working with a client who has an elevated temperature notices that the child is beginning to shiver. Which of the following should the nurse do immediately?
Stop whatever intervention is being done to lower the temperature.
A nurse working with a patient who has an elevated temperature notices that the child is beginning to shiver. Which of the following should the nurse do immediately?
Stop whatever intervention is being done to lower the temperature. Removing clothing and excess covering from a child with a fever permits additional cooling through evaporation. If a child starts to shiver, whatever method is being used to lower the temperature should be stopped. Shivering indicates the child is chilling, which will cause the body temperature to increase.
An adolescent is scheduled to have the present gastrostomy tube replaced with a gastrostomy button. What advantage of the button over the tube will the nurse emphasize?
The button will be smaller and less visible when not in use.
A child has returned to the unit after having a lumbar puncture. Which instructions are important for the nurse to provide the parents and child?
The child will need to remain flat to prevent a headache.
A child has returned to the unit after having a lumbar puncture. Which instructions are important for the nurse to provide the parents and child?
The child will need to remain flat to prevent a headache. After a lumbar puncture, remind children to remain quiet and with their head flat to help prevent a postdural puncture (spinal) headache. Typically, children will not be fearful of staff nor will the child be up ambulating until later. The procedure should not need to be repeated in 24 hours.
The nurse is preparing a 7-year-old child for surgery. Which nursing action is the highest priority?
The nurse should follow the facility's policies.
A nurse is preparing to insert a feeding tube into a child and lubricates the tube with water or a water-soluble jelly first. Why does the nurse avoid the use of an oil-based lubricant?
There is a danger of oil aspiration into the lungs.
A child has been admitted to the pediatric unit with diarrhea. The nurse must collect a stool specimen for ova and parasites. The nurse knows that the proper procedure must be followed for detection of the ova and parasites. The proper procedure includes:
Transport the stool specimen to the laboratory promptly.
The nurse finds an elevated temperature in a blanket-wrapped infant a mother is holding and rocking. What first temperature reduction measure will the nurse take?
Unwrap the infant and place the child in the crib.
A nursing student is learning how to insert and administer enteral feedings through a nasogastric (NG) tube. The student identifies the best way to check placement before each feeding as which of the following?
aspirating stomach contents and checking pH
The nurse is administering a prescribed bolus gavage feeding. Which action would be incorrect in performing this procedure?
Verify placement by auscultating for sounds in the stomach when air is inserted.
The nurse is administering a prescribed bolus gavage feeding. Which action would be incorrect in performing this procedure?
Verify placement by auscultating for sounds in the stomach when air is inserted. Auscultating for sounds when air is injected into the stomach is no longer considered recommended for verifying tube placement because it has been found unreliable as a confirmation of position.
The nurse needs to transport her preschool client to radiology for a chest X-Ray. Which transportation device would be most appropriate?
Wagon When transporting a child off the floor, the nurse needs to select the correct means of transportation based upon the child's age and developmental level. For a preschooler, a wagon would be the best choice for both safety and for enjoyment. A stretcher or wheelchair are both too large for such a young child and a crib is too small for them.
Following the repair of a cleft palate, the nurse places an 18-month-old child in restraints. The caregivers are with the child and will stay in the room at all times. Which type of restraints would the nurse most likely use for this child?
elbow restraint
A pediatric nurse wants to determine an accurate amount of urine output for a diapered baby. Which is the most effective method?
Weigh a diaper before use and mark with weight, then weigh after and subtract the weight of the diaper. Diapers can be readily used as a method of measuring urine output. Weigh a diaper before it is placed on an infant and record this weight conspicuously (e.g., mark it on the front of the plastic covering with a ballpoint pen). Reweigh the diaper after it is wet and subtract the difference to determine the amount of urine present. This difference will be in grams, but because 1 g = 1 ml, the amount can be recorded in milliliters. This is the most accurate measure of output for an infant. This knowledge makes the answer that measuring output is impossible an incorrect answer. For just everyday intake and output, counting the number of wet diapers is adequate. Using a urine collection device is not always accurate because many times urine leaks around the bag.
A nurse is caring for a hospitalized infant being treated for dehydration. What does the nurse need to do to measure the output when the child is wearing a diaper?
Weigh the wet diaper and subtract the weight of a dry diaper; the difference is the amount to record.
How will the nurse measure urine output in the hospitalized toddler who is partially potty trained?
Weigh the wet pull-up or diaper and subtract the weight of a dry diaper A toddler who is partially potty trained is likely to regress during the stress of hospitalization and need diapering. Subtracting dry weight in grams from wet weight reveals the number of milliliters of urine excreted. The other output measurement methods will not be accurate.
For which client would the nurse question the doctor's orders for a throat culture swab?
a toddler suspected to have epiglottitis
While teaching parents how to effectively reduce the child's fever, the nurse should emphasize avoiding which intervention?
acetylsalicylic acid
While teaching parents how to effectively reduce the child's fever, the nurse should emphasize avoiding which intervention?
acetylsalicylic acid Caution parents to never give acetylsalicylic acid (aspirin) to children with fever because aspirin is associated with Reye syndrome, a severe neurologic disorder. Acetaminophen is safe for children, and cool cloths and dressing lightly will help reduce fever.
A child has been admitted to the pediatric unit with an oral temperature of 102°F (38.9°C). Acetaminophen has failed to control the fever. The nurse knows that she may utilize which therapeutic modalities? Select all that apply.
cooling blanket hydration lightweight clothes cool room
The nurse is caring for an infant recovering from surgery for a cleft palate. Which type of restraint would the nurse anticipate using for this infant post-operatively?
elbow
A new graduate nurse is asking the nurse preceptor about enemas in pediatrics. The preceptor explains that the use of enemas in children is warranted under which circumstances? Select all that apply.
fecal impaction Hirschsprung disease preparation for surgery preparation for a colonoscopy Enemas are rarely used with children unless they are used as therapy for fecal impaction, Hirschsprung disease, a part of preparation for surgery, or a diagnostic test. Enemas would not be used for bloating or constipation.
A nurse is preparing to apply heat therapy to a client who has a back abscess. Heat has which of the following benefits? Select all that apply.
increases circulation causes vasodilation promotes muscle relaxation
The nurse is caring for an 11-year-old admitted with a respiratory condition. The child requires occasional administration of low-flow oxygen. Which of the following methods of oxygen administration would likely be used for this child?
nasal prongs
The nurse is caring for a child who has a gastrostomy tube in place. The nurse is about to give a feeding when it becomes evident that the tube is filled with dark brown fluid. The nurse's best action would be to:
report to the health care provider that a complication may be occurring.
The nurse obtains a stool specimen for ova and parasites. It would be important for the nurse to:
see that it arrives at the laboratory promptly.
The nurse should consider which stool sample collected from a child as contaminated and not acceptable for analysis?
stool removed from surrounding urine
A preschool child has been admitted to the hospital. Which prescription should the nurse question?
tap water enema 500 ml
Which of the following are situations that might warrant a restraint of a pediatric client? Select all that apply.
to protect the child from injury during a procedure or examination to ensure the child's safety
A young preschooler who has been playing in the hospital playroom needs transportation to the imaging department. What conveyance will the nurse choose?
wagon
The nurse needs to transport her preschool client to radiology for a chest X-Ray. Which transportation device would be most appropriate?
wagon