Evolve- Preschool

What does a nurse need to do during the third accuracy check before administering ear drops in a 5-year-old child?

Check the label of medication at the child's bedside

Which statement should the nurse make when providing information to the parent of a preschool-age client who calls the pediatric clinic after dropping a mercury thermometer at home?

"Clean up the spill using paper towels and disposable gloves

What are the similarities between the teaching methods for a toddler compared to a preschooler?

In both cases, play is used to teach a method or procedure. In both cases, learning is accompanied with pictures and short stories.

What should a nurse refrain from when a 5-year-old child ingests hair shampoo?

Inducing vomiting in the child. Give ipecac syrup to the child

A nurse who volunteers in a daycare for preschoolers has been asked to give a presentation to parents about health promotion. Which topics should the nurse include?

Injury prevention and dental health

A preschool-age child has been restricted to bed rest since being admitted to the hospital. As he begins to recover, he becomes interested in playing. In light of his developmental level and activity restriction, what should the nurse provide for him?

Matchbox cars and a shoebox garage

A nurse accompanies a 3-year-old child to the pediatric unit's playroom. The toddler seems reluctant to select a toy or activity. Which toy is most appropriate for the nurse to offer as a means of fostering creativity?

Mold and clay

A nurse is caring for a preschooler on the pediatric unit. What does the nurse identify as the child's greatest fear at this age?

Mutilation

A preschooler who has undergone adenoidectomy arrives at the healthcare provider's office for a follow-up visit. What other adaptations to the surgery should the nurse assess in addition to hearing?

Sense of taste Sense of smell Speech sounds

A nurse is preparing a preschooler for an elective surgical procedure. How much time should the nurse allow between telling the child about the surgery and the actual surgery?

Several days

Which sensory function is difficult to assess in preschoolers?

Smell

A 4-year-old child is found to have mucocutaneous lymph node syndrome (Kawasaki disease). The child is admitted to the pediatric unit, where the nurse performs an initial assessment. What clinical finding supports the diagnosis?

Strawberry tongue

Which type of speech should the nurse anticipate when conducting a developmental assessment for a preschool-age client?

Telegraphic

A nurse is trying to involve a hospitalized preschooler in therapeutic play. Why is this so important?

The child can work out ways of coping with fears.

Which findings in a four-year-old indicates an appropriate development of socialization skills?

The child tends to be selfish and impatient. The children takes pride in his or her accomplishments. The child tells family tales to others with no restraint.

A mother takes her 4-year-old child to the playground. The child becomes aggressive and refuses to play or interact with other children. What is the temperament of the child according to the longitudinal study of psychiatrists Stella Chess and Alexander Thomas?

The difficult child

The nurse needs to inject a medication to a preschooler at the vastus lateralis site. What does the nurse need to know about this site of injection?

The maximum recommended length of needle insertion at the vastus lateralis site is 1 inch for preschoolers.

A 3-year-old child with sickle cell anemia is admitted to the child health unit during a painful episode. Splenomegaly is identified. What does the nurse explain to the parents about splenomegaly

Triggered by a vasoocclusive crisis

Which is the most therapeutic play activity for the nurse to offer a 4-year-old child who is restricted to bed rest?

Using crayons on the blank sheets of paper

The nurse is comparing Meso-2,3-dimercaptosuccinic acid (DMSA) and British antilewisite (BAL) as chelating agents to be used as treatment for lead poisoning. Which statements indicate correct knowledge regarding chelating agents?

"DMSA is given orally while BAL is given intramuscularly." "Both DMSA and BAL are given in repeated doses over several days."

Which statements by the parent of a 4-year-old client would indicate correct understanding related to expected gross motor skill development during this stage of development?

"I should expect my child to be able to jump rope." "I should expect my child to be able to ride a tricycle." "I should be concerned that my child is unable to throw a ball underhand when playing outside."

A nurse educates the mother of a preschooler about potential physical changes in the child. Which statement made by the mother needs correction?

"My child will gain a about 7 lbs (3.18 kg) per year."

Which statement regarding injury prevention should the nurse include in a presentation for the parents of preschool-age clients?

"Preschool-age children are at risk for injury because they are provided more freedom, such as riding a tricycle in the street."

A nurse educates a mother about the various psychosocial changes in preschoolers. Which statements should the nurse include for an adequate teaching plan?

"Preschoolers are fearful about bodily harm." "Preschoolers believe that punishment is automatically connected to an act."

When a nurse brings a dinner tray to a 4-year-old child hospitalized with pneumonia, the child says, "I'm too sick to feed myself." What is the best response by the nurse?

"Wait a few minutes, and I will be back to help you."

The nurse is educating the parent of a preschooler who has frequent nightmares. Which instruction should the nurse provide to the parent?

"You may keep the lights on." "You may tuck in a soft toy with your child." "You may talk to the child about his or her fears"

A nurse educates a mother who complains that her preschool-aged child suffers from bedtime fears and insomnia. Which of these statements should the nurse tell the mother?

"You should comfort the child after he or she experiences a bedtime fear and leave the child in his or her own bed."

A nurse is educating a group of parents about the psychosocial changes of preschoolers. Which information is the nurse likely to include?

"Your child will have imaginary playmates." "Your child will feel guilty for behaving inappropriately." "Your child will be curious to know more about his or her surrounding."

A preschool child with a spinal cord injury will be on prolonged bed rest. The nurse explains to the parents that certain foods will be restricted to prevent complications associated with immobility. What food should be noted as restricted in the teaching plan?

Cheese

What is the required average daily intake of calories in preschoolers?

1,800

After a preschooler undergoes craniotomy for the removal of a brain tumor, the nurse identifies an area of serosanguineous drainage about the size of a quarter on the child's dressing. What is the immediate response by the nurse?

Circling the area with nonabsorbable ink

A child living in a high-risk geographic area has their blood lead level (BLL) tested. The nurse determines that the child's exposure status is not likely to change, and recommends rescreening in 1 year. What is likely to be the client's BLL?

3 mcg/dL

What does the nurse state the average weight of a preschooler at the age of 5 years old?

41 lbs (18.59 kg)

A 4-year-old child is admitted with burns over the entire right arm and the anterior and posterior aspects of both legs. Using the percentage of total body surface area (TBSA) that was burned, the nurse estimates that the TBSA affected is approximately what percentage?

41%

Which roommate should the nurse manager assign to a 4-year-old boy who has been admitted to the pediatric unit with nephrotic syndrome?

5-year-old with thalassemia

A preschooler who has ingested aspirin is brought to the emergency department. Which treatment should the nurse provide immediately?

Activated charcoal

Which is the most significant lifestyle change the nurse should prepare the preschool-age client and family for during this stage of development?

Admission to school

A nurse is caring for a preschooler in the immediate postoperative period after a tonsillectomy. What should the nurse encourage the parents to offer the child?

Ginger ale

A child presents with symptoms of aspirin poisoning with altered mental status. Which are the appropriate treatment methods in this scenario?

Hemodialysis is used in severe cases External cooling is used for hyperpyrexia

A nurse reviews the assessment findings of four preschooler children. Which child may have poor psychosocial development?

Preschooler B

A nurse advises a mother to teach her child to swim under guided supervision. Which age group of the child is the nurse referring to?

Preschoolers

Which step should the nurse follow for the administration of ear drops in children of 4 to 5 years of age?

Pull the auricle up and out

A nurse advises the parent of a three-year-old child to encourage scribbling and drawing in the child. Which skills does the nurse plan to enhance in the child by this intervention?

Reading Fine muscle Eye-hand coordination

A nurse is caring for a preschool-age child with leukemia who is undergoing chemotherapy and may have a fever. What factors should the nurse consider before taking this child's temperature?

Rectal temperatures are too upsetting for this age group. Oral temperatures are accurate in children with leukemia. Rectal temperatures are avoided to reduce the risk of rectal trauma.

Which activities will the nurse suggest to the parents of a preschool-age child to enhance gross motor skills?

Riding a bicycle Throwing a ball

Which infection caused by droplets larger than 5 microns would the nurse explain is found in children between 3 to 6 years of age?

Rubella