meds & ped ch 52

A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose. What care should the nurse prepare to provide to this client?

Administer prescribed oral antibiotic. Explain that an X-ray may be done to make sure that the jaw was not fractured.

Before discharging a school-age child being treated for a snake bite, the nurse instructs the child in ways to prevent additional bites in the future. Which statement indicates that teaching provided to this child has been effective?

"I should look at and under rocks before touching them."

An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?

acetylcysteine

The nurse is completing the health history for the parents of school-age child admitted with a ruptured spleen. For which activity should the nurse assess as the possible cause forthis child's injury?

playing baseball

A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time?

preparation for an emergency endoscopy to remove the batteries

In the emergency department, the nurse is asked to administer a histamine-2 receptor antagonist to a child with extensive burns. Which therapeutic outcome is desired?

prevention of a stress ulcer

The nurse notes that a child with a burn injury is prescribed dailydebridement. What should the nurse instruct the child and parents about the purpose of this treatment?

prevents infection

A child with extensive burns is permitted to eat. Which nutrient should the nurse ensure is of a high amount when the child's meals are being prepared?

protein

It is determined that 30% of a child's body is burned. Burned areas are assessed as partial- thickness or second-degree when they involve:

the epithelium and part of the dermis

The nurse is preparing to administer activated charcoal to a 4-year-old child who accidentally ingested a family member's heart medication. What should the nurse do to reduce the discomfort from this treatment?

Insert a nasogastric tube.

The nurse is providing guidance over the phone to a parent whose toddler ingested a lye-based cleaner. Which instruction is essential?

Stay with the child and do not induce vomiting.

A 2-year-old girl is seen at a health maintenance setting for lead poisoning. She has been observed eating paint from a windowsill. What measure would the nurse teach her parents?

covering the windowsills with paneling to prevent her from reaching them

A school-age child comes into the emergency clinic complaining of knee pain that started while playing soccer. What will the nurse most likely observe when assessing this child's knee?

edema

A child with burns requires daily whirlpool with débridement treatment. The purpose of this treatmeterm-5nt is to:

prevent infection.

A 2-year-old child is diagnosed with lead poisoning caused by eating paint chips from a windowsill. The nurse is teaching the parents of about how to prevent this from occurring in the future. The nurse determines that the teaching was successful based on which statement by the parents?

"We will make sure to cover the windowsills with paneling so our child cannot get to them."

A child's parent calls the clinic nurse and states, "My child just drank an unknown amount of a cleaning solution. What should I do?" Which statement by the nurse is best?

"You need to hang up with me and call the poison control center now."

The nurse is caring for a preschool-age child who survived a drowning experience. Which interventions should the nurse plan to promote optimum respiratory functioning for this client?

- Turn and reposition every 2 hours. - Administer antibiotics as prescribed. - Monitor cardiac rhythm and blood pressure. - Encourage deep breathing and incentive spirometry every hour.

A child with a head injury is demonstrating signs of cognitive deficits. The parents are concerned about how well the child will recover. Which nursing diagnosis should the nurse identify as the most appropriate for the family at this time?

Parental fear related to outcome after head injury in child

The nurse is caring for a 7-year-old client who suffered extensive burns from a house fire. Which finding in the client's history most concerns the nurse?

The child was trapped in a burning bedroom.

A nurse in an emergent setting is caring for a school-age child with partial- thickness (second-degree) burns to the legs and groin. The child is admitted and a parent is at the bedside. When planning care, which client goal is the immediate priority?

The client will express a pain level less then 2 out of 10 on the pain scale.

The school nurse is planning a presentation to be given during the next parent/teacher conference to include the 2020 National Health Goals to prevent unintentional injuries in children. What should the nurse include in this presentation?

- recognize signs of self-injury - provide information on home safety 8 - ways to determine intentional injuries - emphasize safety with sports activities

A preadolescent child sprains the right ankle while inline skating. What should the nurse instruct the child and parents about the care that the child will need at home?

-Apply ice pack for 20-minute intervals. -Maintain ice pack application on the ankle for several days -Keep wrapped in an elastic bandage. -Remind to use crutches to walk for 3 to 4 days.

At which age is a child most likely to ingest a poison?

1 to 5 years old

The nurse calculates that a child with a burn injury is to receive 3,600 ml of intravenous fluid over the next 24 hours. How much of this fluid should the nurse provide to the client during the first 8 hours?

1,800 ml

A common cause of poisoning in the young family is the ingestion of iron pills. You would inform parents that:

the ingestion of iron can cause serious problems if the child is not treated immediately.