Peds - Exam #1 - Sherpath

The parent of a patient diagnosed with cancer denies the illness and states, "My child is not sick." What will be the immediate nursing action? A. Ask the parent to define "illness" in his own words. B. Assess the parent's knowledge pertaining to the child's illness. C. Ask the parent why he refuses to believe the child is sick. D. Assume the parent's response will change after the nurse explains the child's illness.

B. Assess the parent's knowledge pertaining to the child's illness. Assessment of the parent's knowledge pertaining to the child's illness is the appropriate action for the nurse to perform. Providing education can be a way to empower parents and patients and assessment of the family's knowledge will provide an opportunity for the nurse to educate the family members on the child's condition

The sibling of a pediatric patient would like to see his sister but refuses to go into the patient's room. Which intervention should the nurse consider to decrease the sibling's anxiety? A. Ask the family members to comfort the sibling. B. Communicate to the sibling there is nothing to be anxious about. C. Encourage the sibling to stay out of the room until he is comfortable. D. Allow the sibling to assist with holding the thermometer while obtaining the patient's temperature.

D. Allow the sibling to assist with holding the thermometer while obtaining the patient's temperature. Allowing the sibling to assist with simple procedures will decrease the sibling's anxiety and decrease his fears. This also gives the siblings an opportunity to interact together with the health care team

Which statement by the mother indicates understanding of an apparent life-threatening event (ALTE)? "I am so scared because my baby was just diagnosed with an apparent life-threatening event." "Even though my baby experienced an apparent life-threatening event, he is not at higher risk for SIDS." "My baby experienced an apparent life-threatening event, which is considered a near-miss SIDS event." "My baby experienced an apparent life-threatening event, but he did not experience a SIDS event that was stopped."

"My baby experienced an apparent life-threatening event, which is considered a near-miss SIDS event."

which statement is correct regarding the care of a patient diagnosed with pelvic inflammatory disease? Treatment always requires admission for 24-hour observation and administration of parenteral antibiotics to treat the infection. No follow-up is necessary after completion of antibiotic administration Antibiotics can be given orally or intramuscularly in the outpatient setting. Pelvic inflammatory disease is caused by a viral infection and antibiotic treatment is not effective.

Antibiotics can be given orally or intramuscularly in the outpatient setting.

Which classifications are appropriate for high-risk neonates? Maternal age Disease process Gestational age Gender Weight

Disease process Gestational age Weight

Pediatric nurses can use creative communication techniques to help children of all ages communicate their thoughts and feelings. What nonverbal technique(s) can the nurse use to communicate with a pediatric patient? Encourage the child to use storytelling. Encourage the child to keep a journal or diary. Encourage the child to draw a picture about his or her feelings. Encourage the child to play. Encourage the child to talk about his or her dreams.

Encourage the child to keep a journal or diary Encourage the child to draw a picture about his or her feelings Encourage the child to play

Which strategies can be helpful in the prevention of sleep issues during infancy? Co-sleeping with the infant Establishing a bedtime routine Putting the infant to bed drowsy Leaving a bottle in the bed for the infant Rocking the child to sleep

Establishing a bedtime routine Putting the infant to bed drowsy

Why are animal bites to the hands often not closed surgically at time of the injury? Wounds to the hands heal quickly, and sutures are not needed. Due to mobility of the hands, surgical closure with sutures is delayed. The skin of the hands is thin, and sutures are not effective. Hand wounds have a high-risk of infection.

Hand wounds have a high-risk of infection.

Which birthmark seen in newborns can be found within the PHACE syndrome mnemonic? Port-wine stain Hemangioma Elancytic nevi Café au lait spot

Hemangioma

Complementary and alternative medications (CAM) are gaining popularity among parents of ill children. Which of the interventions listed are considered part of the CAM process? Herbal supplements Chiropractic treatments Senna Åcupuncture Reiki

Herbal supplements Chiropractic treatments Acupuntcure Reiki

Studies have shown that untreated pain at certain times in a child's life can lead to negative effects on child development. Which of the effects can result from untreated pain in a child? Hypertension Less reaction to pain in the future Decrease in growth and development Weight gain Decreased immune function

Hypertension Decrease in growth and development Decreased immune function

Which statement by the registered nurse (RN) indicates understanding of animal bite wounds incurred by children? Infection is the most common complication of bite wounds regardless of the species of animal inflicting the wound. Most bite wounds by dogs or cats are from animals unfamiliar to the child. The infection rate of cat bites is less than 25%. Puncture wounds should be irrigated to decrease the risk of infection.

Infection is the most common complication of bite wounds regardless of the species of animal inflicting the wound.

The nurse is assessing a 4 year old child with a cough. After noting the child's vital signs, which action would the nurse take?

Inspect the chest

The nurse is providing community education about definitions of developmental disability. Which information should the nurse provide? Select all that apply. Mental age is significantly lower than chronologic age. Physical impairment results in requirement of lifelong care. Physical disability results in limited economic self-sufficiency. Mental disability renders the patient unable to care for himself or herself. Physical disability renders the patient unable to perform activities of daily living.

Mental age is significantly lower than chronologic age. Physical impairment results in requirement of lifelong care. Mental disability renders the patient unable to care for himself or herself. Physical disability renders the patient unable to perform activities of daily living.

The nurse percusses the chest of a 7 year old patient with asthma and notes a dull area over the lower left quadrant. How would the nurse describe this finding?

Percussion over a high-density organ or mass

what other health issues are often seen in infants diagnosed with atopic dermatitis? asthma anemia allergic rhinitis seborrhea dermatitis colic

asthma allergic rhinitis

Which type of contraception should the nurse recommend to a teenager whose main focus is preventing a sexually transmitted infection (STI)? Oral contraceptive intrauterine device withdrawal method condom

condom

The nurse brings a hospitalized pediatric patient to the unit playroom. Upon walking into the playroom the child starts crying and yells, "I'm not staying here. I want to go back to my room." What is the nurse's most appropriate response? A. Comfort the child and ask him why he is crying. B. Explain to the child that procedures are not performed in the playroom. C. Encourage the child to look at the other children playing in the playroom. D. Explain to the child that he has no choice and he must stay in the playroom.

B. Explain to the child that procedures are not performed in the playroom. Explaining to the child that procedures are not performed in the playroom will help decrease the patient's fears. Explain the purpose of the playroom to the child. If the child continues to cry and yell, the nurse can pick out some toys for the child to take back to his room with him and try the playroom out another time.

Which diagnostic test is most appropriate for a 17-year-old male in the emergency department with epididymitis? Abdominal x-ray Complete blood count with differential Culture for sexually transmitted infections (STIs) Complete metabolic panel

Culture for sexually transmitted infections (STIs)

Which nursing information should be included for a newly-graduated registered nurse (RN) about sleep disorders in children with diagnosed psychiatric disorders? Many sleep disorders and psychiatric disorders are treated with the same medications. Sometimes the medications used to treat psychiatric disorders can lead to sleep disorders. Children with autism should have a polysomnogram to better treat the insomnia often seen in a child with autism. A detailed sleep history should be part of the assessment in a child whose parent is concerned about symptoms of attention deficit hyperactivity disorder (ADHD). Insomnia is not seen in childhood psychiatric disorders but can be caused by the medication used to treat the disorder.

Many sleep disorders and psychiatric disorders are treated with the same medications. Sometimes the medications used to treat psychiatric disorders can lead to sleep disorders. A detailed sleep history should be part of the assessment in a child whose parent is concerned about symptoms of attention deficit hyperactivity disorder (ADHD).

Which is true regarding obesity during childhood? Obesity in childhood is most often related to another disease, such as hypothyroidism. Obesity is the result of having a higher caloric intake than caloric expenditure. Obesity is the result of having decreased caloric intake and increased caloric expenditure. Obesity is not related to caloric intake; it is related to genetics and metabolism.

Obesity is the result of having a higher caloric intake than caloric expenditure.

The nurse is caring for an 11-month-old infant who has been diagnosed with human immunodeficiency virus (HIV). When the nurse is obtaining vital signs for the child, which actions are appropriate? Obtain the temperature rectally. Observe for signs of respiratory distress. Measure apical heart rate for 60 seconds. Use a manual cuff to measure blood pressure. Auscultate lung sounds. Observe respiratory rate while the child is at play.

Observe for signs of respiratory distress. Measure apical heart rate for 60 seconds. Use a manual cuff to measure blood pressure.

Which specialists will a child with a cleft lip and palate repair need to follow up with over the course of their childhood? Neurologist Orthodontist Plastic surgeon Otolaryngologist Speech pathologist Psychologist

Orthodontist Plastic surgeon Otolaryngologist Speech pathologist Psychologist

Parents expect to be communicated to in a manner in which they understand. What else lends to effective communication between parents and health care providers? Responsiveness by the providers Interest by the providers Knowledge of the providers Providers who show that they care Providers who show warmth

Responsiveness by the providers Interest by the providers Providers who show they care Providers who show warmth

The nurse knows that it is important to use therapeutic communication when speaking with families. Which statement represents the goal of therapeutic communication? The goal of therapeutic communication is to streamline the conversations with patients and families. The goal of therapeutic communication is to establish a relationship with the patient and family that is built on trust and respect. The goal of therapeutic communication is to ensure the family hears what the nurse is saying when communicating with them. The goal of therapeutic communication is to persuade the patient and family to use a particular treatment.

The goal of therapeutic communication is to establish a relationship with the patient and family that is built on trust and respect.

Which statement by the male adolescent indicates he understands his current diagnosis of testicular torsion? "Testicular torsion occurs when the spermatic cord becomes twisted, and I might need emergency surgery." "Testicular torsion is caused by inflammation and can be caused by a bacterial infection." "Testicular torsion is present when the testicle on my left side is larger than the testicle on my right side." "Testicular torsion is usually asymptomatic, and I am lucky that it was discovered at my well child checkup examination."

"Testicular torsion occurs when the spermatic cord becomes twisted, and I might need emergency surgery."

Which parent statements indicate understanding of the diagnosis of Pierre Robin sequence (PRS) for their infant? "due to the small tongue and large jaw, my baby will have feeding issues." "due to the large tongue and small jaw, my baby will have respiratory issues." "due to the large tongue and small jaw, my baby will have to have a tracheotomy to survive." "due to the small tongue and large jaw, my baby will have respiratory issues."

"due to the large tongue and small jaw, my baby will have respiratory issues."

While offering education to an overweight child, the nurse should recommend ___ minutes of increased physical activity per day.

60

The nurse is assessing a 2-month-old patient. The nurse conducts which part of the assessment first? Palpation of abdomen Elicitation of the Moro reflex Evaluation of primitive reflexes Auscultation of the heart and lungs

Auscultation of the heart and lungs

The nurse checks the newborn's pulse and records 140 beats/min. Which should be the nurse's next action? Obtain an electrocardiogram Assess the oxygen saturation Notify the health care provider Administer oxygen via nasal cannula

Assess the oxygen saturation.

Which type of newborn birthmark is seen in the image? infantile hemangioma melanocyctic nevi nevus flammeus port wine stain

infantile hemangioma

A nurse is providing education to her teenage patient, a 17-year-old female, who has asked about contraception. Which contraception option is most appropriate for a teenager who tends to forget things easily? Intrauterine device Oral contraceptives Condoms Abstinence Hormonal subdermal implant

intrauterine device abstinence hormonal subdermal implant

Which statement(s) regarding infant colic should be included in nursing education material given new mothers? "The infant is usually not gaining weight." "Infant colic usually resolves around 12 to 16 weeks of age." "Infant colic often occurs in the early morning hours." "There is usually no underlying cause of infant colic." "Oral administration of probiotic may be helpful in treating infant colic."

"Infant colic usually resolves around 12 to 16 weeks of age." "There is usually no underlying cause of infant colic." "Oral administration of probiotic may be helpful in treating infant colic."

Which of the mother's statements indicates she understands the information she received regarding her child's contact dermatitis diagnosis? "The rash occurs in both my child's exposed and unexposed skin." "The rash will not itch or hurt my child." "The rash is caused by an inflammatory reaction of the skin to an irritant." "The rash will need to be treated with topical antibiotics to heal."

"The rash is caused by an inflammatory reaction of the skin to an irritant."

What is the recommended dosage of elemental iron to treat iron deficiency anemia? 10 to 12 mg/kg/day 3 to 6 mg/kg/day 1 to 2 mg/kg/day 8 to 10 mg/kg/day

3 to 6

The American Academy of Pediatrics recommends __ international units (IUs) of vitamin D per day as a supplement for infants who are breastfeeding as the sole source of their nutrition.

400

Hemolytic disease of the newborn is a concern when elevated bilirubin levels are seen within 24 hours of birth and when serum bilirubin levels increase to greater than ___ mg/dl per day.

5

Pain can be categorized as either acute or chronic. Which example(s) describes chronic pain? A child who is receiving chemotherapy for neuroblastoma diagnosed 7 months ago An adolescent admitted to the hospital for an appendectomy A child who is experiencing pain from second-degree burns A child with recurring headaches and migraines A teenager suffering from neck pain related to an accident 10 months ago

A child who is receiving chemotherapy for neuroblastoma diagnosed 7 months ago. A child with recurring headaches and migraines. A teenager suffering from neck pain related to an accident 10 months ago.

The nurse is assessing the pain of a neonate who is admitted to the NICU with a heart defect. Which pain assessment scale would be the best tool to use with this patient? CRIES scale VAS scale FLACC scale Wong-Baker FACES scale

CRIES scale

Children are different from adults when it comes to pain medication dosage and administration. Which factor is different between adults and children? Children metabolize drugs faster than adults. Children need standardized dosages like adults. Children, over the age of 10, are only prescribed oral medications. Children are only prescribed opioids PRN.

Children metabolize drugs faster than adults

Which statement is appropriate when considering whether failure to thrive (FTT) is acute or chronic? The dietary history is used to determine whether or not FTT is acute or chronic. Chronic FTT will have a weight below accepted standards, but the height/length may or may not be below accepted standards. The family assessment is used to determine whether the FTT is acute or chronic. Chronic FTT will have both weight and height/length below accepted standards.

Chronic FTT will have both weight and height/length below accepted standards

Which of the medications listed are considered coanalgesic medications? Colace Gabapentin Amitriptyline Oxycodone

Colace Gabapentin Amitriptyline

The nurse is caring for a 7-month-old infant with influenza. The nurse notes an axillary temperature of 103.7° F. Which action should the nurse take first? Place the child in an ice bath for 30 minutes Administer an oral antipyretic as prescribed Confirm accuracy and notify the health care Reassess the infant's temperature using a rectal thermometer

Confirm accuracy and notify the health care provider.

A patient draws a picture of her parents with anger expressed in their faces. What is the priority nursing action? A. Ask the child what the drawing means. B. Ask the child to draw a picture of his parents happy. C. Ask the child why he drew a picture of his parents angry. D. Ask the parents why the child drew the picture of them angry.

A. Ask the child what the drawing means. > Asking the child to interpret the picture is allowing the child to express his feelings openly and this sill form an emotional outlet.

Which nursing information should be included when teaching the parents of a 4-year-old about healthy sleep hygiene? Encourage positive nutritional food choices. Bedtime routines should include three to four soothing activities. Allow later bedtimes on the weekend as rewards. Enforcing a nap every day promotes consistency. Bedtime routines should be no longer than 15 minutes.

Encourage positive nutritional food choices. Bedtime routines should include three to four soothing activities.

Which is a true characteristic of pediatric narcolepsy? Increased muscle tone just before sleep attack Exhibits rapid eye movement (REM) sleep during daytime naps Does not manifest as sleep paralysis Usually not associated with other behavioral disorders

Exhibits rapid eye movement (REM) sleep during daytime naps

The nurse is caring for a 6-year-old 2 hours post tonsillectomy. Which pediatric pain assessment should the nurse choose to use with the patient? CRIES scale Wong-Baker FACES scale FLACC scale COMFORT scale

FLACC scale

Which assessments can the nurse use to evaluate the intellectual skills of a school-aged child? Select all that apply. Play catch with the child. Give the child a puzzle to solve. Provide a scenario and have the child explain cause/effect relationships. Present a story and then have the child determine the correct order of events. Ask the child to articulate his or her feelings; listen for tone, volume, and fluency.

Give the child a puzzle to solve. Provide a scenario and have the child explain cause/effect relationships. Present a story and then have the child determine the correct order of events.

Which nursing information is appropriate when educating a 15-year-old male recently diagnosed with gynecomastia? Gynecomastia will only cause swelling in one breast. Gynecomastia always requires surgical correction to fix the deformity. Gynecomastia usually resolves without intervention or medication Gynecomastia is usually indicative of a malignant process.

Gynecomastia usually resolves without intervention or medication

Which are appropriate treatments for a contact dermatitis rash on the left foot and ankle caused by poison ivy? Hydrocortisone cream Calamine lotion Oral steriods cool compress colloidal bath

Hydrocortisone cream Calamine lotion cool compress colloidal bath

Why is it important for the pediatric nurse to assess the intensity of a child's pain? In order to give the correct pain medication In order to chart the child's pain correctly To choose the correct pain assessment tool To alleviate any possible adverse reactions to medication

In order to give the correct pain medication

Which failure to thrive (FTT) cause is appropriate for a 6-month-old with a history of hypoplastic left heart syndrome? Inadequate caloric intake Inadequate absorption of calories Increased metabolism of calories Defective utilization of calories

Increased metabolism of calories

Which most accurately describes poison ivy, poison oak, or poison sumac contact dermatitis rashes? Erythematous maculopapular rash Inflamed, oozing blisters Erythematous circular lesion with central clearing Inflamed flattened macule with bluish tint

Inflamed, oozing blisters

Which common co-morbidities or risk factors would a nurse expect to observe in a child with developmental disability? Select all that apply. Heart disease Intellectual disability Increased risk for infections Decreased adaptive functioning Increased risk for other childhood disorders

Intellectual disability Increased risk for other childhood disorders

Which route of administration is preferred if immediate analgesia is needed? Intravenous (IV) bolus Oral Sublingual Rectal Exactly!

Intravenous (IV) bolus

It is important to include the child in the conversation as much as possible. What action(s) can help the nurse include the child in the conversation? Standing over the child while he or she is lying in bed Being honest with the child regarding the care that will be provided Letting the child express fears and concerns Questioning the child directly and without adjunct objects Using simple words and short sentences to ensure understanding

Being honest with the child regarding the care that will be provided Letting the child express fears and concerns Using simple words and short sentences to ensure understanding

Which statement is true concerning sexual assault? Most sexual assaults are committed by a stranger. Only female adolescents are at risk of sexual assault. Both male and female adolescents are at risk of sexual assault. To be defined as sexual assault, penetration must occur.

Both male and female adolescents are at risk of sexual assault.

The nurse notices that a pediatric patient, diagnosed with depression, is not engaging in unstructured play. What is the nurse's initial action? A. Allow the child extra time in the playroom. B. Encourage the child to play with another patient's toys. C. Ask the child what activities she would like to engage in. D. Ask the child to draw you a picture of how they are feeling.

C.

A patient has had an extended hospital stay and is demonstrating symptoms of low self-esteem. Which action by the nurse would allow the child to gain a sense of autonomy? Select all that apply. A. Provide the child instruction on his wound care B. Allow the child to decide on times of medication administration. C. Discourage the child from using social media to keep in touch with his family and friends. D. Encourage the patient to discuss feelings about low self-esteem and personal experiences in the hospital. E. Provide structured visiting hours for the child to help reduce a feeling of being overwhelmed.

A, B, D A. Provide the child instructions on his wound care B. Allow the child to decide on times of medication administration D. Encourage the patient to discuss feelings about low self-esteem and personal experiences in the hospital.

During a procedure in the pediatric outpatient center, the nurse notices the patient's sibling is looking on with both concern and curiosity. Which action by the nurse would be most appropriate? Select all that apply. A. Explain the procedure to the sibling. B. Disregard the sibling as the focus should be on the patient. C. Avoid performing the procedure until the sibling is comfortable. D. Ask the sibling if she has any questions pertaining to the procedure. E. Ask family members to take the sibling to the waiting room area to provide a more focused and uninterrupted environment.

A, D A. Explain the procedure to the sibling D. Ask the sibling if she has any questions pertaining to the procedure.

Listening is essential to effective communication. Which factor(s) is true when defining listening? Select all that apply. Listening is an active process. It is only considered listening when the person is using verbal communication. Distraction can impede a person from listening. Listening allows a person to show empathy. The purpose of listening is to understand.

Listening is an active process. Distraction can impede a person from listening. Listening allows a person to show empathy. The purpose of listening is to understand.

Recurrent pain is a unique type of pain. Which factors makes recurrent pain different? Recurrent pain may be categorized as acute or chronic pain Common types are headaches or abdominal pain It can be caused by physical, psychological, or both factors Keeping a diary of possible contributing factors can help with diagnosis Recurrent pain is the same as chronic pain

Recurrent pain may be categorized as acute or chronic pain Common types are headaches or abdominal pain It can be caused by physical, psychological, or both factors Keeping a diary of possible contributing factors can help with diagnosis

Which statement explains the prevalence of attention-deficit/hyperactivity disorder (ADHD) among all childhood disorders? Females have a stronger will to focus and manage stress than males. Females are more likely to be diagnosed with ADHD than male counterparts. Males are more likely to be diagnosed with ADHD than female counterparts. Males generally have more mental health disorders than females of the same age.

Males are more likely to be diagnosed with ADHD than female counterparts.

Which nursing education information is appropriate when educating parents about concerns for their 8-year-old child with nocturnal enuresis? A bladder capacity of 8 oz is sufficient for nighttime urine retention. Restricting the child's fluid intake after dinner can resolve the issue. There is no correlation between the father's history of nocturnal enuresis and the child's. Scolding or punishing the child for nocturnal enuresis is not appropriate. Often more than one technique is needed for effective resolution of nocturnal enuresis.

Scolding or punishing the child for nocturnal enuresis is not appropriate. Often more than one technique is needed for effective resolution of nocturnal enuresis.

The nurse is assessing a 10-year-old child with a developmental disorder. Which areas of impairment would the nurse anticipate in this patient? Select all that apply. Self-care Learning Language Economic Elimination

Self-care Learning Language Economic

Which activity would provide the most support for the family members of a child with a developmental disability? Social skills training Educational consultation Provision of respite care services Support of parental advocacy on child's behalf

Support of parental advocacy on child's behalf

An 8 year old is seen in a clinic for a sore throat and cough. The nurse has orders to assess vital signs, auscultate lung sounds, assess the child's weight, and obtain a throat culture. Why would the nurse perform the throat culture last?

Obtaining a throat culture is uncomfortable.

When examining a 15-month-old, which assessment would the nurse perform last? Chest inspection Abdominal auscultation Otoscopic ear examination Palpation of lower extremities

Otoscopic ear examination

Why should the nurse auscultate the abdomen before palpation during an abdominal assessment?

Palpation changes bowel sounds

Which information, obtained from a patient's history, represents potential risk factors for the development of a childhood disorder? Select all that apply. Patient began speaking at 6 years of age. Patient sustained a head injury in late infancy. Mother has been diagnosed with a mental illness. Patient functions above the expected developmental level. Patient lives with mother, father, and maternal grandmother.

Patient began speaking at 6 years of age. Patient sustained a head injury in late infancy. Mother has been diagnosed with a mental illness.

The nurse is conducting an interview with the mother of an 8-year-old. The child keeps interrupting the interview. What is the best action for the nurse to take at this time? Provide some art supplies and paper to the child for distraction. Turn on a children's program on the TV in the room. Ask the mom to keep the child quiet during the interview. Take the child to the unit playroom and then return to finish the interview.

Provide some art supplies and paper to the child for distraction.

The nurse is caring for a 17-year-old patient who was admitted for attempted suicide. The patient will not speak to anybody. Which is the best action the nurse can take to help facilitate communication with the patient? Provide the patient with a journal to write down her thoughts. Provide toys and games to play with. Make sure to use phrases which include "you" when speaking with the patient. Ask the patient directly how she feels.

Provide the patient with a journal to write down her thoughts.

The World Health Organization (WHO) has certain principles that should be followed for pharmacological pain management. Which statement(s) is part of the WHO principles? Using a two step strategy Dosing only PRN medications Dosing at regular intervals Adapting treatment to the individual child Using the appropriate route of administration Using intravenous medications only

Using a two step strategy Dosing at regular intervals Adapting treatment to the individual child Using the appropriate route of administration

Which follow-up procedure is appropriate for the 13-year-old patient diagnosed with bacterial epididymitis? Voiding cystourethrogram (VCUG) Testicular ultrasound Renal ultrasound abdominal ultrasound blood culture

VCUG Renal ultrasound

Which nursing information is appropriate to include when teaching a father about nocturnal enuresis? Usually resolves between 8 and 10 years of age Often is caused by medications such as diuretics Not influenced by gender Can be associated with constipation

can be associated with constipation

encopresis in a child can be related to which comorbities? child abuse obesity hirschsrung disease behavioral disorders constipation

child abuse hirschsrung disease behavioral disorders constipation

what are the benefits of skin to skin contact for high risk infants? decreased risk of mortality fewer nosocomial infections decreased length of hospital stay maintenance of body temperature decreased stress level improved gastric motility

decreased risk of mortality fewer nosocomial infections decreased length of hospital stay maintenance of body temperature decreased stress level

Which health behaviors are appropriate to recommend to a mother who is concerned about her family history of obesity? eating a strict ketogenic diet eating family meals together at home increasing water intake eating family meals at restaurants increasing outside activities

eating family meals together at home increasing water intake increasing outside activities

What are the names of the primary sutures of an infant's skull? lambdoid parietal coronal frontal sagittal

lambdoid coronal sagittal

Referral to which specialist is most appropriate for a 14-year-old female with secondary amenorrhea whose father recently passed? Referral to a nutritionist Referral to gynecologist Referral to psychologist Referral to endocrinologist

psychologist

Which health problems are linked to childhood obesity? sleep apnea seizures hyperlipidemia Type 1 DM depression

sleep apnea hyperlipidemia depression

what are known protective measures against SIDS during infancy? supine position to sleep side lying position to sleep use of a pacifier breastfeeding cardiorespiratory monitoring

supine use of a pacifier breastfeeding

Which statement describes the purpose of using an individualized education plan (IEP) for a child with a developmental disability? The child will begin to excel in the classroom as a result of the IEP provisions. The IEP will ensure that the child receives appropriate services and support. The child will receive individualized tutoring sessions to facilitate performance at grade level. The IEP will require the child to complete more daily homework to keep pace with the other students

The IEP will ensure that the child receives appropriate services and support.

Colic is defined by crying for more than ___ hours, more than ___ times per week, and for more than ___ weeks.

3 3 3

To establish good sleep hygiene in children, it is important that the bedtime routine not exceed ___ minutes.

30

Which nursing statements are appropriate when educating parents about nutrition and feeding of their high-risk infant? "Cheek and jaw support with upward lift of the chin can help with nipple feeding in preterm infants." "Nipple feeding is best even if it may increase caloric expenditure in the infant." "The infant's ability to suck on a pacifier is a good sign that the infant is ready to nipple feed." "Clinical signs of poor feeding tolerance include apnea, bradycardia, and decreased oxygen saturation." "Minimal enteral trophic feeds have been proven to benefit and stimulate the infant's gastrointestinal tract."

"Cheek and jaw support with upward lift of the chin can help with nipple feeding in preterm infants." "Clinical signs of poor feeding tolerance include apnea, bradycardia, and decreased oxygen saturation." "Minimal enteral trophic feeds have been proven to benefit and stimulate the infant's gastrointestinal tract."

Which statement by the teenager indicates understanding about sexually transmitted infections (STIs)? "A vaccine is available for the prevention of syphilis." "Trichomoniasis is usually asymptomatic in females." "Human papilloma virus (HPV) has been proven to cause some cancers." "In females, genital herpes is manifested by mucopurulent cervical discharge."

"Human papilloma virus (HPV) has been proven to cause some cancers."

Stages of separation anxiety in a 9-month-old patient

1. The child's crying decreases and the child becomes apathetic. 2. The child begins crying and rejecting the nurse. 3. The child is happy and begins to play with the nurse. 4. The parents exit the room and the child becomes angry and upset.

the normal bladder capacity for an 8 year old child is ___ oz.

10

Microcephaly is defined as occipitofrontal circumference greater than _____ standard deviations below the mean for age and sex.

3

For the diagnosis of primary encopresis, a child must not have achieved fecal continence by ___ years of age.

4

Which applies to the definition of pain? An unpleasant somatic or visceral sensation Associated with actual, potential, or perceived tissue damage Complex and the same experience for each child Can be acute or chronic Children suffer from pain differently than adults

An unpleasant somatic or visceral sensation Associated with actual, potential, or perceived tissue damage Can be acute or chronic

Which symptoms are associated with a diagnosis of endometriosis? Abdominal pain Abnormal vaginal bleeding Infertility Pelvic pain Fever

Abdominal pain Abnormal vaginal bleeding Infertility Pelvic pain

Which nutritional concerns may be observed in the 11 month old infant who is exclusively breastfed with no other food intake? Acute FTT Iron deficiency anemia Vitamin d deficiency Chronic FTT food allergy

Acute FTT Iron deficiency anemia Vitamin d deficiency

The nurse is performing a thorough examination of a 5 yer old child. When assessing the warmth of the child's skin, the nurse uses which aspect of the hand?

Back surface

Which can be seen as a result of inadequate sleep in a 4-year-old child? Daytime drowsiness Hyperactivity Extreme emotions Impulsivity Irresistible sleep attacks

Daytime drowsiness Hyperactivity Extreme emotions Impulsivity

Which manifestation would alert the nurse that a teenaged patient may be experiencing a childhood disorder? Decrease in the ability to concentrate in class Increased involvement in drama club and basketball More time spent studying because of demanding academic work Shedding of considerable weight after joining the cross-country team

Decrease in the ability to concentrate in class

The nurse is about to conduct an interview with a family and a recently admitted 5-year-old child. The nurse closes the door to the room before starting the interview and the parents ask why. Which is the best response by the nurse for the closed door? "I closed the door before we started the interview so that our conversation is not overheard and remains private." "I closed the door to keep you in the room so that we can complete the interview in a timely manner." "I closed the door so that the child does not run around the unit." "I closed the door to keep other health care providers from coming in during the interview."

"I closed the door before we started the interview so that our conversation is not overheard and remains private."

Which infant is most at risk of being injured during the birthing process? 7 lb infant delivered after pushing for 45 min 9 lb infant delivered after pushing for 90 min 7.5 lb infant delivered after pushing for 30 min 8 lb infant delivered after pushing for 15 min

9 lb infant delivered after pushing for 90 min

The nurse is assessing vital signs for children. Which patient finding would be most concerning? A 12-year-old patient breathing 30 breaths/min An 8-year-old child with a temperature of 36.8° C A 3-month-old infant with a pulse of 116 beats/min A 4-year-old patient with blood pressure of 90/52 mmHg

A 12 year old patient breathing 30 breaths/min

Which statement related to thermoregulation in the high-risk neonate is true? A neutral thermal environment is when an infant maintains a normal core temperature with minimal oxygen consumption and minimal calorie expenditure. An increase in body temperature is associated with increased mortality in very low-birthweight babies. Consequences of cold stress include hyperglycemia and metabolic alkalosis. Skin-to-skin contact does not provide thermoregulation and should only be used to promote parent/infant bonding for the stable infant.

A neutral thermal environment is when an infant maintains a normal core temperature with minimal oxygen consumption and minimal calorie expenditure.

A young child admitted to the emergency department starts to cry when separated from her mother. How can the nurse help reduce the anxiety of the child? A. Allow the child an outlet for her feelings. B. Explain to the parents the benefits of separation. C. Leave the child's bedside and give the child some space. D. Wait until the child stops crying before speaking to her.

A. Allow the child an outlet for her feelings. Allowing the child an outlet for her feelings is an appropriate strategy to help reduce anxiety from a child who is separated from her parent. Separation anxiety is distress and apprehension caused by being removed from parents, home, or familiar surroundings.

A nurse has been working with a patient in the therapeutic-play setting for two weeks and notices an improvement in the child's ability to cope with painful procedures. Which is the next effective strategy to continuing improving the child's ability to tolerate painful procedures? A. Begin to incorporate more unstructured play. B. Continue with the same type of therapeutic play. C. Begin other effective strategies in a non-play setting. D. Note the child's improvement and try a different type of therapeutic play. E. Encourage family members to comfort the child through the painful procedures.

A. Begin to incorporate more unstructured play. Since the child has shown success with therapeutic play (ie, the child is able to better tolerate painful procedures), the most effective strategy now will be to have the child move from structured therapeutic play to a more unstructured type of play.

An 8-year-old who has recently learned that she is moving out of state is seeing her primary care provider once again for abdominal pain. The provider has ruled out any physical causes of the pain. Which factor is the most likely cause of the child's pain? Anxiety Celiac disease Constipation Poor diet

Anxiety

Information overload can occur when an individual receives too much information at one time. Which action(s) by parents is a sign(s) of information overload? Asking questions regarding the plan of care for the patient Having long periods of silence Yawning and looking around during the conversation Constant fidgeting or attempting to move away by the parents Reiterating the information being communicated from the provider

Having long periods of silence Yawning and looking around during the conversation Constant fidgeting or attempting to move away from the parents

Using the hour-specific nomogram chart, a 39-week-gestation infant who is 36 hours old with a serum bilirubin level of 8 mg/dl should be in which risk zone for developing hyperbilirubinemia? high risk zone high intermediate risk zone low intermediate risk zone low risk zone

low intermediate risk zone

The nurse observes that a 4-year-old patient on the pediatric unit is anxious and appears scared. Which actions can the nurse take to help relieve the fear of hospitalization? Select all that apply. A. Encourage involvement of family members. B. Remove the child from family during procedures. C. Demonstrate procedures and treatments with toys. D. Explain procedures and treatments to family members. E. Reassure the patient that he or she has nothing to be afraid of.

A, C A. Encourage involvement of family members. C. Demonstrate procedures and treatments with toys

What is the best way to schedule medication for a 2-year-old child with constant pain? PRN or as needed ATC or around the clock PCA or patient controlled analgesia One-time IV bolus

ATC or around the clock

A nurse is caring for a 4 year old postoperatively after an open reduction and fixation of his right arm. Which type of pain should the nurse expect the child to have? Chronic pain Acute pain Burn pain Recurrent pain

Acute pain

Which factor(s) does the nurse need to take into account when selecting a pediatric pain assessment scale? Age of the patient Developmental levels Type of pain Cognitive function Able to verbally communicate

Age of the patient Developmental levels Cognitive function Able to verbally communicate

The nurse is providing discharge instructions to the parent of the pediatric patient and states, "your child may resume regular activities after discharge." Which statement by the parent indicates a need for further teaching? Select all that apply. A. "I will assist the child with daily hygiene needs." B. "I will allow the child to attend school tomorrow." C. "I will continue to allow the child to play with siblings." D. "I will try to avoid bathing the child until the child feels better." E. "I will not allow my child to attend his gymnastics class tomorrow."

D, E

A patient admitted to the pediatric unit is upset because she misses playing with her sister, who's at home. What is the most appropriate action by the nurse? A. Question the patient about what sibling activities she misses most. B. Encourage the sibling to visit and to engage in activities with the patient. C. Inform and reassure the patient he will be out of the hospital soon. D. Meet with family members and create a list of activities to help distract the child from wanting to play with siblings.

B.

A nurse is trying to decide between using a behavioral pain scale and a self report pain scale for her patient. What is the primary difference between the two categories? Behavioral scales are based on observation of pain while self report scales are based on the child's report of pain. Behavioral scales are based on observation of pain while self report scales are based on the parent's report of pain for the child. There is no difference between the categories; it is just a preference by the nurse of which scale to use. Behavioral pain scales are used when a child is sleeping, while self report scales are used when they are awake.

Behavioral scales are based on observation of pain while self report scales are based on the child's report of pain.

The nurse caring for a newborn infant notices petechiae on the forehead and around the eyes. Which lab work should be prescribed for an infant with notable petechiae after a difficult delivery? CBC Blood culture Complete metabolic panel Vitamin D level Iron studies

CBC Blood culture

Which abnormalities on the assessment of a newborn are seen when a clavicle is fractured in the birthing process? Crepitus Hematoma Increased mobility of extremity Localized swelling Symmetrical moro reflex

Crepitus Hematoma Localized swelling

Place the steps of the chest examination in order in which they are performed.

Inspection Palpation Percussion Auscultation

Which range of hours is an appropriate sleep duration recommendation for a 5-year-old child? 14 to 16 hours 12 to 14 hours 10 to 12 hours 8 to 9 hours

10 to 12 hours

The nurse is observing an 8-year-old child in the pediatric unit. The nurse notes that the child has been diagnosed with dyspraxia. Which findings would the nurse expect to observe in this patient? Difficulty swallowing tablets or capsules. The child is unable to focus on one task for more than a few minutes at a time. The child experiences difficulty when trying to share thoughts and feelings. The child has a hard time holding a pencil to draw and bumps into the walls when walking around the unit.

The child has a hard time holding a pencil to draw and bumps into the walls when walking around the unit.

Which nursing statement is an appropriate response to the mother of a 3-day-old infant, born at 38 weeks gestation, who is exclusively breast-fed when asked why her infant has a yellow tone to her skin? "Your baby is showing signs of physiological jaundice, which is related to the baby's prematurity and immature liver system." "Your baby is showing signs of hemolytic disease of the newborn and may need to be treated for blood antigen incompatibility." "Your baby is showing late-onset breastfeeding jaundice, which is related to the mother's milk supply not being fully established but also possibly to factors in the mother's milk preventing the excretion of bilirubin." "Your baby is showing early-onset breastfeeding jaundice, which is related to the mother's milk supply not being fully established but should improve over the next few days as long as you continue to nurse exclusively."

"Your baby is showing early-onset breastfeeding jaundice, which is related to the mother's milk supply not being fully established but should improve over the next few days as long as you continue to nurse exclusively."

The nurse is caring for a 6-year-old patient whose family is from Puerto Rico. What action(s) should the nurse take prior to starting the interview to ensure she is providing culturally competent care? Select all that apply. Assess the parents and child regarding their preferred language. Ask the unit partner who speaks Spanish for assistance speaking to the family. Ask the parents for the person within the family that is responsible for health care decisions. The nurse should not let personal prejudices impede the care of the patient. Enlist the help of a trained interpreter via the hospital translator phone service.

Assess the parents and child regarding their preferred language. Ask the parents for the person within the family that is responsible for health care decisions. The nurse should not let personal prejudices impede the care of the patient. Enlist the help of a trained interpreter via the hospital translator phone service.

A 4-year-old patient is afraid of a blood pressure cuff and the nurse would like to find a way to help decrease the child's fear. Which actions can the nurse take to help comfort to the child? Select all that apply. A. Show the child the blood pressure equipment. B. Permit the child to handle the blood pressure equipment. C. Educate the child on the purpose of blood pressure readings. D. Wait until the child is less stressed to take her blood pressure. E. Allow the child to apply the blood pressure cuff to a family members arm to demonstrate it's not painful.

B, E B. Permit the child to handle the blood pressure equipment. > Permitting the 4-year-old child to handle the blood pressure equipment will help bring comfort to the child. The child thinks the blood pressure cuff is going to cause bodily harm and pain; allowing the child to handle the equipment will decrease the fear. E. Allow the child to apply the blood pressure cuff to a family members arm to demonstrate it's not painful.> Allowing the patient to apply the blood pressure cuff to a family member's arm will help bring comfort to the child. By demonstrating on a family member, the child will feel more comfortable with the equipment and the procedure.

The nurse is assessing a 7 year old. List the body systems in the order in which they would likely be assessed.

Face Neck Chest Abdomen Extremities Genitals

The nurse is caring for a 9-year-old child with asthma. Where should the nurse place the pulse oximeter to monitor the child's oxygen saturation? Ear Finger Big toe Forehead

Finger

The nurse is performing an assessment on a 3-year-old with a fever and a sore throat. Which part of the hand would the nurse use to palpate cervical lymph nodes? Palm Fingertips Finger pads Back of the hand

Fingertips

The nurse is performing an initial assessment on a 4-year-old child. Before beginning the assessment, what should the nurse do? Ask the parent to hold the child Ask the parent to leave the room Have the child sit beside the parent Place the child supine on the examination table

Have the child sit beside the parent

The nurse is assessing a patient who reports shortness of breath, wheezing, and chest tightness. Which assessment technique(s) will help the nurse assess the severity of the patient's condition? Palpation Inspection Percussion Auscultation

Inspection Auscultation

Which clinical signs can be indicative of hypoglycemia or hypocalcemia in a high-risk newborn? Jitteriness Prolonged QT interval High-pitched cry Hypotonia Cyanosis Tremors

Jitteriness High pitched cry Cyanosis Tremors

Match the mode of assisted ventilation in the newborn with respiratory distress with the appropriate description.

Mechanical breaths that are synchronized to coincide with infant's breath -> Volume delivered Provide constant airway pressure through nasal prongs, face mask, or endotracheal tube (ETT) -> HFJV Provides very fast breaths with a low amount of volume with each breath -> Synchronized Intermittent Mechanical Ventilation (SIMV) Allows infant independent breaths but also provides cycled measured breaths -> Continuous Positive Airway Pressure (CPAP)

What type of strategies can be utilized by a pediatric nurse to help encourage communication with the parents of a 6-year-old patient? Use open-ended questions. Use closed-ended questions. Use positive reinforcement statements. Show empathy toward the parent and the situation. Treat the parents with respect.

Use open-ended questions Use positive reinforcement statements Show empathy toward the parent and the situation Treat the parents with respect

Which statement by the nurse best describes appropriate care for an infant who was born at 35 weeks and weighs 6 lb? "The baby's weight of 6 lb enables her to be on the same nursing pathway as a full-term infant." "The baby's gestational age of 35 weeks does not place her at an increased risk for respiratory distress." "Late-preterm infants are usually discharged later than full-term infants." "Late-preterm infants can be overlooked as they appear to be more stable than significantly-preterm infants."

"Late-preterm infants can be overlooked as they appear to be more stable than significantly-preterm infants."

Which statements by a nurse indicate understanding of possible complications for a newborn infant who experienced a prolonged second stage of labor and a failed vacuum extraction requiring an emergency cesarean section? "The infant is at risk for subgaleal hematoma and early identification is critical." "With a subgaleal hematoma, the boundaries of the edema are clear and will not cross the suture lines." "Increasing head circumference measurements can indicate swelling and possibly a subgaleal hematoma." "With a subgaleal hematoma, bleeding extends beyond the bone and into the neck area and can have serious complications." "With a subgaleal hematoma, the ears tend to flatten against the side of the infant's head."

"The infant is at risk for subgaleal hematoma and early identification is critical." "Increasing head circumference measurements can indicate swelling and possibly a subgaleal hematoma." "With a subgaleal hematoma, bleeding extends beyond the bone and into the neck area and can have serious complications."

The nurse is discussing care with a 7-year-old girl who is diagnosed with Kawasaki disease. The nurse understands the relationship between the child's developmental level and communication when making which statement? "It is important to rest during this time and not participate in any activities." "The rash on your body will go away with the medicine that we are giving you. It is not a permanent rash." "I know that you want to know why you have this disease, but it is important to rest right now." "I see that you have a teddy bear with you. We will need to have your parents take your teddy bear home until you are feeling better."

"The rash on your body will go away with the medicine that we are giving you. It is not a permanent rash."

The nurse is caring for a 10-year-old newly admitted patient. The nurse gives the parents of the child information regarding HIPAA and confidentiality. Which statement by the parents indicates that they understand the laws regarding privacy and confidentiality? "We understand that other attending health care providers can review our child's record as needed." "We can't request a copy of our child's medical record because he is a minor." "If somebody calls the hospital for medical information regarding our child, it will be given to them." "Our child's medical records will automatically be sent to his school."

"We understand that other attending health care providers can review our child's record as needed."

Match the common cause of failure to thrive with the age at which it is most likely to be seen.

neonate - failed breastfeeding early infancy - maternal depression late infancy - delayed introduction of nutritional foods after infancy - lack of appropriate nutritional diet

Which statements are true regarding a cephalhematoma in a newborn? Hypobilirubinemia can occur during resolution of the cephalhematoma. Swelling can be absent at birth and increase on day 2 or 3 of life. Boundaries are clear and do not extend beyond suture lines. There are no known complications associated with cephalohematomas. Blood is usually absorbed between 2 weeks and 3 months of life.

Swelling can be absent at birth and increase on day 2 or 3 of life. Boundaries are clear and do not extend beyond suture lines. Blood is usually absorbed between 2 weeks and 3 months of life.

Children should be included in the interview process as much as possible. What factor(s) should the nurse take into account when including a child in the interview process? Select all that apply. The developmental level of the child The age of the child The physical health of the child The ability of the child to communicate verbally Whether the child wants to be involved or not The length of time allotted for the interview

The developmental level of the child The age of the child The ability of the child to communicate verbally

Which vitamin deficiency can lead to the disease associated with bowed legs and caused by a softening of the growth plates? Vitamin A Vitamin K Vitamin D Vitamin C

Vitamin D

Which symptoms are associated with food allergies? Vomiting Wheezing Growth failure Bruising Abdominal pain Rash

Vomiting Wheezing Growth failure Abdominal pain Rash

Communication blocks can hinder the relationship between a nurse and the patient/family. Which action(s) are considered barriers or blocks by the nurse to the communication between the nurse and the family? Select all that apply. The nurse giving advice when asked by the parents When the nurse talks more than the parents Using positive feedback regarding statements that are made by the parents When the nurse interrupts or finishes the parents' sentences Asking closed-ended, direct questions to the parents Using stereotyping or cliché phrases during the interview

When the nurse talks more than the parents When the nurse interrupts or finishes the parents' sentences Asking close ended questions, direct questions to the parents

In which form of brachial plexus injury is the Moro reflex absent? Erb's palsy Erb's palsy and Klumpke's palsy Only the third and most severe brachial palsy With all forms of brachial palsy injury

With all forms of brachial palsy injury

The nurse is taking care of a 10-year-old child admitted to the unit for a flare-up of sickle cell disease. The child is alert, oriented, cognitively a 10-year-old, and able to verbalize the pain. Which pediatric pain assessment scale(s) is appropriate to use with this child? Wong-Baker FACES scale COMFORT scale FLACC scale Visual analog scale (VAS) Numeric scale

Wong-Baker FACES scale Visual analog scale (VAS) Numeric scale

How might a teen victim of sexual assault appear to a nurse during triage? stoic and angry calm and controlled confused and frightened giggling and nervous engaging and interactive

stoic and angry calm and controlled confused and frightened giggling and nervous

The nurse is speaking with a parent of a 6-week-old. The parent is concerned that she is not providing for the needs of her child. What statement by the parent represents that she requires more education by the nurse? "I know that my baby does not understand what I am saying, so I usually do not speak to her." "I love when my baby is smiling and cooing since this can be interpreted as being happy." "Even though my baby cannot speak, I know that she can use certain cues to communicate with me." "When the baby cries, I check to make sure her diaper is dry and to see if she is hungry."

"I know that my baby does not understand what I am saying, so I usually do not speak to her."

A 5-year-old is admitted for a fractured jaw due to an automobile accident. The child tells the nurse that he is scared he will die. Which is the most appropriate response by the nurse caring for the child? "Everything is going to be fine. We'll take good care of you." "Don't worry, I will talk with your parents and everything will be fine." "I was in a car accident once, so I know it can be scary." "I know this is a scary situation and it is normal to be scared. Let's talk about what you are scared of."

"I know this is a scary situation and it is normal to be scared. Let's talk about what you are scared of."

The student nurse caring for a 10-year-old child addresses the parents as "mom" and "dad" during the admission interview. Which is the best response by the preceptor to the student nurse? "It is OK to use "mom" and "dad" when addressing the parents as long as you know that they are the parents of the child." "It is important to address the parents by "Mr." and "Mrs." or how they prefer to be addressed rather than "mom" and "dad." "I prefer to use the parents' first names when addressing them." "You did an excellent job conducting your interview with the parents, and I have no critiques for you."

"It is important to address the parents by "Mr." and "Mrs." or how they prefer to be addressed rather than "mom" and "dad."

Which statement by the mother indicates understanding of ABO incompatibility and risk of hemolytic disease in her unborn infant? "My blood type is AB+ and my unborn infant's blood type is AB+, so my infant is at risk for developing hemolytic disease of the newborn." "Since both my unborn baby and I are both Rh+, then I do not have to worry about my baby developing hemolytic disease of the newborn." "My blood type is O+, and my unborn infant's blood type is A+, so my infant is at risk for developing hemolytic disease of the newborn." "My blood type is AB+, and my unborn infant's blood type is A+, so my infant is at risk for developing hemolytic disease of the newborn."

"My blood type is O+, and my unborn infant's blood type is A+, so my infant is at risk for developing hemolytic disease of the newborn."

Which treatments can be used to address diaper dermatitis during infancy? Change diaper frequently Use of talc powder to minimize friction Leave skin exposed and open to air Use of skin protectants such as zinc oxide or petroleum Use of absorbent material to wick away moisture

Change diaper frequently Leave skin exposed and open to air Use of skin protectants such as zinc oxide or petroleum Use of absorbent material to wick away moisture

which describes the wounds associated with dog bites? puncture abrasion avulsion laceration ulceration

puncture abrasion laceration

Match the appropriate temperature measurement to the most appropriate age.

10 years > Oral 4 years > axillary 3 months > temporal

A non-English speaking family member of a child is having difficulty understanding the child's diagnosis. What is the most appropriate action by the nurse? A. Allow time for the family members to ask questions. B. Allow an interpreter to translate for the family members. C. Assess the family member's knowledge of the child's illness. D. Consult with another nurse who speaks the family member's language. E. Ask the child's sibling, who speaks English, to translate for the family members.

B Allow an interpreter to translate for the family members.

The nurse is providing care for a patient who has been in the hospital for the past three weeks. The nurse has become acquainted with family members and notices a close relationship between the patient and the patient's sibling. Which negative actions, by the patient's sibling, could the nurse possibly witness? Select all that apply. A. Refusing to share a portable video game. B. Leaving the room because of feelings of jealousy. C. Teasing the ill child for looking abnormal in the hospital. D. Crying for not receiving as much attention as the sick child. E. Anger toward the sibling for causing the parents pain and strife.

B, D, E B. Leaving the room because of feelings of jealousy. > Feeling jealous can be an expected normal response by a sibling who has a brother or sister receiving a lot of care and attention in the hospital. D. Crying for not receiving as much attention as the sick child.> Having some resentment toward the child who is ill would be an expected normal response by a patient's sibling. The sibling may cry, pout, or misbehave to distract from the attention the patient is receiving. E. Anger toward the sibling for causing the parents pain and strife. > Expressing anger for causing the parents pain and strife could be a response by a patient's sibling. Children do not like to see their parents suffering and may assume the sick child is causing the pain and strife rather than the stress of the hospitalization.

A 4-year-old patient starts expressing fear whenever she needs to get her blood drawn. Which action can a nurse take to help the pediatric patient cope during an uncomfortable procedure? Select all that apply. A. Assess the child's fears. B. Perform procedures early during the day. C. Avoid procedures until the child is comfortable. D. Allow the parents to participate in the procedure. E. Instruct the patient in performing breathing exercises.

D, E D. Allow the parents to participate in the procedure. > Allowing the parents at the bedside is an effective coping strategy for a child during a procedure. The parents can be used to comfort and distract the child while the procedure is being performed. E. Instruct the patient in performing breathing exercises. > Guiding the child through breathing exercises is an effective coping strategy for a child during a procedure. Relaxation techniques such as breathing exercises or guided imagery are effective coping strategies.

The parents of a young child who is hospitalized appear nervous and state that they have had terrible past experiences in the hospital. What is the most appropriate nursing action to help promote comfort to this patient and family? A. Ask the child about previous hospitalization. B. Allow the child to draw a picture of previous hospital experience. C. Tell the family that this hospitalization will be different from previous hospitalization. D. Offer clear information on the patient's hospitalization and allow the family opportunities to ask questions.

D. Offer clear information on the patient's hospitalization and allow the family opportunities to ask questions.

Which considerations are necessary when assessing a child for childhood disorders? Select all that apply. Inconsistent responses are expected. Child's first response is most accurate. Children typically provide predictable answers. Assessments must be repeated to determine a child's baseline developmental level. A wide range of cognitive ability should be expected as a result of variations in brain development.

Inconsistent responses are expected. Assessments must be repeated to determine a child's baseline developmental level. A wide range of cognitive ability should be expected as a result of variations in brain development.

What does it mean when a 7-year-old patient has the mental age of a 5-year-old? It is a child's level of adaptive function. It is an indicator of intellectual potential. It is a measure of the level of coping that a child has developed. It is a child's level of intellectual understanding, which can be independent of chronologic age.

It is a child's level of intellectual understanding, which can be independent of chronologic age.

Which nursing statement is appropriate when educating a mother whose 6-year-old was recently diagnosed with a cavity? Newly-erupted teeth are less susceptible to decay than teeth that have been erupted more than 2 years. The shape of the tooth is not related to the incidence of dental caries. Cavity formation is influenced by acid production and acid neutralization by saliva. Sucrose can help prevent the formation of bacteria on the tooth.

cavity formation is influenced by acid production and acid neutralization by saliva

which should be included in the care of an adolescent who has experienced a sexual assault? follow up blood work long term psychological care parental and adolescent counseling prophylactic treatment for STIs emergency contraception

follow up blood work long term psychological care prophylactic treatment for STIs emergency contraception

when educating a mother who is concerned with her 11 year old child's weight, which should be important to include in the education? limiting sugar-sweetened beverages can be an easy way to decrease caloric intake and have a positive impact. ketogenic diets are easy to follow and can be a positive source for protein without limiting calories. by eliminating breakfast, you can have increased calories during the lunch and dinner meals. screen time should be limited to 3 hours or fewer per day.

limiting sugar-sweetened beverages can be an easy way to decrease caloric intake and have a positive impact.

which factors are associated with an increased risk of childhood obesity? lower level of parental education low socioeconomic class being of hispanic ethnicity parental obesity sibling obesity

lower level of parental education low socioeconomic class being of hispanic ethnicity parental obesity

which position promotes energy conservation in the high risk neonate? supine fowler's sim's prone

prone