Preschooler
A girl has a urinary tract infection (UTI). Which statement by the parent demonstrates understanding of preventing future UTIs? "I should help my child learn to wipe her bottom from back to front." "When she starts urinating frequently, I should call the provider to request antibiotics." "I will let her take a warm bath for 15 minutes each day." "I shouldn't let my daughter take bubble baths."
"I shouldn't let my daughter take bubble baths."
A preschool-age child has a viral illness with fever. Which statement made by the child's mother indicates understanding of the nurse's teaching? "I will keep my child in lightweight clothing when a fever is present." "I will only provide clear fluids while my child has an fever." "I will take my child to the hospital if the fever reaches 101°F (38.3°C)." "If acetaminophen is not effective, I can give ibuprofen 2 hours later."
"I will keep my child in lightweight clothing when a fever is present."
The health care provider (HCP) has prescribed a sterile urine specimen for a 3-year-old boy with a history of recurrent urinary tract infections. The family is upset because the last time the child was catheterized, the procedure was very painful and traumatic. What is the nurse's best response? "I'll request a prescription for a sedative to help them relax." "I can't do anything to reduce the pain, but you can hold your child during the procedure." "I'll get a prescription for a numbing lubricant to make the procedure more comfortable." "I can apply a topical anesthetic 20 minutes before placing the catheter."
"I'll get a prescription for a numbing lubricant to make the procedure more comfortable."
The nurse is providing teaching regarding treatment to the parents of a young child with a urinary tract infection. Which statement by the parents indicates that the teaching has been successful? "We can treat the infection by increasing oral fluid intake." "We need to encourage cranberry juice to treat the infection." "We need to administer the oral antibiotics as prescribed." "We need to come to the emergency department for IV fluids."
"We need to administer the oral antibiotics as prescribed."
A 5-year-old child has been placed on phenytoin for tonic-clonic seizures. The child weighs 42 lb (19.1 kg), and the maintenance dose prescribed for this child is 7.5 mg/kg per day. How many milligrams should the child receive each day? (Round to the nearest whole number.)
143 mg/day
A child experiences nausea and vomiting after receiving cancer chemotherapy drugs. What is most important for the nurse to include in the plan of care? Encourage the child to eat a bland diet after chemotherapy treatment. Administer an antiemetic upon completion of chemotherapy treatment. Eliminate perfumes and other odors during the chemotherapy session. Administer an antiemetic 30 to 60 minutes before the next chemotherapy session.
Administer an antiemetic 30 to 60 minutes before the next chemotherapy session.
The nurse must administer a unit of packed red blood cells to a 4-year-old child. The child's blood type is Type B Rh factor positive. When the unit of blood arrives, it is labeled as Type O Rh factor negative. What is the appropriate action for the nurse to take? Begin the administration of the blood as ordered. Return the blood and order a new unit of Type B. Document the error with an incident report. Have the child's blood retested for blood type.
Begin the administration of the blood as ordered.
Which method is reliable for identifying a preschooler before administering a medication? Check the name on the bed. Check the hospital identification bracelet. Ask the child his name. Ask the parents at the bedside.
Check the hospital identification bracelet.
A school nurse is conducting a seminar for parents of preschool children on the prevention of head injuries. What is the most appropriate information for the nurse to give the parents? Children should always be supervised by an adult when playing. Safety gates should be installed at staircases at home. Children should always wear helmets when riding bicycles. Children should be accompanied by an adult when crossing the street.
Children should always wear helmets when riding bicycles.
The nurse is interviewing a pediatric client and family in a clinic after the client had a fever at home. The parent said she gave the client one adult acetaminophen earlier in the day because she ran out of children's acetaminophen. What is the nurse's next action? Select all that apply. Report the parent to the state welfare agency. Continue to complete the physical assessment of the client. Inform the healthcare provider of the acetaminophen dose. Teach the parent not to use adult medications with children. Document that the parent administered adult acetaminophen.
Continue to complete the physical assessment of the client. Inform the healthcare provider of the acetaminophen dose. Teach the parent not to use adult medications with children. Document that the parent administered adult acetaminophen.
A child with 20% second- and third-degree burns is admitted to the burn center. The child weighs 44 lb (20 kg). The nurse has started an intravenous (IV) infusion of lactated Ringer's solution and inserted an indwelling catheter. Which finding(s) indicate that the child is going into shock? Select all that apply. Urinary output is 25 mL per hour. Specific gravity is within normal limits. Pain is 7 on a pain scale of 1 to 10. Heart rate is elevated. Blood pressure is dropping.
Heart rate is elevated. Blood pressure is dropping.
A nurse is caring for a preschooler who sustained deep partial-thickness burns on the hands as a result of touching a hot pot on the stove. What is most important for the nurse to consider in discharge teaching? Include the child in the teaching process. Provide teaching to the parents in the treatment room. Ask the child to verbalize why the accident occurred. Delay the teaching until both parents are present.
Include the child in the teaching process.
Which nursing intervention(s) are appropriate when creating a plan of care to promote the development of a preschooler? Select all that apply. Provide anticipatory guidance for parents. Help the parents understand their child's behavior. Identify deviations from normal growth and development patterns. Determine the child's future development. Send the child to a daycare center.
Provide anticipatory guidance for parents. Help the parents understand their child's behavior. Identify deviations from normal growth and development patterns.
Parents of a 5-year-old child call the clinic to tell the nurse that they think their child has been abused by the daycare provider. What should the nurse advise them to do first? Make an appointment to speak with the daycare provider. Schedule an immediate appointment with their healthcare provider. Call Child Protective Services to file a complaint. Talk to their attorney to file charges against the accused.
Schedule an immediate appointment with their healthcare provider.
The parent asks the nurse why peanuts are one of the worst things a child can aspirate. What should the nurse include in the explanation as the main reason for the problem associated with aspirating peanuts? They swell when wet. They contain a fixed oil. They decompose when wet. They contain sodium.
They swell when wet.
How should a nurse prepare a suspension before administration? by diluting it with normal saline solution by diluting it with 5% dextrose solution by shaking it so that all the drug particles are dispersed uniformly by crushing remaining particles with a mortar and pestle
by shaking it so that all the drug particles are dispersed uniformly
A nurse is teaching the parents of a young child how to handle suspected poisoning. If the child ingests poison, the parents should first administer ipecac syrup. call an ambulance. call the poison control center. punish the child for being bad.
call the poison control center.
A nurse is evaluating a child with acute poststreptococcal glomerulonephritis (APSGN) for signs of improvement. Which finding typically is the earliest sign of improvement? decreased hematuria increased appetite increased energy level decreased diarrhea
decreased hematuria
When instilling ear drops on a 2-year-old child, the nurse should pull the pinna in which directions? down and back down and slightly forward up and back up and forward
down and back
The nurse is caring for a 5-year-old child who had a hernia repair 1 day ago. The child is vomiting, has a nasogastric (NG) tube to low intermittent suction, and has diarrhea. Which of the following laboratory results would be the immediate priority for the nurse to assess? potassium level calcium level magnesium level chloride level
potassium level
A parent tells the nurse that their 4½-year-old child "does not seem to know the difference between right and wrong." This behavior is typical of which level as described by Kohlberg's theory of levels of moral development? autonomous conventional preconventional principled
preconventional
A 4-year-old child is having a sickle cell crisis. The initial nursing intervention should be to place ice packs on the client's painful joints. administer antibiotics. provide oral and I.V. fluids. administer folic acid supplements.
provide oral and I.V. fluids.
A 4-year-old child is admitted to the hospital for surgery. The nurse applies interventions to address what major stressor for a child of this age? separation from family fear of bodily injury loss of control fear of pain
separation from family
The parent of a 4-year-old child asks about dental care for their child. "I help brush their teeth every day, and their teeth look healthy," the parent states. "When should I take them to see a dentist?" Which response would be most appropriate? "Because you help brush their teeth, there's no need to see a dentist right now." "Ideally they should have seen a dentist already, but it's still not too late." "Your child doesn't need to see the dentist until they start school." "A dental checkup is recommended even if no problems are noticeable."
"A dental checkup is recommended even if no problems are noticeable."
A school-age child with burns on the trunk and arms has no appetite. The nurse and the parent develop a plan of care to stimulate the child's appetite. Which suggestion made by the parent would indicate the need for additional teaching? deciding that the parent will feed the child withholding dessert and treats unless meals are eaten offering the child finger foods that the child likes serving smaller and more frequent meals
withholding dessert and treats unless meals are eaten
A child with leukemia has just completed a course of methotrexate therapy. How soon should the nurse expect to see signs of bone marrow depression in this client? within hours within 2 weeks within 1 month after induction therapy is completed
within 2 weeks
The nurse in an outpatient clinic is conducting a follow-up assessment on a child who had a severe streptococcal infection 1 week ago. The client is doing better, and the nurse is providing teaching to the parents about continuing to monitor the client for possible complications of the infection. Which information is most important for the nurse to discuss with the parents? "Return immediately if acute flank or mid-abdominal pain occurs." "Expect the child's weight to decrease over the next 2 weeks." "Fevers may continue to occur as the body recovers from the infection." "The infection may cause the child to have some burning with urination."
"Return immediately if acute flank or mid-abdominal pain occurs."
The nurse is caring for a very anxious child whose pain has not been manageable. The parents stay in the child's room, crying and yelling at each other. Grandparents and other family members are also constantly in attendance. To effectively help the child with pain management, which action should be a priority for the nurse? Administer medication to help the child sleep during the night. Tell the parents that their behavior is increasing the child's pain. Request that hospital security remove all visitors from the child's room. Develop a visitation schedule with the family that allows the child to rest.
Develop a visitation schedule with the family that allows the child to rest.
The public health nurse is teaching the parents of a 5-year-old client diagnosed with sickle cell disease. What education will the nurse include? Select all that apply. Keep the client's immunizations up to date. Avoid giving the client pain medication. Schedule regular appointments with a hematologist. Wait 24 hours to call the healthcare provider if the client has a fever. Monitor for abnormal skin color.
Keep the client's immunizations up to date. Schedule regular appointments with a hematologist. Monitor for abnormal skin color.
The parent of a 4-year-old child is concerned about their child's masturbating. What should the nurse tell the parent? The child needs counseling for the abnormal behavior. Masturbation is normal in children of this age. The child is expressing some unmet needs. Masturbation at this age provides sexual release.
Masturbation is normal in children of this age.
A child is being discharged after being diagnosed with an asthma attack. What information regarding the rescue inhaler is most important for the nurse to include in discharge teaching? Monitor heart rate. Report nausea and vomiting. Watch for hyperactivity. Record changes in taste.
Monitor heart rate.
The nurse discovers that a young client has been given a dose of morphine four times the dose prescribed. What is the priority action of the nurse? Monitor the client's respiratory rate for 5 minutes. Follow the facility policy for reporting of the error. Obtain naloxone and assess the need for administration. Bring emergency resuscitation equipment to the child's room.
Obtain naloxone and assess the need for administration.
The nurse is instructing a 4-year-old child about an upcoming procedure. What approach should the nurse employ during teaching? Use simple terms. Speak gently and use a high-pitched voice. Offer a toy to keep the child happy. Include colorful details.
Offer a toy to keep the child happy.
A charge nurse learns of another nurse who has had two unsuccessful attempts at starting a peripheral IV for a child. What is the most appropriate action by the charge nurse? Speak to the nurse about the situation and offer to start the child's IV. Allow the nurse another attempt under supervision before offering to start the IV. After a third unsuccessful attempt by the nurse, contact the supervisor to start the IV. Allow for a total of four IV attempts by the nurse, then contact the IV insertion team.
Speak to the nurse about the situation and offer to start the child's IV.
A nurse realizes she is 1 hour and 30 minutes late in administering a dose of medication for a 4-year-old child. She gives the medication immediately, and assesses the child. The child isn't harmed by the delay. Which action should the nurse take next? No further action is necessary. The nurse should notify the physician of the error. The nurse should follow facility procedures for reporting an error. The nurse should document a medication error in the client's chart.
The nurse should follow facility procedures for reporting an error.
A healthcare provider diagnoses leukemia in a 4-year-old child who complains of being tired and sleeps most of the day. Which nursing diagnosis should the nurse use to best reflect this physiologic effect of leukemia? ineffective airway clearance related to inability to have an effective cough activity intolerance related to lack of normal blood cell production imbalanced nutrition: less than body requirements related to decreased appetite ineffective cerebral tissue perfusion related to central nervous system infiltration by leukemic cells
activity intolerance related to lack of normal blood cell production
A child is diagnosed with Wilms' tumor. During assessment, the nurse expects to detect gross hematuria. dysuria. nausea and vomiting. an abdominal mass.
an abdominal mass.
A 4-year-old child continues to come to the nurses' station after being told children are not allowed there. What behavior is the child exhibiting? attention-seeking behavior aggressive behavior resistive behavior exaggerated stress behavior
attention-seeking behavior
A child underwent a tonsillectomy 4 hours ago. Which assessment finding should make the nurse suspect postoperative hemorrhage? vomiting of dark brown emesis refusal to drink clear fluids decreased heart rate frequent swallowing
frequent swallowing
A parent brings a preschool child to the emergency department after the child ingested an unknown quantity of acetaminophen. Which treatment does the nurse anticipate? administration of a dose of ipecac syrup insertion of a nasogastric tube and administration of an antacid I.V. infusion of normal saline solution gastric lavage and administration of activated charcoal
gastric lavage and administration of activated charcoal
A parent of a child with hemophilia states that they worry whenever the child has a bump or cut. The nurse should explain that after the area is cleansed, the wound should be treated by applying which measure? gentle pressure warm, moist compresses a tourniquet above the injured area a wet-to-dry dressing
gentle pressure
A child is in the emergency department with suspected epiglottitis and has been ordered an X-ray to confirm the diagnosis. The nurse would prepare the child for X-ray by which methods? in radiology, transported by wheelchair, accompanied by a nurse in radiology, transported by stretcher, accompanied by a nurse in surgery, by portable X-ray in the emergency department, by portable X-ray
in the emergency department, by portable X-ray
A nurse is caring for a child who was involved in a bus accident on the way home from preschool. Several people were killed in the accident. When talking with the child's parents about normal reactions to a traumatic event, the nurse should tell them that it is normal for the child to want to sleep with them at night. they should allow the child to eat and sleep when the child wants. they should allow their child to watch television programs about the accident. they should immediately seek psychiatric care for the child.
it is normal for the child to want to sleep with them at night.
When assessing a client with hemophilia, the nurse identifies which condition as an early sign of hemarthrosis? decreased peripheral pulses active bleeding joint stiffness hematuria
joint stiffness
During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which intervention would be most appropriate to institute? limiting conversation with the child keeping extraneous noise to a minimum allowing the child to play in the bathtub performing treatments quickly
keeping extraneous noise to a minimum
A parent tells the nurse that the parent's preschool-aged child with spina bifida sneezes and gets a rash when playing with brightly colored balloons, and that recently the child had an allergic reaction after eating kiwi fruit and bananas. Based on the parent's report, the nurse suspects that the child may have an allergy to bananas. latex. kiwi fruit. color dyes.
latex.
A hospitalized 5-year-old is pulseless, and after verifying the child is not breathing, the nurse begins chest compressions. Where should the nurse apply pressure? on the lower sternum with the heel of one hand midway on the sternum with the tips of two fingers over the apex of the heart with the heel of one hand on the upper sternum with the heels of both hands
on the lower sternum with the heel of one hand
The nurse is caring for a 4-year-old child who is experiencing pain. When evaluating the child's response to pain, which of the following factors are most important for the nurse to assess? Select all that apply. parental presence personality traits meaning of pain past experiences communication skills
parental presence personality traits past experiences communication skills
Which activity would the nurse suggest to a parent to best support their 4-year-old child's developmental needs? participation in parallel play playing kickball bicycle riding stringing large beads
playing kickball
A child with sickle cell anemia is admitted to the healthcare facility in vaso-occlusive crisis after developing a fever and joint pain. What is the nurse's highest priority when caring for this child? providing fluids maintaining protective isolation applying cool compresses to affected joints administering antipyretics as ordered
providing fluids
A preschool-age child refuses to take ordered medication. Which nursing strategy is most appropriate? mixing the medication in milk so the child isn't aware that it's there explaining the medication's effects in detail to ensure cooperation making the child feel ashamed for not cooperating showing trust in the child's ability to cooperate even with an unpleasant procedure
showing trust in the child's ability to cooperate even with an unpleasant procedure
A 4-year-old child is admitted for cardiac catheterization. Which is most important to include as the nurse teaches this child about cardiac catheterization? a plastic model of the heart a catheter that will be inserted into the artery the child's parents other children undergoing a catheterization
the child's parents
When interacting with the parent of a child who has Duchenne muscular dystrophy, the nurse observes behavior indicating that the parent may feel guilty about the child's condition. The nurse interprets this behavior as guilt stemming from which factor? the terminal nature of the disease the dependent behavior of the child the genetic mode of transmission the sudden onset of the disease
the genetic mode of transmission
A preschooler goes into cardiac arrest. When performing cardiopulmonary resuscitation (CPR) on a child, how should the nurse deliver chest compressions? with the fingers of one hand with two fingertips with the palm of one hand with the heel of one hand
with the heel of one hand
The nurse instructs a child's parents to administer the prescribed ferrous sulfate with a citrus juice. The parents ask why they need to do this. Which response by the nurse is the best? "The citrus juice makes the ferrous sulfate elixir taste better." "The citrus juice helps with the absorption of ferrous sulfate." "The citrus juice prevents the ferrous sulfate from staining the teeth." "The citrus juice provides the vitamin C needed for the production of red blood cells."
"The citrus juice helps with the absorption of ferrous sulfate."
A 4-year-old child is ordered to receive 25 mL/hour of intravenous solution. The nurse is using a pediatric microdrip (60 gtt/mL) chamber to administer the medication. For how many drops per minute would the microdrip chamber be set? Record your answer using a whole number.
25
The nurse is caring for a 5-year-old child in pain. What is the best method to assess the child's pain? Observe the child for behaviors such as crying and restlessness. Ask the child to describe the way the pain feels. Ask the child to point to a face drawing that indicates pain intensity. Ask the child to rate the pain intensity on a scale of 1 to 10.
Ask the child to point to a face drawing that indicates pain intensity.
A nurse on the pediatric unit is caring for a group of preschool children. Which situation takes priority? a child who develops a fever during a blood transfusion a child admitted from the postanesthesia care unit who has a blood-saturated surgical dressing a physician waiting on the telephone to give the nurse a verbal order a child with asthma who is wheezing with an oxygen saturation level of 96%
a child who develops a fever during a blood transfusion
A child who tests positive for the human immunodeficiency virus (HIV) is placed in foster care. The foster parents ask the nurse how to prevent HIV transmission to other family members. How should the nurse respond? "Make sure the child uses disposable plates and utensils." "Use isopropyl alcohol to clean surfaces contaminated with the child's blood or body fluids." "Don't let the child share toys with other children." "Wear gloves when you're likely to come into contact with the child's blood or body fluids."
"Wear gloves when you're likely to come into contact with the child's blood or body fluids."
The nurse is caring for a young child on the oncology unit who has developed thrombocytopenia after cancer treatment. What is the priority action for the nurse to implement when caring for this client? Assess for signs of infection. Ensure a safe environment. Plan for extra nap times. Encourage high-protein foods.
Ensure a safe environment.
The nurse is inspecting a child's throat (see figure). How should the nurse proceed with the throat examination? Remove the tongue blade from the child's hands after they have experienced what it feels like in their mouth. Ask the child to hold the tongue blade with both hands in their lap while the nurse uses another tongue blade. Have the parent hold the child with arms restrained. Guide the tongue blade while the child is holding it to depress the tongue to visualize the throat.
Guide the tongue blade while the child is holding it to depress the tongue to visualize the throat.
The nurse is observing the parents of a 4-year-old child who has been admitted to the hospital. Which of the following actions indicate that the parents understand how to best minimize anxiety during their child's hospitalization? Select all that apply. The parents bring the child's favorite toy to the hospital. The parents explain all procedures to the child in great detail. The parents remain at the child's side during the hospitalization. The parents bring the child's siblings for a brief visit. The parents leave the room when the child undergoes a painful procedure. The parents punish the child if the child is not cooperative.
The parents bring the child's favorite toy to the hospital. The parents remain at the child's side during the hospitalization. The parents bring the child's siblings for a brief visit.
A young child is returning to the pediatric unit after having surgery to form a colostomy. When assessing the stoma, the nurse becomes most concerned when what is observed? slight bleeding of the stoma stomal tissue that is moist a stoma that is edematous a dark maroon stoma
a dark maroon stoma
A client with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the client's history, the nurse considers which information to be most important? a fever that started 3 days ago lack of interest in food a recent episode of pharyngitis vomiting for 2 days
a recent episode of pharyngitis
A mother complains to the nurse that her 4-year-old son often "lies." What is the nurse's best response? "Let the child know that he'll be punished for lying." "Ask him why he isn't telling the truth." "It's probably due to his vivid imagination and creativity." "Acknowledge him by saying, 'That's a pretend story.'"
"Acknowledge him by saying, 'That's a pretend story.'"
The parent of a preschool child with juvenile idiopathic arthritis (JIA) is worried that their child will have to stop attending preschool because of the illness. Which response by the nurse would be most appropriate? "It may be difficult for your child to attend school because of the side effects of the medications they will be prescribed." "Your child should be encouraged to attend school, but they will need extra time to work out early morning stiffness." "You should keep your child at home from school whenever they experience discomfort or pain in their joints." "Your child will probably need to wear splints and braces so that their joints will be supported properly."
"Your child should be encouraged to attend school, but they will need extra time to work out early morning stiffness."
A child age 4, begins to use curse words. Concerned about this behavior, the parents ask the nurse how to discourage it. Which advice should the nurse offer? "Just ignore it. Children grow out of it." "Tell the child it isn't acceptable and they will be disciplined if it continues." "Tell the child that good little children don't use curse words." "Tell the child that the behavior makes you angry."
"Tell the child it isn't acceptable and they will be disciplined if it continues."
The nurse is caring for a child with a new diagnosis of diabetes. The nurse teaches blood glucose monitoring by allowing the child to practice checking the blood sugar of a toy bear dressed in a hospital gown. The nurse recognizes this approach to be appropriate for what age level? preschool age (3 to 5 years) adolescence (10 to 19 years) school age (5 to 10 years) toddler (1 to 3 years)
preschool age (3 to 5 years)
The parent of a 4-year-old expresses concern that the child may be hyperactive. The parent describes the child as always in motion, constantly dropping and spilling things. Which action would be appropriate at this time? Determine whether there have been any changes at home. Explain that this is not unusual behavior. Explore the possibility that the child is being abused. Suggest that the child be seen by a pediatric neurologist.
Explain that this is not unusual behavior.
A 4-year-old child who has been ill for 4 hours is admitted to the hospital with difficulty swallowing, a sore throat, and severe substernal retractions. The child's temperature is 104°F (40°C), and the apical pulse is 140 bpm. The white blood cell count is 16,000/mm3 (16 × 109/L). What is the priority for nursing intervention? infection airway obstruction difficulty breathing potential for aspiration
airway obstruction
A 4-year-old child is brought to the clinic for a checkup. It is determined that the family does not have fluoridated water. The nurse should give which instruction about using fluoride supplements? Give the supplement with meals. Be sure to take the supplement with milk. Do not eat or drink for 30 minutes after the supplement. Have the child swallow the tablet immediately after putting it in the mouth.
Do not eat or drink for 30 minutes after the supplement.
A 3-year-old client is admitted to the pediatric unit with pneumonia. The child has a productive cough and appears to have difficulty breathing. The parents tell the nurse that the child has not been eating or drinking much and has been very inactive. Which interventions to improve airway clearance should the nurse include in the care plan? Select all that apply. Limit fluid intake. Perform chest physiotherapy as ordered. Encourage coughing and deep breathing. Keep the head of the bed flat. Perform postural drainage. Maintain humidification with a cool mist humidifier.
Perform chest physiotherapy as ordered. Encourage coughing and deep breathing. Perform postural drainage. Maintain humidification with a cool mist humidifier.
Which concept should the nurse incorporate into the plan of care for a 4-year-old child to psychologically prepare the child for cardiac catheterization? Anxiety decreases when a preschooler is protected from learning about unpleasant events. Preschoolers are unable to understand the procedure. Little psychological preparation can be given to preschoolers. Preparation is a joint responsibility of the health care provider, parents, and nurse.
Preparation is a joint responsibility of the health care provider, parents, and nurse.
The nurse admits a 4-year-old with a possible meningococcal infection. Which type of isolation is indicated? airborne precautions contact precautions droplet precautions standard precautions
droplet precautions
A child with a fractured left femur receives a cast. A short time later, the nurse notices that the toes on the child's left foot are edematous. Which nursing action would be most appropriate? applying ice to the foot massaging the toes elevating the foot of the bed placing the child on his right side
elevating the foot of the bed
A 5-year-old child asks the nurse if it will hurt to have their tonsils and adenoids taken out. Which response by the nurse would be best? "It won't hurt because we put you to sleep." "It won't hurt because you are such a big kid." "It will hurt because of the incisions made in the throat." "It will hurt, but we have medicine to help you feel better."
"It will hurt, but we have medicine to help you feel better."
After assessing a newly admitted 5-year-old child, the nurse makes the nursing diagnosis of parental role conflict related to child's hospitalization. Which defining characteristic suggests this diagnosis? The parents are questioning the nursing plan of care. Parents make negative statements about health care provider. Parents express feelings of inadequacy in caring for child. The parents are expressing desire for more information.
Parents express feelings of inadequacy in caring for child.
A child diagnosed with tetralogy of Fallot becomes upset, cries, and thrashes around when a blood specimen is obtained. The child becomes cyanotic, and the respiratory rate increases to 44 breaths/min. Which action should the nurse do first? Obtain an order for sedation for the child. Assess for an irregular heart rate and rhythm. Explain to the child that it will only hurt for a short time. Place the child in a knee-to-chest position.
Place the child in a knee-to-chest position.
