Toddlers Evolve Peds
A nurse is counselling a parent about the changes a toddler may exhibit after the death of a family member. What should the nurse include in the counselling? Select all that apply.
"The toddler may have bowel or bladder disturbances." "The toddler may express changes in sleeping patterns."
Which instruction is a nurse least likely to provide about nutrition while educating the parent of a 2-year-old child?
"You should enhance the daily sodium intake of your child."
Which should the nurse anticipate when assessing a toddler-age client's respirations?
Abdominal breathing
A nurse explains to the mother of a 1-year-old with a history of frequent ear infections that the primary cause of otitis media in young children is what?
An obstructed eustachian tube
A 2½-year-old boy who has undergone surgery to revise a ventriculoperitoneal shunt is to be discharged. The nurse advises the parents to call the clinic if the child does what?
Appears drowsy after a nap and becomes irritable
What are the similarities between infants and toddlers? Select all that apply
Both awaken frequently during the night. Both recover easily from upper respiratory tract infections (URTI).
A nurse in the pediatric clinic is teaching the parents of a toddler how to prevent accidental poisoning. What should the nurse emphasize?
Child's need for exploration
On the third day of a 2-year-old toddler's hospitalization the nurse notes that the child, who had been screaming and crying inconsolably, has begun to regress and is now lying quietly in the crib with a blanket. What stage of separation anxiety has developed?
Despair
A 19-month-old boy who has been in the hospital for 2 weeks becomes increasingly withdrawn and mute. What is the most appropriate nursing action?
Encouraging the parents to stay with him as much as possible
A toddler on the pediatric unit is required to have temporary dietary restrictions after colorectal surgery. What is the best way for the nurse to promote adherence to the restrictions?
Handle dietary changes in a matter-of-fact way
Which of these diseases would the nurse explain is most common in toddlers?
Influenza
Which theory helps pediatric nurses to design appropriate therapeutic play interventions for ill toddlers?
Interdisciplinary theory
A father asks the nurse about the immunization schedule for his 15-month-old toddler, who is being treated for acute lymphoid leukemia. What vaccine is contraindicated for a child undergoing chemotherapy?
MMR
A parent tells the nurse in the emergency department, "My 3-year-old has had a fever for several days and has been vomiting." After prescribed measures to reduce the fever have been instituted, what nursing action is most important?
Preventing shivering
Which term should the nurse use when describing the physical growth that occurs during the toddler years?
Steplike
A nursing student is selecting liquids for an 18-month-old toddler after oral surgery. Which choice by the student should cause the charge nurse to intervene?
Strawberry gelatin
Antibiotic prophylaxis is prescribed for a 2-year-old child with a cardiac malformation who is awaiting corrective surgery. The nurse explains to the child's parents that the antibiotic will prevent what?
Subacute bacterial endocarditis
Which statement would the nurse state is true for toddlers?
The incidence of poisoning is very common in toddlers
A nurse explains to the parents of a toddler why 2-year-old children are at risk for lead poisoning. What major risk factor does the nurse include in the discussion?
They explore the environment by touching and tasting.
A 2-year-old child with previously diagnosed hemophilia is admitted to the pediatric unit for observation after a motor vehicle collision. The toddler has several bruises but no other apparent injuries. What is the nurse's specific concern regarding this child?
Undetected injury
A nurse is caring for a toddler with the diagnosis of nephrotic syndrome. What is the best indicator of kidney function in this toddler?
Urine output
The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate several multivitamins with iron. What should the nurse say to the parent?
"Call the Poison Control Center."
Which statement should the nurse make when providing information to the parent of a toddler-age client who calls the pediatric clinic after dropping a mercury thermometer at home?
"Clean up the spill using paper towels and disposable gloves."
A parent asks a nurse for suggestions because a 2-year-old child wants to take a bath alone. What is the most appropriate suggestion that the nurse should provide?
"Allow the child to wash herself with supervision."
