CH. 26

The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child? D. Avoid prolonged discussions about the child's anxiety. B. Answer questions regarding pain. C. Encourage family caregivers to stay with the child. A. Offer to help with bathing.

B. Answer questions regarding pain.

A 6-year-old male has come to the clinic for a routine well-child visit. The nurse, after noting in the medical record that this child has followed basic growth and development standards, anticipates documenting which common assessment finding? B. swayed back C. long legs A. flat abdomen D. slender body

B. swayed back

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8? A. signs of scoliosis B. vision and hearing C. review immunization records D. nutritional needs

B. vision and hearing

The nurse is addressing a caregiver's concerns regarding adequate sleep for an 11-year-old child who gets up at 6:30 a.m. each morning. The nurse should point out which time as the most appropriate bedtime for this child? D. 10:00 p.m. A. 7:30 p.m. C. 9:00 p.m. B. 8:00 p.m.

C. 9:00 p.m.

The 6-year-old at a well-child office visit tells the nurse, "I can't play on teams because I am not as good at doing things as my big sister is." What suggestion should the nurse point out to the caregiver that will help increase the child's feelings of self-confidence? D. Start a rock collection with the child to show her that she can have fun doing activities that don't involve other children. C. Set up some playdates that include projects or activities in which the child can be successful. B. Praise the child for trying even when she can't complete the same activities as the older sibling. A. Ask the child's older siblings to compliment her more often.

C. Set up some playdates that include projects or activities in which the child can be successful.

The school nurse is discussing obesity with a group of caregivers of school-aged children. Which statement by the caregivers best illustrates that they are prepared to help their child prevent obesity? D. "I keep lots of snacks on hand because my child eats all day long." C. "Neither my husband nor I have ever had any concerns with weight." B. "We eat fast foods only on weekends because we are too busy to cook." A. "I always cook foods that are low in fat."

A. "I always cook foods that are low in fat."

The nursing instructor is leading a discussion on school-aged children. The instructor determines the session is successful when the students correctly choose which factor as being a priority for the school-aged child? C. Have a routine physical exam every 6 months A. Needs 10 to 12 hours of sleep per night B. Should brush their teeth at bedtime D. Be screened for scoliosis once a year

A. Needs 10 to 12 hours of sleep per night

The school nurse is assessing a 6-year-old child's dentition. Which assessment should the nurse prioritize for this child? B. has at least six permanent teeth D. has lost all deciduous teeth A. has first permanent molars C. has two cuspid or canine teeth

A. has first permanent molars

The nurse is preparing a care plan for a school-age child to address the child's hospitalization. Which factor should the nurse incorporate into this plan? D. Grows and develops skills more rapidly than at any other time in his or her life B. can take in new information at a rapid rate and asks "why" and "how" a lot C. insists he or she can "do it" and then reverts to being dependent A. increased attention span and interest in an activity for a long length of time

A. increased attention span and interest in an activity for a long length of time

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver? B. "Food jags are common in this age. This probably won't last long." C. "Try having her eat with the family and she will want what others are eating." D. "She should be discouraged from having food likes or dislikes. Have her eat everything." A. "It is important that each time she eats, she has a variety of foods."

B. "Food jags are common in this age. This probably won't last long."

The nurse is preparing a presentation for a community health fair on the topic of helping school-aged children develop the self-confidence they will need to mature into responsible adults. Which suggestion should the nurse prioritize to caregivers to enable them to help their children in this area? B. Caregivers should maintain consistent rules and expectations. A. Encourage the child to cheer on their friends at games. C. Ensure that the child has the best teacher possible. D. Encourage older siblings to include the child in their activities.

B. Caregivers should maintain consistent rules and expectations.

The nurse is working with a group of 8-year-olds who are learning about the concept of conservation of numbers. Which activity will help teach this concept to these school-aged children? B. Rearranging a group of coins first into a circle, then a triangle and then a square C. Forming vases from blocks of clay that are of various weights A. Stacking blocks in a tower and counting how many can be stacked without falling D. Measuring the weight of a handful of popcorn and then the weight of a handful of pennies

B. Rearranging a group of coins first into a circle, then a triangle and then a square

The 11-year-old arrives in the emergency department presenting with the following: nosebleed with no apparent trauma, disoriented, confused, difficulty walking, nausea, and coughing. The nurse should question the child concerning which potential activity? B. experimenting with an inhalant C. eating a food he is allergic to D. exposure to a respiratory disease A. falling on the playground at school

B. experimenting with an inhalant

The nurse is assessing a 9-year-old girl during her well-child checkup and notes the child weighs 86 lb (39 kg). After noting she weighed 9.5 lb (4.30 kg) at birth and her growth has been within normal patterns, the nurse determines this girl is within which category? A. slightly underweight B. slightly overweight D. significantly underweight C. significantly overweight

B. slightly overweight

The nurse is preparing an in-service training session on Erikson's theories for the pediatric nurses. Which task should the nurse prioritize as an example for the school-aged child? C. wants to tie their own shoes no matter how long it takes D. understands the need for discipline A. insists on doing things their way instead of their caregivers B. will work on a picture until it is finished

B. will work on a picture until it is finished

The nurse is presenting information about school-aged children at a community event. Which statement from the group should the nurse prioritize to address with further teaching and more information? A. "Sometimes we have to be firm, but our children wash their hands before eating." D. "Even if the weather is cool and cloudy, our children play outside every day." C. "Food is so expensive, we always make our children eat everything on their plates." B. "I make sure they have good teeth by giving them calcium and phosphorus."

C. "Food is so expensive, we always make our children eat everything on their plates."

The school nurse is meeting with a 10-year-boy who is concerned about his weight. He reports he doesn't eat much candy but loves fruit, pasta, potatoes, and bread. Which suggestion should the nurse prioritize to help him maintain a healthy weight? D. Encourage the child to not worry about weight until he is older. C. Encourage activities that will increase his physical activity. A. Encourage portion control at each meal B. Change to a very low-fat and no-carbohydrate diet.

C. Encourage activities that will increase his physical activity.

An 8-year-old boy's foster mother is concerned about three recent cavities found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this mother in regard to the child's dental health? A. Encourage the child to abstain from eating sugary snacks at school. D. Have the child's teeth professionally cleaned every 3 months. C. Ensure that the child brushes his teeth after each meal and snacks. B. Accept that the child is genetically predisposed to having more cavities than most children.

C. Ensure that the child brushes his teeth after each meal and snacks.

The nursing instructor is conducting a class discussion exploring the normal dentition progression of the school-aged child. The instructor determines the session is successful when the students correctly choose which factor as most likely occurring in 10-year-olds? B. The child has only six permanent teeth. D. There are eight molars. A. All four central incisors have erupted. C. Two of the cuspid teeth have erupted.

C. Two of the cuspid teeth have erupted.

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity? B. build a sandcastle with a water-filled moat C. form vases from blocks of clay D. put together a model plane A. stack blocks in a tower

C. form vases from blocks of clay

The nurse is monitoring a playgroup of children on the pediatric unit. The nurse predicts the school-age child will most likely be participating in which activity? B. playing with the plastic vacuum cleaner, pushing it around the room A. pretending to be mommies and daddies in the playhouse D. watching a movie with other children their age C. painting pictures in the art corner of the room

C. painting pictures in the art corner of the room

The nursing students working with a group of 8-year-olds have determined they will illustrate the concept of conservation of weight. Which activity would best help these children grasp this concept? C. weighing a pound of oranges and a pound of bricks and counting how many of each make a pound B. using a balance scale to weigh a variety of objects and counting how many pennies must be used to balance the scales A. weighing and measuring each child and comparing the number of pounds to the number of inches for each person D. measuring the weight of a handful of popcorn and then the weight of a handful of pennie

C. weighing a pound of oranges and a pound of bricks and counting how many of each make a pound

The mother of a 6-year-old is asking the nurse how to handle the child's lying and fabricated stories when confronted with questionable actions. Which response would be most appropriate by the nurse? A. "Your child could be in serious trouble in school if he continues to tell lies." C. "Is there any possibility he is telling the truth and you just don't know it is the truth?" D. "Children this age sometimes can't distinguish between fantasy and reality." B. "The child should have privileges taken away for several days each time he tells a lie."

D. "Children this age sometimes can't distinguish between fantasy and reality."

A 7-year-old seen in the clinic for a routine well-child visit is noted on assessment to have gained 5 lb (2.26 kg) and grown 5 in (12.70 cm) over the past year. The nurse determines this child is within which parameters? C. Weight is above expected range and the height is within an expected range. B. Weight is within expected range and height is less than expected. A. Weight and height are within expected patterns of growth. D. Weight is within expected range and height is above expected range.

D. Weight is within expected range and height is above expected range.

The nurse notes a school-aged child in the pediatric unit playroom is busy sorting through the Legos and putting them in certain groupings. The nurse determines this child is illustrating which developmental concept? A. conservation of numbers C. reversibility D. hierarchical arrangement B. decentration

D. hierarchical arrangement