chapter 1 pediatrics

Pediatric nurses are developing more home care and community-based services for children with chronic illnesses because:

Increasing numbers of children live with chronic disabilities due to advances in healthcare that allow children with formerly fatal diseases to survive.

The nurse is assessing a 9-year-old boy with pneumonia. Which of the following findings is a factor for this child's morbidity?

Medical records reveal a history of asthma

The school nurse is caring for several children who witnessed an accident in which an 8-year-old girl was struck by a car on the way to school. Which of the following is the most important first step in developing the nursing care plan for these children?

Determining whether the children were traumatized by the accident

The nurse is caring for a 16-year-old boy with injuries from a car accident. Which of the following activities describes the nurse's manager role?

Facilitating return to school by working with the school nurse

The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of his condition and care. Which of the following is the most effective way of advocating for this child and family?

Helping parents access the area's multidisciplinary cystic fibrosis clinic

The nurse is caring for a 2-year-old boy who needs a lumbar puncture. His mother is present. Which of the following would prevent informed consent from being obtained?

Learning the mother is not the custodial parent

The nurse is updating the records of a 10-year-old boy who had his appendix removed. Which of the following actions could jeopardize the privacy of the child's medical records?

Letting another nurse use the nurse's log-in session

Morbidity data indicate that support is needed from pediatric nursing groups to establish improved and additional services for children with what health issues?

Mental health and behavioral disorders

The nurse is focusing on health promotion for a 6-year-old girl. Which of the following interventions best supports Healthy People 2020 goals?

Recommending a helmet for biking Recommending that the child wear a protective helmet best supports the goals of Healthy People 2020 because unintentional injury remains a leading cause of mortality and morbidity for children. Proper diet, adequate sleep, and after-school child care are important but do not affect child health status as much as injury prevention does.

The 5-year-old in the emergency room is having glass removed from a wound. Which action constitutes ethical behavior by the nurse?

Restraining the child with the nurse's hands and body while the glass removal occurs

To decrease childhood mortality, pediatric nurses need to consistently engage in what activity throughout all age groups?

Teach injury prevention and proper safety practices.

Consent for urgent treatment is needed for a minor. The parents are at a distance. What action by the nurse constitutes informed consent?

Telephone consent with two witnesses listening simultaneously

The line at the well-child walk-in clinic is long, with closing time near. Which child does the nurse assess based on knowledge of morbidity data?

The foreign-born adopted child The adopted foreign-born child is at risk for health problems often due to poor health surveillance prior to adoption. The infant at the 25th percentile is within the range of normal. "Poor appetite" in a toddler is common due to slowed growth following infancy. Most teens are healthy. The sports assessment can occur later.

The nurse providing care to the fifth-grade child and his family reviews the nursing care plan, noting that teaching about pubertal changes is one of the individualized interventions. The nurse chooses not to address this. How should the nurse's action be evaluated?

This nurse has not met the standard of care that constitutes adequate nursing practice identified in Pediatric Nursing: Scope of Standards and Practice.

The nurse knows that children can give assent (agree) to participate in research. At what intellectual age does the American Academy of Pediatrics suggest minors may first do this?

7 years The age of 7 years is considered competent to provide assent when a developmentally appropriate explanation has been given. A child older than 14 years is considered a mature minor in many states.

Nurses can help to decrease the United States' mortality rate by advocating for improved access to healthcare for which ethnic groups in particular? Select all that apply.

Asian-Americans

The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which of the following teaching subjects best supports the emphasis on preventive care?

Showing the mother how to teach hand washing to her child

The nurse is caring for a 5-year-old girl with meningitis. Which of the following may be considered ethical behavior?

Starting intravenous fluids even though the child protests

The nurse is caring for a 16-year-old girl who is terminally ill with bone cancer. Which of the following orders is least likely to be in her advance medical directive?

Stop all opioid analgesics

An older couple approaches the nurse's station seeking information about their hospitalized grandchild. What should be the nurse's response?

Tell the couple to seek information directly from the child's parents. To protect the child's privacy, information can be shared only with legal guardians, parents, or those identified in writing. "Looking busy" only temporarily avoids confronting the privacy rights.