Chapter 35: Key Pediatric Nursing Interventions
The nurse is showing the student nurse how to flush a pediatric client's peripherally inserted central catheter (PICC) line. The nurse prepares a 3-mL normal saline flush using a 5-mL syringe. The student asks the nurse why the flush was prepared this way. What is the most accurate response by the nurse?
"Using a larger-volume syringe exerts less pressure on the PICC line."
A nurse is educating the parents how to administer daily oral medication to their 5-year-old boy. Which response indicates a need for further teaching?
"He needs to take his medicine or he will lose a privilege." Never associate taking medication with a punishment since they will need to take it daily. Never bribe child, never refer medication as candy. Be honest of the taste and if necessary mix with another food such as apple sauce, yogurt, syrup to mask the taste Do not mix medication with formula or baby food never crush tablets or open capsule without consult of pharmacy. praise the child after taking medication. oral syringe or dropper place medication slowly along inside of cheek, never squirt medication forcibly to back of child's through
A parent asks the nurse to explain what a PET scan is after learning that the child will be having a PET scan of the abdomen. What is the nurse's best response?
"It is similar to a CT scan but uses an injection of dye to help visualize the abdominal organs."
The nurse is preparing to administer an antibiotic for a severe respiratory infection to a 5-year-old boy. The child asks the nurse why he is getting this medication. What is the best response by the nurse?
"The medicine will help you feel better so that you can go home soon."
The nurse is monitoring a student who is administering a tablet to 4-year-old child. Which action by the student nurse requires further instruction by the nurse? Select all that apply.
1) the student nurse prepares to administer the tablet to the child with juice 2)The student nurse prepares to crush the tablet and mix it in milk for administration 3)The student nurse prepares to mix the whole tablet in yogurt for administration
The nurse is calculating the urinary output for the infant. The infant's diaper weighed 40 grams prior to placing the diaper on the infant. After removal of the wet diaper, the diaper weighed 75 grams. How many milliliters of urine can the nurse document as urinary output? Record your answer using a whole number.
35
The nurse is caring for a child with an ileostomy. What nursing intervention will be included in this child's plan of care?
Check for leakage around the stoma.
A nurse has been administering normal saline intravenously to a pediatric client and notes edema, pallor, and blanching at the intravenous site. What should the nurse do next?
Discontinue the infusion and remove the cannula.
The nurse is preparing to give a 4-month-old an oral medication. Which technique demonstrates the nurse's accurate knowledge of the infant's developmental level?
Position the infant upright, offer the infant a bottle of formula, remove the bottle and squirt the medication on the side of the tongue toward the cheek, then offer the infant the bottle again.
A child is having difficulty swallowing pills. What is the best action for the nurse to take to help this child swallow medications?
Place the pills in a bite of ice cream or applesauce.
The nurse wishes to promote gastric emptying after administering the preschooler's gastrostomy feeding. Which position will facilitate this?
Right side-lying
A client's mother informs the nurse that she has a hard time getting her 6-year-old son to take medication at home. Which would be the best suggestion for the nurse to offer this mother to help correct this problem?
Tell the mother to state firmly, "It's time for you to drink your medicine."
The nurse has been teaching an adolescent about the treatment for hypothyroidism. Which outcome indicates that the teaching has been successful?
The client states understanding that this is a lifetime medication.
A preschooler who is receiving gastrostomy feedings occasionally vomits following a feeding. When the parent describes the feeding process, what does the nurse note as the likely cause of the vomiting?
The mother does not check gastric residual prior to feedings.
An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of this insertion site?
The scalp veins are easily visualized.
