ob 21

While communicating with a hospitalized child, the nurse touches the head of the child and greets the child by maintaining eye contact. Which culture would consider these gestures normal?

US

Which child is more prone to separation anxiety?

A 2 year old

The nurse is caring for hospitalized toddler who has a speech defect and hearing loss. The nurse finds that the child is experiencing severe pain. Which pain assessment tool enabled the nurse to reach such a conclusion?

FLACC Scale

Which consequences are evident in a patient with severe pain?

Infections Delay in wound healing Compromised immunity

Which of the following can result from acetaminophen toxicity?

liver failure

The nurse tells the parents of a hospitalized toddler, "Don't wait until the child falls asleep to leave." Which is the likely rationale behind this suggestion?

To enhance the child's sense of trust

The nurse preparing a preschool child for a tonsillectomy will employ which actions in congruence with the child's development level?

Involve parents Offer simple explanation Allow for choices, if possible Give permission to express discomfort

While collecting the data on a neonate, the nurse observes whimpering, a grimace on the face, flexed arms and legs, gagging, and a fussy state of arousal in the neonate. What will be the score of pain in the neonate according to the Neonate/Infant Pain Scale (NIPS)

5

The nursing is caring for a 1-year-old infant with a high-grade fever. The infant weighs 6 kg. What dose of acetaminophen does the nurse expect to be administered to the infant?

90 mg

While caring for a hospitalized toddler, the nurse suggests that the parent participate in the child's care. The parent replies, "Because I am paying for hospitalization, the hospital staff should take care of my child." Which is the best nursing intervention in this situation?

Inform the clinical nurse specialist

Which is the drug of choice for the relief of mild to moderate pain in infants and children?

Acetaminophen

Which nursing action is used for preventive pain control?

Administration of low-dose analgesics regularly around the clock

The nurse is caring for a patient who is on preventive pain control. The nurse learns that the patient is having "breakthrough pain." Which intervention would the nurse expect the primary care provider to prescribe in this situation?

An additional dose of analgesic

The LPN is assisting the RN and primary health care provider in preparing a child for lumbar puncture. Which instruction would the primary health care provider give to the RN before starting lumbar puncture?

Apply eutectic mixture of local anesthetics (EMLA)

The student nurse is caring for a Vietnamese child hospitalized with a severe gastrointestinal infection. Which nursing instruction would be included in the child's care plan?

Avoid touching the child's head

The student nurse is caring for a Vietnamese child hospitalized with. severe gastrointestinal infection. Which nursing instruction would be included in the child's care plan ?

Avoid touching the child's head

The nurse is preparing a toddler for dental examination. Which nursing intervention may reduce anxiety in the toddler?

Instructing the child to yell if the treatment is uncomfortable

Which statement about statement about discharge planning for the pediatric patient is true?

Begins upon admission

Which pieces of information would the nurse include in the discharge documentation of a child?

Behavior of the child at the time of discharge Instructions given to the parents and caregiver Method of transportation during discharge

The pediatric hospital nurse assists children to see nurses as people who care for them physically, as their would, and as a source of security and comfort because children react to hospitalization based of which factors?

Child's emotional health Previous hospital experiences Amount of preparation given Support of family and medical personnel

Which factor influences specific needs of a child during the hospitalization experience?

Development level

The nurse teaching a preoperative class for parents of children having elective surgery at an outpatient surgery clinic tells the participants that this care setting offers which advantages?

Eliminates separation of child from family Recuperation at home in familiar surroundings Reduces incidence of health care-associated infection Reduces extent of treatment and emotional impact of the illness

Which is the best nursing intervention to help prevent maladaptive behavior in a hospitalized child?

Engaging the same nursing personnel in the child's care every day.

While caring for a hospitalized 1-year old infant, the nurse observes that the child's elder sibling feels guilty and subdued. Which nursing intervention is beneficial in this situation?

Engaging the sibling in drawing pictures Allowing the sibling to visit with the parents Encouraging the sibling to support the parents

Which behavior would a chronically ill child display when in pain?

Exhibits social withdrawal

The nurse is caring for a 6-year-old hospitalized child. Which behaviors of the child validate that the child had adjusted to hospitalization?

Expressing a feeling of independence Helping the nurse in simple tasks Being busy with age-appropriate toys Showing interest in playing with peers

Which pain indicator, rated on a 1 to 10 scale, would be used with nonverbal children?

FLACC

The nurse is caring for a child who has undergone a tonsillectomy. The nurse finds that the child is having severe postoperative pain. Which medication would the nurse expect to be helpful for the child?

Fentanyl

The nurse is caring for a patient who is on intravenous midazolam therapy. The nurse observes signs of midazolam overdose in the patient and notifies the primary health care provider. Which medication would the nurse expect to be added to the patient's prescription?

Flumazenil

A 1-year-old infant is in pain after an intravenous catheterization. Which is the best nonpharmaceutical nursing intervention to provide relief for the infant?

Giving an oral sucrose solution

The family of a hospitalized Russian child interpret the student nurse's behavior as inappropriate. Which nursing action is responsible for this opinion of the parents?

Greeting the child with a smile

Which is an adverse effect of acetaminophen overdosage?

Hepatic failure

The nurse is preparing a preschool child with a leg fracture for an X-ray examination. Which statements would the nurse include while explaining the procedure to the child?

I will take a special picture of your leg. I will take you on a rolling bed to a special room You can ask me if you have any questions about the procedure.

The nurse is assisting the RN who is inserting an intravenous catheter to a hospitalized child. The nurse finds that the RN administered a medication using a mild electric current before inserting the catheter. Which medication was administered to the patient?

Mixture of lidocaine and epinephrine

The nurse is caring for a child with a chronic illness in a home setting. Which interventions would the nurse perform to provide proper care for the child?

Monitor the parent-child interaction Explore the nearby community facilities Explore the ways for the child to socialize

A child who has sickle-cell crisis receives opioids for pain relief. Which actions would the nurse take during administration of the drug?

Monitoring the child's respiratory rate Assessing the severity of pain regularly Administering the drug along with stool softener

The nurse is caring for a hospitalized child who is on opioid analgesic therapy. Which nursing interventions ensure safe drug administration in the child?

Monitoring the respiratory rate of the child Monitoring the pain-relieving effect in the child

The nurse is observing the facial expression, nature of cry, breathing patterns, flexion or extension of arms, and state of arousal on a hospitalized infant to document the infant's level of pain. Which assessment tool does the nurse use to document the level of pain?

NIPS

The nurse is caring for a school-age child after the completion of a procedure in the hospital. Which action would the nurse take to relieve anxiety in the child?

Offer small rewards to the child Hug the child after the procedure Ask about the experiences of the procedure

The nurse is collecting data on the pain of a toddler using a four-point scale. The nurse documents the pain as groaning, distressed facial expression, tense body, irritable to touch, and cries. Which scale is the nurse using for the assessment?

PICIC

What are the causes of stress for children of all ages?

Pain Separation Fear of bodily harm

The nurse is preparing documents for the surgery of a minor patient who is a member of the military. Who would the nurse expect to sign the consent form?

Patient

Which nursing intervention would minimize fear and anxiety in a hospitalized adolescent?

Placement with age-appropriate roommates

A worried mother complains to the nurse, "My child used to drink milk from a cup but now demands a bottle." Which nursing intervention would be beneficial for the child?

Praising the child when he or she shows normal behavior

The parent of a child tells the nurse, "My child views hospitalization as a punishment for making a mistake." Which age group of children exhibits this kind of behavior?

Preschool-age children

Which nursing interventions reduce separation anxiety in a hospitalized toddler?

Providing transitional objects Encouraging the child to play peekaboo Encouraging the child to play hide-and-seek

The nurse is documenting the pain assessment data of a child using the descriptive word scale. While documenting, the nurse records the score as 3 in the child's report. Which word does the child choose to describe the pain ?

Quite a lot

A child's parent tells the nurse, "My child used to walk on his own properly, but now he gets cranky often and demands to be carried." Which behavior is the child exhibiting?

Regression

Which complication would the nurse find in a child who has been on opioid therapy for a long time?

Respiratory disorder

The nurse is caring for a 15 year old who is being admitted to the hospital with a gastrointestinal disorder. Which is the most important nursing intervention for this adolescent?

Scheduling visiting hours to facilitate peer visits during hospitalization

Which behaviors would the nurse observe in an 11-year-old adolescent during hospitalization?

Showing interest in drawing self-protrait sketches Shows interest to interact with same-sex groups Shows narcissistic concerns about physical appearance

The parent of a hospitalized child says, "Will you please distract my child so that I can sneak out?" Which is the best response by the nurse?

Sneaking out may cause your child to lose trust in you.

The primary health care provider prescribes opioid analgesics to reduce postoperative pain in a child. The nurse finds that the child is experiencing abdominal discomfort and a feeling of fullness in the abdomen. Which medication would the nurse expect to be beneficial for the child?

Stool softener

The parent of a child with chronic illness comes to visit the child in the hospital. The nurse finds that the child is interacting with toys and other children at the hospital instead of getting excited about the parent's arrival. Based on this behavior, which conclusion would the nurse reach?

The child is in the denial stage

The nurse observes that a hospitalized child is sad and depressed and is not playing actively with toys. Which conclusion would the nurse reach based on the behavior of the child?

The child is in the despair stage

While leaving a child in the hospital, the parent tells the child, "I will be back before dinner," and returns with the child's favorite toy. Which outcome would the nurse expect from this action ?

The child may feels a sense of security and trust

The pediatric nurse is discharging a 3 year old patient of Asian descent. When explaining the discharge instructions to the patient's parents, the nurse notices they are not making eye contact. Which factor would the nurse consider to be accurate about this situation?

The parents may consider eye contact to be disrespectful

The nurse recognizes that 3 year old child may exhibit regression during hospitalization that may be demonstrated by which behaviors?

Wetting the bed Demanding to drink from a bottle Asking t be carried Pointing at objects

While caring for a hospitalized child, the nurse observes that the child is holding toys and sitting expressionless. The parents tells the nurse , "My child seems to have adjusted well, so I think it's all right if I don't come tomorrow." Which is the best response of the nurse in this situation?

You should visit more frequently to minimize your child's stress