Exam 7 Women and Children

Describe developmental behaviors and nursing actions to consider when giving medications to children (4-year-old).

Give them options, within your control. Dropper or Syringe?

A child's caregiver tells the nurse, "I plan to room-in with my child." Which action will the nurse take?

Ask if the caregiver would like to help the nurse with bathing the child and with the next dressing change Chapter 29

4. Explain the purpose and processes for obtaining vital signs, including temperature, pulse, respirations, and blood pressures.

Certain steps for certain ages. RR: 40-60. Count for a full minute HR: 100-140. Count for 30 seconds. At least 15 seconds

2. Discuss how the collection of objective data regarding general appearance, assessment, psychological status, and behavior provides indicators of health or illness in children.

Look at baby listen to heart listen to lungs assess mouth, nose, throat last. (This may be 1 of the 2 ordering questions)

Which intervention is most important in assuring a child's cooperation and reducing his or her fear during an emergency room visit?

having the parent stay with the child Chapter 29

The nurse is discussing future treatment options suggested by the health care provider when the adolescent client states, "I will die anyway. What difference will it make?" The nurse begins a new plan of care with which priority nursing diagnosis?

hopelessness chapter 34

14. Describe how the nurse may encourage growth and development, self-care and socialization in the child with a chronic condition.

As normal as possible. Appropriate toys for age group. Make sure after school club can accommodate wheelchairs. Incorporate things that will allow socialization to happen.

How would a nurse best advise the family to discuss the seriousness of the diagnosis with their terminally ill 6-year-old?

Tell the child, because the nurse and family are able to help the child with fears chapter 34

Discuss the role of the nurse with assisting with procedures related to blood collection, lumbar puncture, urine sampling, diagnostic tests, and studies in children

Tell them it's ok to cry. DX: 10 mo needs a UA. Use a U bag secured to vulva/penis and put cotton bag. 5 year old, pee in potty with hat. Have mom and dad help. Lumbar Puncture: ORDERING QUESTION Blood collection:: can do it with Iv stick Can restrain with mummy wrap for comfort measure. NG tube insertion: Ear, nose, xyphoid process

The nurse is admitting a school-aged child to the hospital. What factor(s) will the nurse consider when interviewing and obtaining information from the child? Select all that apply. The child's developmental level should not be assumed by the child's age. Interview questions should be tailored to be age-appropriate. The nurse should answer the child's questions honestly. The interview should occur with the parent present. The nurse should ask the child to describe the symptoms.

The child's developmental level should not be assumed by the child's age. Interview questions should be tailored to be age-appropriate. The nurse should answer the child's questions honestly. The nurse should ask the child to describe the symptoms. (privacy of child should be respected) chapter 28

A 10-year-old child is receiving end-of-life care at home (above). The home care nurse recommends repositioning the client every 2 hours. The caregiver responds, "My child has been through so much already! Why can't we just let the child stay in a comfortable position?" How will the nurse address the parents' concerns?

"A pressure injury could cause additional pain; we can gently reposition your child to reduce this risk." chapter 34

Which statement made by an adolescent client best describes adolescent feelings of death and immortality?

"Death happens to other people but not to me." chapter 34

A family is dealing with the approaching death of their child. Which nursing response would address their spiritual needs?

"Does your faith provide you with support in times of need?" chapter 34

A parent asks for help explaining the death of a sibling to a 5-year-old. Which response by the nurse is most appropriate?

"Explain the death using past experiences, such as when a pet died." chapter 34

The best way to assist a preschool-aged child deal with death is to tell the child:

"Grandpa has died." chapter 34

A nurse is discussing concerns about possible child abuse (child mistreatment) with the nursing supervisor. Which statement by the nurse requires correction by the supervisor?

"HIPAA prevents nurses from disclosing confidential information from parents. chp 33

A school-aged child is scheduled for tonsillectomy in a local outpatient surgery center. Which statement by the mother indicates that further education is needed?

"He will need to spend the night here after the surgery is done." Chapter 29

The nurse is measuring the head circumference of a 1-year-old infant during a well-child visit. The parent asks the nurse why this assessment is being performed. Which response will the nurse provide to the parent?

"Head circumference is typically assessed until age 2 or 3 to help determine if growth is appropriate." chapter 28

The nurse is caring for an 8-year-old girl who requires medication that is only available in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which statement indicates a need for further teaching?

"I can pinch her nose to make it easier to swallow." chapter 31

A child hospitalized with cancer expresses fear about going to sleep, that the child might die during the night. Which is the best nursing response?

"I can sit with you while you are falling asleep tonight." chapter 34

The nurse is talking to a group of children who are 8 and 9-years-old and have lost someone close to them through death. Which of the following statements made by these children best characterizes the expected concept of death at this age?

"I guess we will all die sometime." chapter 34

Which is a common adolescent statement to the nurse by a child who has a chronic condition?

"I miss my friends and going to the movies." Chp 32

Which statement made by the mother of an infant who is born with severe intellectual disability indicates an appropriate understanding of her infant's long-term needs? You Selected:

"I understand my child will grow up but needs to develop as much independence as possible. Chp 32

A nurse is teaching a parent ways to reduce fever in a child. What statement made by the parent would require further education?

"I will give my child a tepid sponge bath to reduce the fever." Because of their ineffectiveness in reducing fever and associated discomfort, tepid sponge baths are no longer recommended for reducing fever. chapter 30

A toddler is prescribed amoxicillin for bilateral otitis media. The parent reports that the toddler refuses to take the oral medication. The nurse knows that more education is needed when the parent makes which statement?

"I will shake the medication well, and draw up the medication to the top of the syringe. My spouse and I will hold our toddler down and force the medication down his throat." The objective of administering oral medications is to administer the entire dose to the toddler while creating the least aversion to the medication as possible. No force should be used. chapter 31

The nurse is caring for a family who has opposing views on care for their terminally ill preschooler. Which nursing statement best addresses this dilemma?

"I will share with your health care provider that you have questions that make decision-making difficult." chapter 34

Which parental statements identify emotional abuse on a 5-year-old child? Select all that apply. "You should have closed the door when you came in. Now the dog is out." "If you don't stay home and help me, don't come back. I don't want you." "Why are you so stupid? I told you to feed your sister, but not oatmeal." "Once I got pregnant with you my life was over. I could not go to school." "You put the fork where the spoon goes. Go back and fix it."

"If you don't stay home and help me, don't come back. I don't want you." "Why are you so stupid? I told you to feed your sister, but not oatmeal." "Once I got pregnant with you my life was over. I could not go to school." chp 33

The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will best elicit the child's cooperation?

"Let's see who can blow these cotton balls off the table first." Chapter 29

The nurse is caring for a 14-year-old client who has a gunshot wound and whose prognosis is poor. The client will have testing to determine if brain death has occurred. The parents ask if organ donation will be an option if the client is determined to be brain dead. How will the nurse reply?

"Organ donation may be an option; we can discuss this with your child's primary health care provider." Chapter 34

The nurse is teaching a group of nursing students about intimate partner violence. Which statement by the nurse is accurate?

"Power and control are central to the dynamic of intimate partner violence." chp 33

The nurse is providing teaching on how to administer nasal drops. Which response by the parents indicates a need for further teaching?

"She needs to remain still for at least 10 minutes after administration." Once the drops are instilled, the child should remain in hyperextension for at least 1 minute to ensure the drops have come in contact with the nasal membranes. chapter 31

A parent calls the nurse in the emergency department and reports giving a tepid bath to decrease temperature in a feverish child. The parent states the child is shivering and wants to know if this means the bath was effective. What is the best response by the nurse?

"Shivering means the child is chilling, which will cause the body temperature to increase." chapter 30

The triage nurse receives a phone call from a client stating, "I was just raped and I need help. What should I do?" Which response by the nurse is a PRIORITY?

"Tell me if you are in a safe location away from the assailant now." chp 33

A parent asks how a 22-month-old understands death and dying. What is the nurse's best response?

"The child doesn't understand the concept of death." chapter 34

A 7-year-old boy has been admitted to the hospital with a diagnosis of fever of unknown origin. He has numerous tests ordered for diagnosis. When preparing him for the blood tests ordered, the best explanation would be:

"The doctor needs to look at your blood to see why you are sick; it will hurt for a second." Chapter 30

The nurse is preparing to assist with a procedure on a child. The nurse states the child can pick a toy from the prize box after the procedure. The parent asks the nurse, "Are you trying to bribe my child?" Which response by the nurse is appropriate?

"We give rewards to help children remember the experience as not all bad." Chapter 30

A nurse is interacting in conversation with the parents of an 8-year-old child with intellectual disability who wants to join a scout club at school. The parents explain that they are uncertain if this would be a good experience for their child. Which would be the best response by the nurse?

"Your child has the same socialization needs as other children who don't have an intellectual disability chp 32

Lumbar puncture

1) Explain the procedure to the child and family and help hold the child still. 2) Assist by supporting and reinforcing teaching with the child and family caregiver, preparing for the child for the procedure, completing required paperwork, verifying informed consents are signed, maintaining NPO status, clarifying allergies, and documenting what has been done. (pg 646)

Lumbar Puncture Ordering

1) Tell the child it is important to hold still and they will have help to do this. 2) Restrain the child in position until the procedure is completed. 3) Grasp the child's hands with the hand that is passed under the child's lower extremities and hold the child snugly against your chest. 4) This position enlarges the intervertebral spaces for easier access with the aspiration needle. 5) Performed with strict asepsis. 6) Sterile surgical dressing is applied when the procedure is complete 7) Child must remain quiet for 1 hour after the procedure 8) Monitor vital signs, LOC, motor activity frequently for several hours after the procedure (pg 644)

The nurse is caring for a child prescribed ophthalmic drops. Place the steps in the order the nurse will complete them when administering the ophthalmic medication to the child. Use each option once. Place the child in the supine position, slightly hyperextending the neck with the head lower than the body Retract the lower conjunctival sac Place the prescribed number of drops into the lower eyelid Wipe any excess medication from the skin Instruct the child to gently close the eyes

1. Place the child in the supine position, slightly hyperextending the neck with the head lower than the body 2. Retract the lower conjunctival sac 3. Place the prescribed number of drops into the lower eyelid 4. Instruct the child to gently close the eyes 5. Wipe any excess medication from the skin chapter 31

A nurse has just received an order to apply an ice bag to a client's groin. Which of the following intervals for placement of the ice bag does the nurse plan to use?

20 minutes Chapter 30

Describe the components of a physical examination and the most effective way to perform an assessment on a child

4 year old: Get at their eye level. Be positive. Connect with the child. Speak simply and clearly. Simple vocabulary. 9 year old.. educate with games, play, rewards, praise. Mostly cooperative. Brave.

The parents of a 6-year-old have just been told that their child will die shortly. At which age does the nurse realize that children are capable of understanding death?

9 years chapter 34

What can a nurse do during an emergency admission to alleviate some of the child's and family's fears/anxieties over the situation? Select all that apply. Ask the family members health history questions while the child is being initially treated. Place an identification bracelet on the child, explaining that this will help the hospital staff know who he or she is at all times. Recommend that the family remain in the waiting room until the child is fully admitted and treatment completed. Undress the child for a physical examination as soon as they arrive. Remain calm, explaining procedures to both the family and the client in a caring manner.

=Ask the family members health history questions while the child is being initially treated. =Place an identification bracelet on the child, explaining that this will help the hospital staff know who he or she is at all times. =Remain calm, explaining procedures to both the family and the client in a caring manner. chapter 29

The nurse is helping discharge a child recently diagnosed with a chronic condition. The client will receive intravenous medications at home and will need to continue the use of an apnea monitor. What education will the nurse reinforce with the family? Select all that apply. -experimental therapies if current therapy does not work -how to use equipment needed to care for the child -medication schedule for all prescribed medications -statistical data on the prevalence of the diagnosis -community resources available to help the family

=How to use equipment needed to care for the child, =medication schedule for all prescribed medications, and =community resources available to help the family Chp 32

Physical neglect of children occurs in various ways. In which family below would you suspect neglect?

A father allows his child to stay home from school whenever she chooses chp 33

The nurse is caring for multiple pediatric clients, all with chronic conditions. Which parental action will cause the nurse to intervene?

A parent who is telling the child that a painful procedure will not hurt Chp 32

In which example of a burn would the nurse most likely suspect abuse?

A partial-thickness or second-degree burn on the child's bottom chp 33

A 5-year-old child is to receive long-term IV antibiotics. The mother is concerned about what type of administration method will be used. Which medication administration route may be the most easily accepted?

A peripherally inserted central catheter (PICC) line in an antecubital space chapter 31

The emergency room nurse is caring for a client who was raped a few hours ago. Which intervention(s) will the nurse perform? Select all that apply. Ensure a forensic examination is performed. Send specimens for sexually transmitted infection (STI) testing. Take the client to an isolated location for assessment. Refer the client for psychological counseling. Document the findings in the client's medical record.

ALL of the above chp 33

When caring for a child with a chronic illness, a high priority goal that the nurse should establish for the client is which of the following?

Accomplish growth and development milestones Chp 32

A neonate is to receive a hepatitis B vaccine within a few hours after birth. What is the best approach for the nurse to take when giving this medication?

Administer the medication in the neonate's vastus lateralis with a 25-gauge needle chapter 31

A school nurse is developing a plan of care for a child with suspected violence between the child's parents. The nurse monitors for which behaviors in the child?

Aggresive behavior in school chp 33

A nursing instructor is discussing child abuse (child maltreatment). What response by the student shows an understanding of what is included in the description of child maltreatment? Select all that apply. -intentional physical maltreatment -intentional psychological maltreatment -sexual maltreatment -negligence by someone responsible for the care of a child -feeding a child items that he or she does not like

All EXCEPT feeding a child items that he or she does not like chp 33

The nurse is administering a liquid medication to a 3-year-old using an oral syringe. Which action would be most appropriate?

Allow the child time to swallow the medication in between amounts. chapter 31

Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for a planned hospital admission?

Allow the child to put on surgical attire and "operate" on a doll to teach what will be happening. Chapter 29

The nurse is preparing to give a preschool-age client an oral medication. Which approach would be appropriate for the nurse use to gain the child's cooperation?

Ask the child if they want to take the medication with juice or water chapter 31

The nurse wants to find out how much time a preschooler spends in various activities throughout the day. What should the nurse do to learn this information?

Ask the parents to complete a day history. chapter 28

The pediatric nurse is bringing the prescribed medication for a child but notes that the identification band is missing. The parents are at the bedside holding the child. What is the best method for identifying the child?

Ask the parents to tell you the child's name and date of birth. chapter 31

The nurse is flushing a saline lock when the child cries out that it hurts. What is the nurse's next action?

Assess for signs of infiltration. chapter 31

What is the priority nursing intervention for the sibling of a child who has died?

Assess the child's feelings about the sibling's death chapter 34

The nurse working in a pediatric emergency department correctly identifies which group of children to represent the most victims of child abuse (child maltreatment)?

Birth to 3 years old chp 33

When initiating care for a client suspected of being a victim of human trafficking, what is the nurse's primary responsibility?

Building trust chp 33

A 12-year-old sibling of a child with Down syndrome is overheard telling a friend from school on the telephone, "I don't have any brothers or sisters. I am an only child." What does this child feel about the sibling with Down syndrome?

By having a sibling with Down syndrome, a stigma is attached to him or her. chp 32

5. Describe the role of anticipatory grief in the grieving process.

Chronically ill child Doesn't come as a shock.

The nurse needs to provide instructions to a school-age girl about how to obtain a clean catch midstream urine specimen. Which instructions are best?

Clean the labia from front to back, then void a small amount into the toilet before collecting in the cup. chapter 30

While caring for a child with cerebral palsy, the parents state, "We do not spend enough time with our other children. We really want to plan a vacation but have no one to care for this child." Which intervention would the nurse recommend?

Contact respite care Chp 32

When documenting a chronic condition, which groups of illness would be considered? Select all that apply. degenerative disorders accidents resulting in spinal injury viral Infections congenital anomalies communicable diseases

Degenerative disorders, accidents resulting in spinal injury, and congenital anomalies. chp 32

A 12-year-old with juvenile rheumatoid arthritis has pain and swelling of the hands. During a visit with the occupational therapist, the parent states, "I want her to become involved with volleyball at school. She won't participate in any sports like her sister." What caregiver response is the parent exhibiting?

Denial chp 32

The nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client?

Determine how much the child knows and is capable of understanding. chapter 29

The nurse is caring for a client recently diagnosed with Down syndrome. The client is not able to complete self-care and requires assistance with all activities of daily living. Which action is a priority for the nurse?

Determine the family's needs and the family's ability to care for the client chp 32

A child is receiving intravenous fluids for dehydration. The nurse notes coarse breath sounds and increased pulse and blood pressure. What does the nurse do first?

Discontinue the IV infusion. chapter 31

When preparing to administer a vaccine to a 3-year-old child, what actions by the nurse are appropriate? Select all that apply. Utilize a restraint board to help hold the child still. Discuss with the child's parent the use of therapeutic hugging during the injection. Chat with the child during the injection. Require the child to remain silent during the injection. Explain the procedure to the child in simple terms.

Discuss with the child's parent the use of therapeutic hugging during the injection. Chat with the child during the injection. Explain the procedure to the child in simple terms. chapter 31

A toddler requires 1.5 ml of an antibiotic given intramuscularly (IM). How will the nurse administer this medication?

Divide the dose. Administer 0.75 ml IM in each vastus lateralis. chapter 31

The clinic nurse is caring for a child being seen for fever. The caregiver asks the nurse how to care for the child at home if the fever returns. Which teaching will the nurse reinforce? Select all that apply. Administer aspirin every 8 hours as needed. Do not overdress the child when febrile. Keep the child's room temperature cool. Call the health care provider for a fever higher than 100°F (37.8°C). Encourage the child to drink fluids or eat popsicles.

Do not overdress the child when febrile. Keep the child's room temperature cool. Encourage the child to drink fluids or eat popsicles. chapter 30

The nurse is completing the physical assessment of a 12-year-old child who has a series of bruises in various stages of healing. When asked about the bruises, the child appears frightened and offers inconsistent accounts about how they got the bruises. The nurse suspects abuse. Which initial action by the nurse is appropriate?

Document the bruises and any statements made by the child relating to them. chp 33

3. Discuss the reasons height, weight, and head circumference are measured on an ongoing basis/and the use of growth charts.

Dont compare patients to others Compare growth to child's own growth charts.

The adolescent shares that she is afraid to tell her parents she wants to delay cancer treatment until after she attends the prom. Which action by the nurse is best?

Encourage the adolescent to speak with her parents and offer to be present. chapter 34

The caregiver of an 8-month-old child in the pediatric intensive care unit (PICU) states a strong desire to hold the child. The caregiver states, "I know I cannot hold my child due to the equipment and their condition, but I wish I could touch my child." Which action by the nurse is appropriate?

Encourage the caregiver to sit beside the child, caressing and stroking the child. Chapter 29

The nurse is caring for a child with a chronic illness. In working with the caregivers of this child, which of the following nursing interventions would be appropriate for the nurse to do with these caregivers?

Encourage the caregivers to set limits and enforce appropriate discipline. chp 32

A 4-year-old child is facing death and cries frequently for the parents. What is the nurse's most therapeutic action?

Encourage the parents to remain with their child . chapter 34

The parent of a dying 10-year-old states she is unable to handle watching her child die and starts to leave the unit. What is the priority intervention by the nurse?

Ensure that the child has support during the dying process. chapter 34

Which action should the nurse take first to effectively care for a dying child?

Evaluate personal views of death and dying. chapter 34

The nurse is attempting to insert an intravenous (IV) line in a child. The child will not remain still, moving constantly. The caregiver asks, "Can you use a restraint? The IV has to be in for my child to get the medicine needed to get better." Which action will the nurse take?

Explain that restraints are used only as a last resort. Chapter 30

A child is prescribed multiple intravenous medications. Which nursing action demonstrates the best practice to maintain medication safety?

Flush the IV line between each med chapter 31

A 6-year-old has just returned to his room after a spinal tap. What could the nurse do to make this unpleasant procedure less memorable for the child?

Give him a little toy that he has been wanting. Chapter 30

The nurse is attempting to obtain the blood pressure of a 5-year-old client. The client begins to cry and move about when the nurse nears the bed and screams when the blood pressure cuff is seen. The caregiver is present in the room with the client but is not sure what to do. What action is appropriate for the nurse to take?

Give the client a stethoscope, cuff, and doll to perform the procedure on. chapter 28

When the caregiver of a child with a chronic illness helps the child set realistic goals for self-care and independence, the caregiver is responding with which of the following?

Gradual acceptance Chp 32

A family has a child with a chronic condition. The siblings are having difficulty with the impact this child is having on the family. What suggestions will the nurse provide the parents to help them meet the needs of all their children? Select all that apply . "Have a date night regularly with each child." "Encourage the children to play sports, and attend their games." "Have family game nights so everyone can participate." "Teach the children about their sibling's diagnosis and what it means." "Have the children help with their sibling's care." "Take the children on vacation and leave the child with the illness in respite care."

Have a date night regularly with each child, encourage the children to play sports and attend their games, have family game nights so everyone can participate, and teach the children about their sibling's diagnosis and what it means. chp 32

The nurse is caring for a preschooler with a terminal illness. Which intervention would facilitate the child to address feelings about the illness?

Have the child draw a picture about the illness chapter 34

When caring for an adolescent with a disability, it is best for the nurse to promote which of the following?

Have the child socialize with peers with and without disabilities chp 32

While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother?

He died and is not coming back. chapter 34

When an infant is scheduled for a painful procedure, what is the most important action by the nurse?

Help to soothe and comfort the baby before and after the procedure. chapter 30

The family of a terminally ill client is asking about the benefits of hospice care. Which statement by the nurse provides accurate information?

Hospice is designed to meet the individual client's needs. chapter 34

which is a common adolescent statement to the nurse by a child who has a chronic condition?

I miss my friends and going to the movies. CHP 32

Discuss various routes of medication administration and how they are properly implemented (otic, intradermal, oral meds, ophthalmic).

ID: TB test, just under skin, test for allergy skin rxn. Do it in the forearm. Ear: cotton ball keep on same side for 5-10 minutes Oral: Give option of syringe or dropper because they want independence.

A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. What would be the most appropriate method to clean and secure the gastrostomy tube?

If any drainage is present, use a presplit 2 × 2 and place it loosely around the site. chapter 30

18. Describe child neglect and child abuse, with the behavior and physical symptoms a child may exhibit. Table 33-1

Inadequate mental and dental care. (Neglect) Lie about cause (Abuse) Be aware of Physical Neglect: -malnourished -health concerns -Pica

A nurse is administering intravenous medication to a 13-year-old boy. Which potential complication should the nurse be especially concerned about in this situation?

Infiltration into surrounding tissues chapter 31

The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which actions would help reduce her stress related to the procedure? Select all that apply. Pretend to perform the procedure on her doll. Explain the procedure to her in medical terms. Do not allow her to see or touch the equipment. Teach her the steps of the procedure. Tell her not to pay attention to any sounds she might hear. Introduce her to the health care personnel.

Introduce her to the health care personnel. Teach her the steps of the procedure. Pretend to perform the procedure on her doll. chapter 29

17. Discuss how a child may exhibit signs of being emotionally abused, and being subject to domestic violence.

Isolation Reserved Fretful Worried Scared

A terminally ill client and family are choosing experimental therapies as a last resort. The nurse recognizes anticipatory grieving in the actions and statements of the family. In which way can anticipatory grieving be beneficial?

It can help a family progress in the grief process. chapter 34

A nurse will explain to a child's caregiver any procedure that is to be done. What is the primary reason for this explanation?

It helps to reduce anxiety. chapter 30

Caregivers of a hospitalized toddler are being given safety instructions upon admission to the pediatric floor. Which action by the caregiver would be most important to the toddler's safety?

Keep the crib side rails up at all times. Chapter 29

A child is reporting pain where an IV infiltrated his hand earlier in the shift. The doctor orders warm compresses to the right hand every 4 hours. What precautions would the nurse implement for this client?

Limit treatments to 20 minutes at a time. chapter 30

As the nurse prepares to administer a medication to a preschooler, the nurse realizes that the child is extremely underweight for age. What action would the nurse take?

Measure the child's height and weight, and check whether the dose is correct for the child. chapter 31

Parents asks the nurse why their premature infant is receiving a feeding through the mouth rather than the nose. What is the best explanation by the nurse?

Newborns are obligate nose breathers so nasogastric may obstruct their breathing. Chapter 30

A nurse is assigned to care for a child with trauma from abuse who has been admitted through the emergency department to the pediatric unit. What is a priority for the nurse to do when caring for this child?

Observe and document thoroughly and completely. chp 33

A nurse receives a physician's order to collect a specimen for the diagnosis of respiratory syncytial virus. How should the nurse collect this specimen?

Obtain a nasal washing. To diagnose respiratory syncytial virus, a nasal washing may be done. A small amount of saline is instilled into the nose; then the fluid is aspirated and placed into a sterile specimen container. chapter 30

While working in the emergency room, the nurse receives a call that a 3-year-old child sustained extensive burns in a house fire. Assuming all of the following actions are included in the standing burn-care protocol, which action should be the nurse perform first?

Obtain a weight. chapter 31

The licensed practical nurse (LPN) is assisting in the care of an infant. When observing the infant, the LPN notes the infant is not as active as usual, has no interest in surroundings or feeding, and turns the head fretfully from side to side. Which action will the LPN complete next?

Obtain the infant's vital signs. chapter 28

A 1-year-old child is a victim of child abuse (child maltreatment). Which factor obtained on history is most apt to be associated with the risk of medical child abuse (formerly Munchausen syndrome by proxy) in children?

One of the parents was abused as a child. chp 33

A child with a seizure disorder is prescribed valproic acid and is refusing to swallow the capsule. What is the best way for the nurse to administer the medication?

Open the capsule and place in a small amount of applesauce. chapter 31

The health care provider orders a urinalysis on a 15-month-old toddler. The mother states that the child is not potty-trained. What is the best way for the nurse to collect the specimen?

Place a urine collection bag on the child after cleaning off the perineum. Chapter 30

A child is admitted with a highly contagious infection. Which nursing action is a priority?

Place the child on appropriate precautions for the diagnosis chapter 29

The nurse is preparing a postsurgical care plan for an infant girl located on a general hospital unit that only occasionally admits children. To ensure the infant's safety, what should the nurse include in the plan?

Place the infant in a room close to the nurses' station. chapter 29

The nurse is caring for a dying preschool-age child. Which action by the nurse is most appropriate?

Plan for someone to stay with the child as much as possible chapter 34

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. chapter 31

The nurse is caring for a terminally ill 14-year-old adolescent. What nursing intervention is most important ?

Promote open communication to the adolescent about what to expect. chapter 34

A full-term infant is born with suspected trisomy 21 based on physical examination. The parents had declined prenatal genetic screening. What approach by the health care team will best allow the parents to adjust to the potential long-term illness?

Provide information about the physical findings and potential diagnosis. chapter 34

The parents of a dying child have expressed the desire to have hospice care at home. What is the nurse's priority responsibility at this time?

Provide names of area hospices chapter 34

A 16-year-old client suffering from alopecia related to chemotherapy treatment is refusing to let friends visit. Which action by the nurse is most appropriate?

Provide opportunities for the child to discuss their body image change chapter 34

An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As part of preparing him for the procedure, which action would be most appropriate?

Providing detailed explanations of the procedure at least a week in advance of the procedure. chapter 29

A nurse admits a 10-year old with spina bifida who is confined to a wheel chair. When asking the parents and child questions, the parent appears disinterested and distant, allowing the child to answer all the questions. What typical caregiver response is the parent displaying?

Rejection Chp 32

The nurse is caring for a comatose school-age child receiving gastrostomy tube feedings. The nurse aspirates 15 ml of stomach contents prior to administering a feeding. What is the appropriate action by the nurse?

Replace the stomach contents and continue with the feedings as prescribed. chapter 30

One of the parents was abused as a child.

Report it to the authorities. chp 33

A single parent of a child with leukemia tells the nurse that exhaustion has set in and she would love the opportunity to have a day to just visit with a friend and relax. For what type of care could the nurse make a referral?

Respite care Chp 32

The nurse aspirates stomach contents before administering a nasogastric (NG) tube feeding. How will the nurse manage the aspirate? Select all that apply. Return the aspirate to the stomach. Determine the pH of the aspirate. Record the amount of the aspirate. Discard the aspirate.

Return the aspirate to the stomach. Determine the pH of the aspirate. Record the amount of the aspirate. chapter 30

A nurse is preparing to administer a prescribed medication to a hospitalized 4-year-old child. Which action would the nurse use to identify the child?

Scan the barcode on the child's armband. chapter 31

13. Describe the effects the child's chronic condition may have on siblings in the family, including siblings' positive and negative responses.

Siblings: May pretend they don't exist Family dynamics: can overprotective parent or standoff parenting.

A terminally ill school-age child is awake at 2 AM and continues to put on the call light. What should the nurse do regarding this child's behavior?

Sit with the child until sleep comes chapter 34

How will the nurse collect a urine specimen from the infant who has significant skin irritation in the perineal area?

Squeeze urine from cotton balls placed in the child's diaper. chapter 30

The nurse enters the room of a child receiving enteral feeding. The child is coughing, gagging, and having labored breathing. What will the nurse do first?

Stop the child's enteral feeding. chapter 30

A nurse working with a client who has an elevated temperature notices that the child is beginning to shiver. Which of the following should the nurse do immediately?

Stop whatever intervention is being done to lower the temperature. chapter 30

The nurse caring for a dying pediatric client notices that the parents are sitting at the bedside sobbing. Which nursing action is most appropriate in meeting the parents' immediate needs?

Support the parents by appropriately using therapeutic touch chapter 34

The nurse is caring for a 12-year-old boy with sickle cell disease. During a routine wellness exam, his mother tells the nurse that the boy is becoming rebellious. He responds by telling the nurse that it's because "she never lets me out of her sight!" Which of the following would be most effective in promoting the best outcome for the child and family?

Tell them about a camp for children with sickle cell disease and their parents chp 32

An adolescent is scheduled to have the present gastrostomy tube replaced with a gastrostomy button. What advantage of the button over the tube will the nurse emphasize?

The button will be smaller and less visible when not in use. Chapter 30

The parents of a child who has just been diagnosed with a chronic illness state that they are "shocked" and "dismayed" at the diagnosis. They make the following statement to the nurse: "We have an appointment with another specialist closer to our home to have our child seen by that provider." Which of the following would most likely be a reason the caregivers might make a statement like this?

The caregivers are hoping to find the diagnosis is incorrect. chp 32

the home health nurse is developing a plan of care for a school-aged child with spina bifida. What long-term goal will the nurse include in the plan?

The child will be able to self-catheterize in 6 months. chp 32

A child has returned to the unit after having a lumbar puncture. Which instructions are important for the nurse to provide the parents and child?

The child will need to remain flat to prevent a headache. chapter 30

A teenage client has been undergoing individual psychotherapy following a sexual assault a few days ago. The nurse would determine that the early stage of therapy is successful when the client meets which outcome?

The client is able to describe what happened and express feelings. chp 33

The nurse is working with a group of children who have chronic illnesses. Which of the following is most important for the nurse to keep in mind when working with these children?

The condition interferes with daily functioning Chp 32

The nurse is visiting the home of a family with a previous history of physical neglect. Which observation indicates that interventions have not been successful?

The father allows the children to stay home from school whenever they desire. chp 33

A 4-year-old is brought to the emergency department by a grandparent who states, "His father beat him with a belt, and he has marks all over his back." What responsibility does the nurse have to report this incident?

The nurse has the responsibility to report the incident as suspected child abuse (child maltreatment). chp 33

If the nurse has not looked at his or her own feelings about dying and death, which of the following is likely to occur when/if they are in a situation in which they are working with a child who is dying?

The nurse may avoid the child for fear of being asked questions they can't answer chapter 34

The nurse is caring for a preschool aged child following abdominal surgery. Of the following nursing actions, which is the highest priority?

The nurse uses pain assessment tools. chapter 29

The nurse is providing discharge instructions to the parent of a child newly diagnosed with a chronic illness. How will the nurse know the parent understands the home care instructions?

The parent can verbalize the instructions chp 32

The nurse is instructing a parent on administering ear drops to a 6-year-old. Which parental action demonstrates an understanding of teaching?

The parent has the child sit down and pulls the pinna upward and back chapter 31

The nurse has been providing support to a family facing the imminent death of their child. How does the nurse know this intervention has been successful?

The parents agree to donate their child's organs after passing away chapter 34

When a child is in the physician's office for a blood draw, the nurse notices that it has been several months since the child's last visit. The child is to have monthly labs for a chronic illness. What would be a rationale for this?

The parents are having a difficult time grieving with the idea of the child's illness. chp 32

A hospice nurse has been preparing parents for the death of their child. How does the nurse recognize that the parents are dealing with anticipatory grief?

The parents have prepared a scrapbook of pictures of their child. chapter 34

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. chapter 31

The nurse advises a family that all health care personnel are to report suspected child abuse (child maltreatment). Who orders this directive?

The state in which the nurse works chp 33

A nursing student is administering medications to her client, Tommy, on a pediatric floor. What action by the student demonstrates a need for further instruction?

The student asks the client if he is Tommy before giving the medication. chapter 31

When viewing grief in various age groups, death is viewed as which of the following by 5-year-old children?

They view death as reversible. chapter 34

The nurse finds an elevated temperature in a blanket-wrapped infant a mother is holding and rocking. What first temperature reduction measure will the nurse take?

Unwrap the infant and place the child in the crib. chapter 30

A 4-year-old child is hospitalized for a new diagnosis of type 1 diabetes. When the nurse enters the room to assess the blood glucose, the client yells "No needles, go away!" How should the nurse respond?

Use a calm and consistent approach with the child. chapter 34

The nursing student identifies which technique as the correct one to use when giving oral medications to an infant?

Use a dropper and slowly inject the liquid into the side of the infant's mouth. chapter 31

Which action should the nurse take to ensure an intravenous infusion will be administered safely to young child?

Use an infusion pump for administration. chapter 31

The nurse notes that parents accompanying their child for a procedure appear tense and nervous. What intervention by the nurse will best assist the young child to relax?

Use measures to reduce the parents' anxiety. chapter 30

A 6-year-old has been administered a hypnotic before going to surgery. The child remains kicking and screaming. The nurse is considering whether restraints should be used in this situation. Which guidelines should the nurse follow in this instance? Select all that apply. Use the least amount of restraint necessary. Obtain a primary care provider's prescription for restraint. Explain to the parents the need to restrain their child. Check the restraint every hour to be certain it is not occluding circulation. Explain calmly to the child that he is being punished for his poor behavior. Apply a gag to the child's mouth to prevent distracting screams.

Use the least amount of restraint necessary. Obtain a primary care provider's prescription for restraint. Explain to the parents the need to restrain their child. chapter 30

The nurse is preparing to administer an IV antibiotic to a 10-year-old child. After calculating the recommended dose with the client's weight, the nurse discovers the ordered dose exceeds the safe dose range in a pediatric drug reference. The medication has been given to the child at this dose for three days. Which of the following should the nurse's next action be?

Verify the dose with the prescribing practitioner. chapter 31

If a medication is being administered by the otic route, it will be administered in which way?

Warmed to room temperature and dropped into the ear chapter 31

Discuss what needs to be observed for and monitored in the child receiving IV therapy.

Watch for redness swelling, every hour, Babies all need to be on a controlled pump to prevent fluid overload. Babies all need to be on a controlled pump to prevent fluid overload.

A pediatric nurse wants to determine an accurate amount of urine output for a diapered baby. Which is the most effective method?

Weigh a diaper before use and mark with weight, then weigh after and subtract the weight of the diaper. Chapter 30

8. Discuss the reasons and procedure for inserting a feeding tube and administering a gavage feeding

What is benefit of GTUBES?

19. Explain the injuries that occur as a result of shaken baby syndrome.

Whiplash Back and forth of brain Contusion Brain bleeds

The nurse is coordinating a camp for children with chronic conditions. The goals of the camp include providing a support group for the children and respite time for the caregivers. Which activity is encouraged for the caregivers?

a care-giver selected activity or rest chp 32

To help the school-age child achieve his or her self-care goals, what intervention could the nurse use?

a contract Chp 32

A nurse is unsure whether the nasogastric (NG) tube just placed is properly positioned in the child's stomach. Which action confirms the location of the tube?

a review of the radiologic report Chapter 30

What is the best response by the nurse when a 13-year-old client with a chronic condition expresses that she does not "like being different from her peers"?

active listening while discussing with the child her perception of her body image chp 32

3. Explain why a family may suffer excessive grief and guilt when a child dies suddenly.

age 9 they understand death.

The pediatric nurse is aware that chronic illness can affect which of the following for a child? -physical development -psychosocial development -cognitive development -all of the above

all of the above Chp 32

A nurse suspects that a 6-year-old girl is being sexually maltreated by her father, based on some comments made by the girl. Which of the following methods would be most effective in confirming the nurse's suspicion?

ask the girl to draw a picture of what happened chp 33

A nursing student is learning how to insert and administer enteral feedings through a nasogastric (NG) tube. The student identifies the best way to check placement before each feeding as which of the following?

aspirating stomach contents and checking pH Chapter 30

A client has been seen and treated in the emergency room several times for injuries that are deemed suspicious. The client is reluctant to participate in a screening process. How best can the nurse provide reassurance to this client?

being nonjudgmental chp 33

Which parental action identified by the nurse potentially delays the ability of the child with a chronic condition to exhibit signs of appropriate growth and development?

being overprotective Chp 32

While making a home visit, the nurse suspects that a child is experiencing psychological maltreatment. What did the nurse observe in the home?

belittling the child in front of the nurse and other siblings chp 33

David, age 2, is diagnosed with stomach flu and is suffering from vomiting and diarrhea. What is the most important factor in determining the correct dosage for his infection? past experience age body surface area adult dosage

body surface area chapter 31

The nurse is caring for a hospitalized toddler who is prescribed bedrest. Which item(s) would the nurse recognize as appropriate for the toddler? Select all that apply. boxes to put toys in and/or take out toys stacking blocks or small boxes nursery rhymes or sing-along songs on tape fine-print books or magazines to read jigsaw puzzle with pieces 1/2 in (1.25 cm) or smaller coins, small tokens, or marbles to organize and sort

boxes to put toys in and/or take out toys stacking blocks or small boxes nursery rhymes or sing-along songs on tape chapter 29

The nurse visits the foster home of a newborn with failure to thrive syndrome. Which observation indicates a successful outcome for this child's care?

child eagerly takes a bottle and is gaining weight chp 33

Which nursing consideration is most important when communicating with pediatric clients at the end of life?

client's developmental level chapter 34

When describing chronic conditions to a group of students, which of the following would the instructor include as a characteristic?

condition lasting at least 6 months Chp 32

The nurse recognizes that which disease is considered a chronic illness in a child?

cystic fibrosis Chp 32

Put the following stages of grief response in the correct order: bargaining denial anger acceptance depression

denial anger bargaining depression acceptance chapter 34

The nurse is planning care for the child with a chronic condition. To establish a realistic goal related to increasing child socialization, which information is most helpful?

determining what opportunities are available chp 32

During a prenatal assessment, the nurse observes that the client is quiet and withdrawn. The client keeps asking if their partner can come into the examination room because the partner does not like to be kept waiting. Which question is important for the nurse to ask before the partner comes into the examination room?

do you feel safe in your home? chp 33

The nurse is caring for an infant recovering from surgery for a cleft palate. Which type of restraint would the nurse anticipate using for this infant post-operatively?

elbow Chapter 30

A child with acute bronchitis has just been hospitalized. The nurse overhears the child's mother say to the child that if he is not good, she will leave and not come back until he is ready to return home. What should the nurse suspect in this situation?

emotional abuse chp 33

The nurse is reinforcing teaching with a group of caregivers regarding steps that can be taken to lower a child's elevated temperature. Which action would the nurse include in the discussion? Select all that apply. encourage fluids administer acetaminophen lower the room temperature dress in pajamas with sleeves and covered feet bathe in warm water

encourage fluids administer acetaminophen lower the room temperature Chapter 30

A nurse is assessing a child whom the nurse suspects is a victim of physical abuse. Assessment reveals numerous bruises on the thighs and upper back in various stages of healing. The child's caregiver is present in the examination room. Which aspect of care is the priority?

ensuring that the child remains safe chp 33

The nurse is counseling a family with a 4-year-old child. The child's grandfather died 3 weeks ago. The nurse should explain to the parents that preschoolers who are grieving often:

express themselves through fantasy play. chapter 34

The site most often used when administering a medication using the intradermal route is the:

forearm. chapter 31

Mike, age 8, is going home on medication after surgery. The nurse is preparing to review the discharge instructions with the mother. What basic information and/or instructions should be given to her to continue the drug therapy at home? Select all that apply. generic and trade names of drugs Ask her to refer to books on teaching children about medicines. schedule and duration of administration description of the intended therapeutic drug effect

generic and trade names of drugs schedule and duration of administration description of the intended therapeutic drug effect chapter 31

A pediatric client who has two school-aged siblings is dying. Which final act by the siblings should the nurse identify as most important to the siblings' emotional health?

giving the client a hug and kiss and saying "I love you. chapter 34

A pregnant client with multiple bruises in various stages of healing comes to the clinic for treatment. She appears withdrawn and quiet when the nurse approaches her. Her partner accompanies her to the exam room and begins to answer for the client. There is minimal eye contact from the client to the nurse. Which action will the nurse complete next?

have the client's partner leave the room chp 33

The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children?

having nurses check their math calculations with a colleague before administering a drug chapter 31

A pediatric nurse teaching a new mother how to hold the infant emphasizes the need to support which of the following? Select all that apply.

head back Chapter 30

The charge nurse is assisting the new graduate nurse in administering eye drops to a child. The charge nurse would stop the new graduate if which action was observed?

holds the eyelids apart for about 30 seconds chapter 31

The nurse is caring for a client placed on droplet precautions. Which teaching is priority for the nurse to reinforce for the caregivers?

how to use and apply personal protective equipment chapter 29

A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure?

in a treatment room chapter 29

The nurse is caring for a young child in the hospital who is receiving IV therapy. Part of the routine care for this child will involve monitoring the IV site as frequently as every hour. The nurse will assess the IV for which of the following? Select all that apply. induration at the IV site moisture at the IV site whether the mother is at the bedside the IV flow rate swelling at the IV site

induration at the IV site moisture at the IV site the IV flow rate swelling at the IV site chapter 31

The nurse is caring for a client in an abusive situation. In developing a plan of care, which factors does the nurse consider? Select all that apply. It often takes several attempts before a woman leaves an abusive situation. Economic factors rarely play a role in the decision to stay in abusive relationships. Until children reach school age, they are usually not affected by parental discord. Women in abusive relationships usually feel isolated and unsupported. Substance use is a common factor in abusive relationships.

it often takes several attempts before a woman leaves an abusive situation. Women in abusive relationships usually feel isolated and unsupported. Substance use is a common factor in abusive relationships. chp 33

All infants should have their head circumference measured at health assessment visits. Where should the nurse place the tape measure to obtain this measurement?

just above the eyebrows through the prominent part of the occiput chapter 28

the nurse is caring for a child who has unusual bruises and marks that do not match the child's developmental age. When completing an admission assessment, which other information does the nurse identify as a potential factor in child abuse?

long-term unemployment without supplemental income chp 33

A nurse understands that it is important to help a family adjust to a child's chronic health condition. This is best done by doing which of the following?

making adjustments in care by doing ongoing interviews chp 32

A 5-year-old child has frequent visits to the school nurse's office. Which assessment data should alert the nurse that this child may be a victim of physical neglect?

malnourished with frequent absences from school chp 33

A parent brings their 10-year-old child in and tells the nurse that the parent believes the child has a brain tumor and quickly runs through a list of some classic symptoms associated with brain cancer. On examination and after performing routine blood work, however, the nurse finds nothing wrong with the child. The child says that they feel fine. When the nurse reviews the child's chart, the nurse finds that this is the sixth time the parent has brought the girl in for various serious conditions in the past 6 months. Which situation does the nurse suspect?

medical child abuse chp 33

A caregiver brings their 2-year-old child to the clinic for the sixth time in 2 weeks and reports that the child is having seizures. All diagnostic studies have been negative; no one other than the caregiver has witnessed seizure activity. What might the nurse suspect in this situation?

medical child abuse (formerly Munchausen syndrome by proxy chp 33

A parent brings their 4-year-old child to the emergency department. The parent says that their child has frequent vomiting and diarrhea. When the nurse obtains previous medical history from the computer, it shows that this family has had 12 visits in the last 2 months for the same problems with no substantiated symptoms observed by the staff. The child is smiling and interactive with no signs of dehydration. What does the nurse suspect may be occurring?

medical child abuse (formerly Munchausen syndrome by proxy chp 33

A child will be receiving a gastrostomy tube for long-term gastrostomy feedings. The surgeon is inserting a gastrostomy button. What are the advantages of the button placement? Select all that apply. more desirable cosmetically simple to care for less skin irritation than a tube shorter duration of tube insertion higher flow of enteral feeding

more desirable cosmetically simple to care for less skin irritation than a tube Chapter 30

The nurse is caring for an 11-year-old admitted with a respiratory condition. The child requires occasional administration of low-flow oxygen. Which of the following methods of oxygen administration would likely be used for this child?

nasal prongs chapter 30

A nurse is instructing the family of a chronically ill child about which of the following benefits of respite care? Select all that apply. needed time away from child break in the routine prevention of isolation in caregivers participation in normal social activities decreased expenses

needed time away from the child, break in the routine, prevention of isolation in caregivers, and participation in normal social activities chp 32

The nurse is caring for a pediatric client with the injury pictured. When asking the caregivers about the way in which the client received these injuries, which communication manner is essential?

nonjudgmental manner chp 33

When caring for the child with a chronic condition, the nurse provides education to the parents:

on an ongoing basis chp 32

A 5-year-old child who has recently been diagnosed with leukemia is never disciplined. The child's mother will feed the child although he is capable of feeding himself. She will not let him do anything for himself. This is an example of:

overprotection chp 32

A nurse admits an 8-year-old child to the hospital. The client is usually cared for at home by the parents with a gastrostomy tube feeds and ventilator. What is the most important source of information in developing the plan of care for the client?

parents' usual routines and care chapter 34

A nurse is performing a routine physical for a 7-year-old girl who is thin, unwashed, and dressed in rags. Although it is winter time, she has no coat with her. Her teenage brother in the waiting room, however, is dressed in trendy clothes and looks healthy and well-fed. Which of the following should the nurse most strongly suspect regarding this girl?

physical NEGLECT chp 33

A neighbor brings two children to the emergency department. The neighbor reports observing that the children's parent left the house several hours ago and the children were home alone. The neighbor has a key to the house and went to check on the children; the neighbor found no food in the refrigerator or cupboards and the children filthy and being very hungry. The neighbor states, "I did not know where else to take them." In what situation are the children?

physical neglect chp 33

Which elements are included in child abuse (child maltreatment )? Select the best answer. physical, psychological, and sexual maltreatment psychological, physical, and sexual maltreatment and neglect physical maltreatment and neglect physical and psychological maltreatment

physical, psychological, and sexual maltreatment and neglect chp 33

A 6-year-old child is playing. Which play scenarios witnessed by the nurse are indicative that the child is sexually abused? Select all that apply. playing with a boy and girl doll in a sexually graphic manner stating that boys and girls love each other using inappropriate adult language wanting to play house with the girl having a baby arranging dolls in unnatural positions for play

playing with a boy and girl doll in a sexually graphic manner using inappropriate adult language arranging dolls in unnatural positions for play chp 33

Which symptom(s) does the nurse identify as potential clinical manifestations resulting from physical abuse in the home? Select all that apply. poor attendance in school feelings of guilt behavioral issues high academic standards bedwetting outgoing personality traits

poor attendance in school feelings of guilt behavioral issues bedwetting chp 33

A child has been admitted to the pediatric unit with vomiting and diarrhea. The physician orders strict monitoring of intake and output. The mother asks the nurse what fluids she will need to measure. The nurse responds that fluid intake can include which of the following? Select all that apply. popsicles Gatorade Jell-O applesauce IV fluids

popsicles Gatorade Jell-O IV fluids chapter 30

Which nursing diagnosis has priority for the parents of a terminally ill child when told that the treatment options are limited?

powerlessness chapter 32

When planning for the care of the hospitalized child with a long-term illness, the best pattern to use for staffing of nurses would be:

primary or case-management nursing chp 32

A nurse is preparing to apply heat therapy to a client who has a back abscess. Heat has which of the following benefits? Select all that apply. increases circulation causes vasodilation causes vasoconstriction promotes muscle relaxation prevents drainage of abscess

promotes muscle relaxation increases circulation causes vasodilation chapter 30

On the first postoperative day, a 4-year-old child who was hospitalized for an emergency appendectomy has begun to cry relentlessly, will not let the nurse touch him or her, and keeps asking for the parent. The pediatric nurse is aware that this client is in which stage of separation?

protest Chapter 29

When caring for a 12-year-old child who has been admitted after being physically abused, which action should be the initial psychosocial intervention to include in the plan of care?

provide opportunity to express feelings chp 33

The nurse should be aware that the preschooler thinks of death as:

punishment for thoughts and actions. chapter 34

A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers medicine, the best way to identify the child would be to:

read the child's armband. chapter 31

When the nurse is caring for a child with a chronic condition, which is most important when planning care?

realistic child goals chp 32

Which is the overall goal of the nurse when domestic abuse is seen in the family?

reduce generational abuse chp 33

A nurse observes the mother of a child newly diagnosed with leukemia yelling at the client for taking too long to brush his teeth, eat his breakfast, and even color a page in his new book. The nurse realizes that this is an example of which of the following?

rejection chp 32

The nurse is caring for a child who is in the dying process. What intervention should the nurse prioritize?

relieving the child's pain and discomfort chapter 34

An emergency depatment nurse who suspects child abuse (child maltreatment) should do which of the following?

report it to the authorities chp 33

The nurse is caring for a child who has a gastrostomy tube in place. The nurse is about to give a feeding when it becomes evident that the tube is filled with dark brown fluid. The nurse's best action would be to:

report to the health care provider that a complication may be occurring. chapter 30

A 6-year-old is brought to the emergency department numerous times over 3 months with the same symptoms of gastric upset and nightmares. The child acts very hostile with the nurses while there. What should the nurse suspect?

sexual abuse chp 33

Which educational topic is often overlooked when teaching an adolescent about living with a chronic condition?

sexuality chp 32

A newborn is diagnosed with spina bifida. What initial reactions might the nurse expect to observe in the parents of the newborn? Select all that apply. shock disbelief denial elation acceptance

shock, disbelief, and denial Chp 32

The school nurse is observing a middle school child with a chronic condition participating in a group activity in school. As the child is moving her wheelchair to find a partner, which situation would the nurse note as encouraging social exclusion? Select all that apply. -small spaces where a wheelchair cannot fit -an activity that is difficult for the client to do -assigning a friend to assist in helping the client -arranging large open spaces in the classroom -allowing students to partner without including the client -assigning small group activity in which all are included

small spaces where wheelchair does not fit, an activity that is difficult for the client to do, allowing students to partner without including the client. Chp 32

A nurse is working with the burn clinic at a local hospital. Which types of burns would the nurse address with the health care provider and social worker? Select all that apply. small, round burns hand burns with a pattern linear pattern burns burns from a house fire burns received from the sun on commonly exposed areas

small, round burns hand burns with a pattern linear pattern burns chp 33

Which type of fracture is most indicative of child abuse (child maltreatment)?

spiral fractures chp 33

The nurse is planning play activities for a toddler admitted to the hospital. What play activity(ies) would the nurse include in the plan of care? Select all that apply. stacking different-colored blocks pulling a toy train in the room or hallway putting together a large-piece puzzle watching a mobile with play animals, as it rotates keeping a journal of favorite play items and activities

stacking different-colored blocks pulling a toy train in the room or hallway putting together a large-piece puzzle chapter 29

The nurse should consider which stool sample collected from a child as contaminated and not acceptable for analysis?

stool removed from surrounding urine Chapter 30

Which adolescent behavior is most common if the parents have substance use problems?

taking on adult responsibilities chp 33

The home health nurse is visiting a child with a chronic condition and detects tension in the home. What action will the nurse take first in this situation?

talk with parents to define the problem chp 32

A preschool child has been admitted to the hospital. Which prescription should the nurse question?

tap water enema 500 ml chapter 30

The nurse is caring for a client who is frequently admitted to a distant hospital due to the client's terminal illness. Which actions should the nurse suggest to keep the adolescent effectively in touch with friends at school?

texts chapter 34

The nurse is talking to a 12-year-old sibling of a child with a chronic condition in the waiting room at the pediatrician's office. The sibling states, "I hate coming here and waiting. It is such a long car ride. I just want to get home." Which nursing response is best?

that must be hard for you chp 32

A 5-year-old scheduled for surgery in the morning wakes at 2 am and asks the nurse for something to eat and drink. What should the nurse tell this client?

that not having food or drink before surgery will prevent an upset stomach chapter 29

he nurse is caring for a child who has been referred to the health care facility by a school nurse, who suspects the child may have been living in a home where domestic violence has occurred. Which symptom reported by a family member might indicate this possibility?

the child has not been sleeping well and is wetting the bed chp 33

What behaviors would the school nurse observe when suspecting that a child is living with a family in which there is an addiction problem? Select all that apply. -The child has a diagnosed case of influenza and has missed 1 week of --school. -The child is a loner and avoids interaction with classmates. -The child frequently comes into the nurse's office with vague complaints of a stomach ache. -The child has missed a significant amount of school for "illness." -The child is seen sitting with other children in the cafeteria.

the child is a loner and avoids interactions with classmates, the child frequently comes into the nurse's office with vague complaints of a stomach ache, the child has missed significant amount of school for "illness" chp 33

The community nurse is caring for a family who has a child with a long-term illness. At which point in life should the nurse anticipate the parents having the least difficult time accepting the child's condition?

the day the child would have graduated college chapter 34

A 5-year-old is brought to the emergency department with multiple bruises on the abdomen, buttocks, and thighs. The mother tells the nurse that the child fell while playing soccer at school. What might the nurse suspect?

the mother is being untruthful chp 33

The nurse is working with a support group for parents who have lost children. Which parent may have experienced anticipatory grief?

the parent of a child who had a near-drowning and died years later as a result of a complication chapter 34

The nurse is preparing to start an intravenous (IV) line on a stable pediatric client in the hospital. Which location is most appropriate for the nurse to use for this procedure? the child's hospital room the pediatric treatment room the unit's playroom room selected by the client

the pediatric treatment room Chapter 29

Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part of his drug therapy. What is the preferred injection site?

the vastus lateralis muscle chapter 31

The nurse is performing a physical examination on a sleeping newborn. Which body system should the nurse examine last? heart abdomen lungs throat

throat chapter 28

Which of the following are situations that might warrant a restraint of a pediatric client? Select all that apply. to protect the child from injury during a procedure or examination to ensure the child's safety to keep an active child confined to bed to teach a child how to be cooperative

to protect the child from injury during a procedure or examination to ensure the child's safety chapter 30

The nurse at a specialty clinic has developed a therapeutic relationship with the family of a child with a chronic condition. Which family suggestion would the nurse reinforce as helpful to maintaining the family structure?

use family to assist with care and spend time together as a couple chp 32

A nurse is administering a liquid oral medication to a 5-month-old. Which nursing action provides the correct dosage? Select all that apply. using a medicine dropper gently restraining the child's arms and head administering the medicine such that it flows slowly into the child's mouth viewing the medication in the medication cup at eye level placing the end of the dropper or syringe at the back of the infant's mouth placing the child supine on the examination table before giving the dose

using a medicine dropper gently restraining the child's arms and head administering the medicine such that it flows slowly into the child's mouth chapter 31

The nurse suspects sexual maltreatment in a 10-year-old girl. The nurse would assess which primary finding to help make this determination?

vaginal discharge chp 33

Which client characteristic is identified as normal behavior when demonstrated by a terminally ill 12-year-old client?

verbal or physical aggression CHAPTER 34

A young preschooler who has been playing in the hospital playroom needs transportation to the imaging department. What conveyance will the nurse choose?

wagon chapter 30

In caring for pediatric clients, which statement best describes when the will nurse follow standard precautions to provide care for a client?

when providing care to any client Chapter 29

When would be the best time for the nurse to begin planning for home care for the child with a chronic illness?

when the child is admitted to the healthcare facility Chp 32

The public health nurse is educating parents of young children about awareness of the hospital. When is the best time to educate the children about the hospital?

when the children are capable of understanding basic functions of community resources chapter 29

Write relevant prepU question here

write the answer here Write the chapter number here Feel free to add an explanation if it will help with understanding. ❤️

A child who knows his disease is terminal tells you that when he gets better he is going to be a doctor and cure everyone in the whole world. This statement is most likely a manifestation of:

a bargaining stage of grief chapter 34

A 14-year-old adolescent admitted to the hospital is diagnosed with a terminal illness. Which nursing intervention would be most effective in fostering communication about the terminal illness?

encouraging the adolescent to attend a peer support group chapter 34

The parents of a child with a malignancy disagree with each other about the treatment plan, then express frustration at the staff for not answering call lights quickly enough. Which nursing intervention will best address their needs?

Accept the parents' anger and respond with empathy and acceptance. chapter 34

Parents tell the nurse that they will do anything to help their child with leukemia get well, even donating everything they have to charity. How does the nurse respond to this situation?

Acknowledge that this must be very difficult for them chapter 34

When a child dies suddenly, what situation is most likely to produce excessive grief and guilt in the family?

a feeling of leaving something unsaid or undone chapter 34

The nurse is preparing a client for an upcoming lumbar puncture (LP). What information would the nurse include in her instructions about the procedure? Select all that apply. The child will need to remain quiet in bed for at least 1 hour following the LP. The LP will be quite painful when the doctor sticks the needle in the child's back. The child has to be still during the procedure and the nurse will help with this. An LP usually takes about 45 minutes to complete. The child will feel something cold on his back when the doctor cleans it off.

+The child will need to remain quiet in bed for at least 1 hour following the LP +The child has to be still during the procedure and the nurse will help with this. +The child will feel something cold on his back when the doctor cleans it off. Chapter 30

A nurse is assessing a 3-year-old child. Which would be appropriate ways to approach the child during the exam? Select all that apply. - Ask the child if he/she would prefer to sit on the parent's lap for the exam. - Give reassurance to the child during the exam. - Give a detailed explanation of the exam to decrease the child's anxiety. - Tell the child to act like his/her "big sibling" during the exam. - Tell the child that his/her shirt will be the only clothing removed.

- Ask the child if he/she would prefer to sit on the parent's lap for the exam. - Give reassurance to the child during the exam. chapter 28

A new nurse is caring for a child in the final stages of dying. Which nursing action would require the nurse mentor to intervene?

administering oral pain medications for pain relief chapter 34

The pediatric nurse is caring for a group of children. Which clinical situation will the nurse identify as being a safety concern?

Sleepy mother holding her sleeping child at the child's bedside. Chapter 29

A nurse is assessing a 3-year-old child in the local health clinic. The child has a persistent cough on examination. Based on the age of the child, which muscle would the nurse view to assess respiratory status?

Abdominal muscle chapter 28

The nurse is teaching parents about talking with children about death. Which principle should the nurse include in the teaching?

Talk about death when the child wants to talk about death chapter 34

The nurse notes that a chronically ill child has not been seeing the health care provider for several months, although monthly checkups and blood work are needed to help maintain the illness. What should the nurse suspect as a reason for the child missing appointments?

The parents are having a difficult time grieving with the idea of the child's illness chapter 34