NR328 - Pediatric Populations
The nurse is assessing the abdomen of a preschooler admitted for lower right quadrant pain. Which question or statement is the most correct for assessing the child's pain?
"Choose the face that shows how you feel now."
The nurse is providing teaching to the caregivers of a newborn prior to obtaining blood via heelstick. The nurse is describing the procedure and recommending various methods for the caregivers to help comfort their baby. Which statement by the caregivers indicates a need for further teaching?
"It's better if we leave the room during the procedure."
The nurse is caring for a 7-year-old who has just returned from the postoperative unit after surgery. The child is playing with toys in bed. The child's parents are smiling and state, "Isn't it great that our child does not have any pain?" What is the best response by the nurse?
"Some children distract themselves with play while in pain."
The caregiver of a 12-year-old with spastic cerebral palsy and a communication disorder tells the nurse, "My child seems so restless. I think they are in pain." What is the nurse's best action?
Administer prescribed pain medication
Select the 4 findings that require immediate attention.
Client has loss of bladder and bowel control Client is having difficulty swallowing Client refuses to eat or drink Client has decreased level of consciousness
The nurse is caring for a client receiving opioid medication for the treatment of postoperative pain. For which common side effects should the nurse observe?
Common - Constipation, Nausea, Respiratory depression Unexpected - Diarrhea, Disorientation, Vomiting
For each client finding below, click to specify if the finding is consistent with physical manifestations of death.
Consistent - Bradycardia Confusion Decreased appetite or thirst Difficulty swallowing Hypotension Loss of bowel and bladder control Loss of senses Sensation of heat when the body feels cool Inconsistent - Increased nutrition needs Hypertension
The nurse is preparing to administer an intramuscular (IM) injection to a 4-year-old and asks the caregiver to assist by blowing bubbles for the child while the nurse gives the injection. Which type of non-pharmacological pain management is this demonstrating?
Distraction
Which interventions should the nurse include in the plan of care for a dying child with pain? For each potential nursing intervention, click to specify whether the intervention is indicated or contraindicated. Mark only one response per intervention.
Indicated - Allow extended family to visit at the caregiver's discretion Changing the child's position gently, every 2 hours Contraindicated - Administering analgesics only as needed Playing the television or radio so the child can hear it Using measures the nurse finds comforting
An adolescent with neuroblastoma is discharged with written information about chemotherapy administration and an outpatient appointment schedule. The client is now in the maintenance phase of chemotherapy but has missed clinic appointments for blood work and admits to omitting some chemotherapy doses. To improve compliance, the nurse should include which intervention in the care plan?
Let the adolescent participate in the planning and scheduling of treatments
The nurse is caring for a 6-year-old boy who must have a lumbar puncture. Which action provides the best example of atraumatic care? Select all that apply.
Let the child take his teddy bear with him Explain the lumbar puncture procedure Have a child life specialist play with the child Keep the parents calm in front of the child
The nurse is caring for a preschool child who is receiving palliative care for end-stage cancer. Which should be the focus of age-appropriate interventions for this child? Select all that apply.
Teach the child that death is not a punishment Provide reassurance if the child experiences nightmares
A caregiver expresses concern to the nurse that her 18-month-old child might have an ear infection. Which of the following clinical manifestations might alert the nurse that the child is in pain? Select all that apply.
The child clings to the caregiver The child is crying nonstop The child expresses "ouchie" in the ear The child is pulling on the ear
After the nurse's initial assessment, the nurse should address the client's ---- followed by the caregiver's ---
comfort, coping
The nurse is teaching the caregivers of a 5-year-old terminally ill client how to talk with their child about death and dying. Click to specify whether each statement indicates the caregivers understand or lack understanding of the information.
Understanding - "He might think he has caused his death because he has misbehaved." No Understanding - "He is too young to understand what is happening to him." "He will accept his death as caused by his disease." "He will understand how much his siblings will miss him."