PEDS EAQ

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder whether this is abnormal or morbid behavior picked up from playing video games. What is the best response by the nurse?

"School-aged children are inquisitive and ask a lot of questions about death."

The father of a child who is dying of cancer asks the nurse whether he should tell his 7-year-old son that his sister is dying. What is the most appropriate response by the nurse?

"Your son probably doesn't understand death as we do but fears it just the same. He should be told the truth to let him prepare for his sister's death."

The mother of a preschool-age child tells the school nurse that her husband is dying of cancer and that she is worried about how her child will cope. As part of their discussion, what does the school nurse include that preschool-age children view death as?

a form of sleep

Which belief should a nurse expect a preschooler to hold regarding the concept of death?

a temporary condition

intervention for kawasaki disease

administering IVIG as prescribed

A nurse explains to the mother of a 1-year-old with a history of frequent ear infections that the primary cause of otitis media in young children is what?

an obstructed eustachian tube

nurse is reviewing health history and lab report of a child with lead poisoning. what complications does the nurse expect in relation to lead toxicity

anemia proteinuria encephalopathy

nurse teaching group of parents why it is so important to prevent lead poisoning. the nurse notes that which problem is most associated with infants who are exposed to lead in environment

cognitive impairment

pulse lower than 90-110 BPM is early sign of toxicity of what

digoxin

The nurse is caring for a school-aged child with cystic fibrosis. Which pathophysiologic factor has the greatest impact on the child's health status and is of priority in the care plan?

extremely thick mucus causes obstructed airways

a nurse is caring for an 11 y/o child with type 1 DM. two hours after breakfast the child becomes pale, diaphoretic, and shaky. what action should the nurse take

give OJ with a slice of bread

a two month old infant is admitted to the pediatric unit with a diagnosis of respiratory syncytial virus infection. the nurse plans to position the infant to improve the respiratory effort. what positions are best?

head sniffing position

A nurse is caring for a 4-year-old child with just-diagnosed cystic fibrosis. The child has been passing loose, bulky, foul-smelling stools and is in the third percentile for weight. What is the best explanation of the growth failure?

impaired digestion and absorption because of the lack of pancreatic enzymes

nurse teaches parents of an infant with a cardiac defect how to detect impending heart failure. what should the parents be taught to identify as an early sign

increased heart rate

what should a nurse refrain from when a 5 year old child ingests hair shampoo

induce vomiting in the child give ipecac syrup to the child

nurse is assessing a 4 year old child. in what stage of eriksons psychosocial development does the nurse expect the child to be in the process of achieving

industry

nurse is teaching a group of parents about separation anxiety. which should be included in the teaching

kicking a stranger is an example

a 6 month old infant is brought to the ED in severe respiratory distress. a diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. what should be included in the nursing plan of care

maintain standard and contact precautions

A nurse who is caring for a 2-day-old neonate suspects that the infant has cystic fibrosis. What early sign of this disorder did the nurse identify?

meconium ileus

nurse is caring for child with diagnosis of lead poisoning. for which problem should the nurse assess the child initially

neurologic injury caused by the ingestion of lead

what is the last sign of heart failure in an infant

peripheral edema

which nursing action promotes psychosocial development for a newborn

placing the newborn in the mothers arms during the first hour of life

nurse is developing a plan of care to prevent separation behaviors in toddlers who are hospitalized for long periods of time. which items should the nurse include in the plan of care

provide child with favorite transitional object when possible assign the same nurse to care for the child each day tape pictures of the childs friends and family members to the walls of the hospital room

which actions should nurse take while caring for preschooler whose blood lead level is found to be 25mcg/dl

provide family with lead education consider treating child with chelation therapy refer the child to a clinical center specializing in lead poisoning

intervention for 4 month old child with tetralogy of fallot and heart failure

providing small, frequent feedings

What concept of death should a nurse expect a 4-year-old child to have?

reversible separation

nurse is providing prehospital admission education to a 9 year old child and family. which of the following methods would be the most appropriate for the nurse to utilize during the teaching session

take the child on a tour of the pediatric unit, and introduce the child to the nurses

after assessing a 4 day old newborn the nurse anticipates the newborn has impaired vision. what finding supports this conclusion

the newborn has no corneal reflex after a light touch

what steps should the nurse take for managing an adolescent that sustained drug poisoning

turn head of pt to the side empty the mouth to clean the residue of the drug call local poison control center before any intervention

A nurse is teaching the parents of a 3-year-old child with a diagnosis of cystic fibrosis about their child's special needs. What statement indicates that the parents need further teaching about the issues related to cystic fibrosis?

we will have to move to a very warm climate