Peds: PrepU Chapter 33

The nurse is documenting the child's intake. The child ate 4 cups of ice during this shift. How many cups of fluid did the child ingest? ½ cup of fluid 4 cups of fluid 1 cup of fluid 2 cups of fluid

2 cups of fluid

The nurse is caring for a 13-year-old who is hospitalized for management of his recently diagnosed diabetes. The child has been withdrawn, and when asked she reports she is "just tired of being sick". What action by the nurse will be of the greatest benefit to helping the child with this concern? Ask one of the parents to stay with her at all times. Provide books and magazines of interest to her. Encourage the child to call her friends on the phone. Encourage the child to participate in planning her daily care.

Encourage the child to participate in planning her daily care.

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child? Observe him for physical signs which might indicate pain. Ask him to show you his pain level using the color pain scale. Tell him to let you know if he begins to feel pain. Explain to his caregiver that his pain level shows he is getting better quickly.

Observe him for physical signs which might indicate pain.

The hospital nurse is providing discharge instructions to the caregivers of a 10-year-old child with a new prosthetic limb. Which finding will cause the nurse to contact the primary health care provider? The child's white blood cell (WBC) count is 9,000/mm3 (9 x 109/L). The child was diagnosed with hypothyroidism as an infant. The child is being discharged home with the caregiver. The child's blood pressure is 115/75 mm Hg.

The child is being discharged home with the caregiver.

The nurse is reviewing a job description of a school nurse. Which activity would the nurse question? Educate students on health promotion activities, such as bike and car safety. Providing emergency first aid care. Provide immunizations to students. Provide training and education to other staff on CPR, first aid, and other health issues.

Provide immunizations to students.

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. Ask the family to stay with the infant at all times. Place the infant in a room with an ambulatory adolescent. Put the infant in a carrier and bring her to the nurses' station.

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

The nurse is caring for a 9-year-old child on an inpatient pediatric unit who is admitted for an extended stay. The child continually refuses meals. What can the nurse do to help increase the child's intake? Select all that apply. Encourage the child to eat several small meals instead of fewer larger meals. Tell the child that play time will be shortened if he or she does not eat. Assist the child to choose foods he or she likes from the facility menu. If approved by the physician, allow the parents to bring food from home for the child. Ask the dietitian to visit the child to help determine foods the child prefers.

Encourage the child to eat several small meals instead of fewer larger meals. Assist the child to choose foods he or she likes from the facility menu. If approved by the physician, allow the parents to bring food from home for the child. Ask the dietitian to visit the child to help determine foods the child prefers.

The nurse is caring for a 7-year-old boy in a body cast. He is shy and seems fearful of the numerous personnel moving in and out of his room. How can the nurse help reduce his fear? Write the name of his nurse on a board and identify all staff on each shift, every day. Encourage the boy's parents to stay with him at all times to reduce his fears. Remind the boy he will be out of the hospital and going home soon. Tell him not to worry; explain that everyone is here to care for him.

Write the name of his nurse on a board and identify all staff on each shift, every day.

The nurse is working with a child-life specialist to assist a young preadolescent who is preparing for treatment for cancer. Which technique will the nurse and specialist prioritize to assist this child in better understanding what will be happening in the treatment of the cancer? play therapy onlooker play cooperative play therapeutic play

therapeutic play