Prep U Pediatric Nursing Chapter 29 Care of the Hospitalized Child
The nurse is admitting a 14-year-old girl for a tonsillectomy and is preparing her for the procedure. Which of the following is the best statement or question?
"Are you wondering about anything related to your tonsillectomy?"
The nurse is caring for a 10-year-old girl who is in an isolation room. Which intervention would be a priority intervention for this child?
Provide age-appropriate toys and games.
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child how to take deep breaths. The best way that the nurse can accomplish this is by:
using a pinwheel.
A nurse is caring for a child on transmission-based precautions. What interventions can the nurse provide to prevent the child from feeling socially isolated? Select all that apply.
Arrange to spend extra time in the room when performing treatments and procedures. Encourage family members to spend time with the child and help them with maintaining precautions. Make sure the child understands the isolation precautions are not a punishment.
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."
A nurse asks a 5-year-old to use a color scale during a pain assessment. The nurse gives the child crayons and the child picks a red crayon to indicate the pain level. This indicates that the child is experiencing which level of pain?
most pain
The nurse is working with a group of caregivers of children in a community setting. The topic of hospitalization and the effects of hospitalization on the child are being discussed. Which statement made by the caregivers supports the most effective way for children to be educated about hospitals?
"We are going to take our child to an open house at the hospital so she can see the pediatric unit."
The following assessments are gathered from an 8-year-old pediatric client returning from surgery. Which information would need to be reported to the physician promptly?
Anuria for 7 hours
The nurse approaches a client room and notes a sign stating the client is in droplet isolation. Which precautions would be appropriate for this client?
Gown, gloves and mask
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.
A school-aged child is hospitalized and is in contact isolation and must remain in his room. What activities could the nurse use to entertain the client to reduce his sense of loneliness?
Play "I Spy" with items in his room.
A 6-year-old will be hospitalized for a surgical procedure. How can the nurse best ease the stress of hospitalization for this child?
Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital.
The toddler needs elbow restraints to keep his hands away from a facial wound. What will the nurse do to best ensure their safe use?
Remove one restraint at a time on a regular basis to check for skin irritation
A 6-year-old with leukemia is placed on reverse isolation. What nursing actions could prevent depression and loneliness in this client? Select all that apply.
Spend extra time to talk while in the room. Read a story while in the room. Play a game while in the room.
A nurse is using a doll to explain what will be done when starting an intravenous (IV) line on a 4-year-old. What type of play is this?
Therapeutic play
