PEDS Chapter 11

The nurse is caring for a 3-year-old child who is hospitalized for pneumonia. When considering his developmental age and need for security, which statement by the nurse after an invasive procedure would be most helpful?

"I am proud of how you were such a good boy."

In a preadmission visit, a 9-year-old girl says she is afraid her tonsillectomy will hurt too much. Which statement by the nurse would be best to help the child feel more comfortable and less afraid?

"I understand that you're worried. It will hurt for only a few days; we'll give you something to help stop the pain when you need it."

The nurse is caring for a technology-dependent school-aged child in his home. Which action best builds a trusting relationship?

Discussing care and treatment with the parent and child together

The nurse is establishing a long-term relationship with a child who will be seeking treatment for cancer. What is the most important factor in this relationship?

Establishing trust

What will the nurse view as best maintaining normalcy in the life of a 10-year-old boy who is experiencing a lengthy hospitalization?

Keeping up with his schoolwork

The nurse is preparing discharge teaching for a child and the caregivers after a week of hospitalization. Which activity should the nurse prioritize in this plan?

Plan a conference to review information and procedures with the family caregivers before discharge.

The nurse is preparing to discharge a 5-year-old child from the hospital who will require dressing changes to a wound at home. The parents have been taught the appropriate wound care measures during the stay in the hospital. Which action by the parents assures the nurse that learning occurred?

The parents have performed the wound care and dressing change with the nurse's supervision the last 2 days prior to discharge

A nurse is preparing to start an intravenous (IV) line on a 5-year-old. Where does the nurse understand the procedure should be performed so that the child's "safe place" will not be disrupted?

The treatment room

The nurse has finished an educational program for parents of children who are scheduled to undergo a surgical procedure. Which statement by a parent would indicate a need for further education?

"I will not bring my daughter's favorite stuffed animal to the hospital with us. I don't want it to get lost."

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 is preparing to admit a child for a tonsillectomy. How should the nurse establish rapport?

"Tell me about your cute stuffed dog."

The nurse is talking with the parents of a 6-month-old girl hospitalized with a respiratory infection. The parents state, "Since our child is so young it will be easier for her to cope with us being at work all day." How should the nurse respond?

"Is there a familiar person in your child's life that might be able to spend time with her while you're at work?"

A new home healthcare nurse asks her preceptor for some hints to help establish a good relationship with her pediatric clients and their families. What is the best response by the preceptor?

"Make sure you find out things that the child is interested in. This will give you things to talk about."

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."

A mother in the outpatient setting is explaining how she plans to prepare her 5-year-old for hospital admission. What remark indicates the parent requires additional teaching?

"We told him to use his manners and behave like a big, brave boy."

The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best?

"Why don't you sit on your mom's lap?"

A nurse is caring for a 6-year-old boy hospitalized due to an infection requiring intravenous antibiotic therapy. The child's motor activity is restricted and he is acting out, yelling, kicking, and screaming. How should the nurse respond to help promote positive coping?

"Would you like to read or play video games?"

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.

When a child is hospitalized and must be away from the caregiver, the child goes through stages of response to the separation. The child who cries and refuses to let the nurse or anyone else comfort them and is continually looking out the door to see if the caregiver is returning is in which stage of separation?

Protest

The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV on a stuffed bear. This is an example of:

therapeutic play.