peds preschool

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?

Model airport with toy planes

Repetitive muscle contractions

Myoclonic seizure

Can be manifested by motor activities, sensory sings, or psychomotor activity

Partial seizure

What might the nurse explain as a common treatment for amblyopia?

Patching the good eye to force the brain to use the affected eye

The nurse notes that a 4-year-old childs gums bleed easily and he has bruising and petechiae on his extremities. Which lab value is consistent with these symptoms?

Platelet count of 25,000/mm3

What will the nurse include then documenting a grand mal seizure? (Select all that apply.)

Presence of incontinence Activity level prior to and following seizure Level of consciousness following seizure Length of seizure

The nurse caring for a child with nephrotic syndrome is alert to which classic symptoms of this disorder?

Proteinuria Grossly bloody urine Fatigue Generalized edema

A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is the most appropriate nursing intervention for this child?

Providing activities for the child on restricted activity

13. On the first day following a severe burn, the bodys fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim?

Reduced urine output

The nurse has reviewed dietary restrictions for celiac disease with concerned parents. Which grain will the nurse explain can be eaten with celiac disease?

Rice

A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nirse classify this burn when documenting

Sencond degree superficial

7. A healthy preschool girl asks her parents if she will die. The best response is to tell her that:

She will not die for a long time.

is seen in the play of children who pretend that an empty box is a fort; they create a mental image to stand for something that is not there.

Symbolic functioning

26. Which bedtime preparation rituals are the most appropriate for the nurse to suggest? (Select all that apply.)

Telling a story Placing a favorite toy in bed Placing a glass of water at the bedside Turning on a night light

Choose the most appropriate teaching for parents of a child with enuresis.

The child should empty his bladder before going to bed

A child who suck his thumb is unlikely to have damage to the mouth if the thumb sucking stops before:

The permanent teeth erupt.

An adolescent has just had a generalized seizure and collapsed in the school nurses office. When should the nurse should call 911?

The seizure lasts more than 5 minutes.

What is the most appropriate action for the nurse to offer parents who are concerns about their preschooler's masturbation?

Try to interest the child in another activity.

Which is an example of associative play?

Two children playing house, one playing the role of the dad and the other playing the mom

A 6-year-old child with daytime enuresis complains of dysuria and urgency. What does the nurse recognize these signs and symptoms indicate?

Urinary tract infection

A.6-year-old with leukemia asks, Who will take care of me in heaven? What is the best response by the nurse?

Who do you think will take care of you?

A parent is concerned about her childrens reaction should their grandmother die. What understanding will guide the nurses response?

Young children often understand that other people die, but do not equate it with themselves.

4. What tasks would be appropriate to expect of a 5-year-old?

a. Setting the table with paper plates

2. The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis.

a. This behavior indicates a normal curiosity about sexuality.

3. A preschool-age child is asked, Why do trees have leaves? Which response would be an example of animism?

c. To hide behind when they are scared.

5. A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this child?

c. Will become angry and a physical response might ensue

A 5-year-old boy is admitted to the hospitał with acute glomerulonephritis. In taking the childs history, what does the nurse recognize as the probable cause?

d. A sore throat 2 weeks ago

The gradual transfer of behavioral control from the parent to the child is accomplished through

discipline

The nurse assesses a major burm as a -thickness burm involving % or more of the body surface.

full; 10

Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?

should check his urine for protein when he goes to the bathroom.

The nurse is discussing preschoolers sexual curiosity with the parent. What statement by the mother leads the nurse to determine that the mother understands the information?

Answer their questions when they ask.

What intervention might the nurse suggest as helpful for the child with enuresis?

Decreasing fluid intake after the evening meal

What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?

Infection

8. A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the most helpful response from the nurse?

Most children will stop thumb-sucking naturally by school age.

What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?

Move objects out of the childs immediate area.

A child diagnosed with epilepsy had a generalized tonic-clonic seizure that lasted 90 seconds. What would the nurse expect to assess after a generalized tonic-clonic seizure?

Sleepiness

Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?

Sulfa

What does the nurse explains to parents of a child with febrile seizures?

They occur when the temperature rises quickly.

The nurse explains that the COPP medical regimen for the treatment of Hodgkins disease uses a combination of which drugs? (Select all that apply.)

Vincristine Cyclosphosphamide Prednisone Procarbazine hydrocloride

1. Which statement best describes the 3-year-old child?

helpful, wants to assist with chores

What is the best choice for fluid replacement that the nurse can offer a child who has just had a tonsillectomy?

popsicle

Play that is designed to retrain muscles or improve eye-hand coordination is considered

therapeutic play

The parent of a 3 -year-old child tells the nurse, My daughter points instead of speaking whenever she wants me to get something for her, but she understands me when I ask her to do something. Based on the parents comment, what does the nurse suspect?

An expressive language delay

A preschool child falls off the swing and cries, "Bad swing! You made me fall!" This child response is an example of

Animism

What would the nurse include when planning postoperative teaching for a child who has had a tympanostomy with insertion of tubes?

Avoiding getting water in the ears

What foods does the nurse recommend the child with acute glomerulonephritis avoid to prevent hyperkalemia?

Bananas

What type of play is most appropriate when planning care for a child with moderate intellectual deficiency?

Be adjusted to mental age rather than chronological age.

What developmental milestone(s) assist the 5-year-old boy toward developing his sexual identity? (Select all that apply.)

Begins to be less focused on his mother Forms a romantic attachment to the mother Identifies with the parent of the same sex

The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A). What might this indicate?

Bleeding from the surgical site

What fear is unique to the preschool period?

Bodily harm

A child is admitted to the hospital because she had a seizure. Her parents report that for the past few weeks she has had headaches, with vomiting, that are worse in the morning. What does the nurse suspect?

Brain tumor

What does the nurse expect the appearance of the stools of a child with celiac disease to be?

Bulky, frothy

18. A 4-year-old child tells the nurse she will not eat peas because they are green. Of what is this an example?

Centering

What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?

Change the childs position frequently.

What activity would the nurse choose to meet Eriksons developmental task of industry when caring for a 7year-old?

Completing a 50-piece jigsaw puzzle

20. What will the nurse caution the parents of a child who has had anephrectomy that he will have to avoid?

Contact sports

with a burn What should the nurse keep in mind when providing care to the school-age child hospitalized injury?

Contact with peers should be maintained.

When a small group of preschool-age children were playing house, each child was pretending be a particular family member. What type of play does the nurse recognize these children are participating in?

Cooperative

The nurse observes a tarry stool from a 16-year-old burn victim wwho has been in the ICU for 2 weeks. Which complication does the nurse document and report?

Curlings ulcer

Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?

Cyclophosphamide (Cytoxan), an antisuppressant

How has synthetic recombinant antihemophilic factor improved the management of hemophilia?

Eliminates the need for frequent transfusions Can be administered by family at home Reduces cost of care of the hemophiliac Reduces risk of HIV and hepatitis A and B transmission

The parent of a 4 -year-old child tells the nurse, Bedtime is difficult. I cant get my son to go to bed at night. The nurse and the childs mother discuss options. What intervention is the most appropriate choice?

Establish a bedtime routine and use it consistently.

What does including play in the plan of care for a 5-year-old allow the child to do? (Select all that apply.)

Exercise his imagination Assume a role and act it out Offers an emotional outlet Interact with other children

What characteristic manifestation does the nurse caring for a child with Duchennes muscular dystrophy document?

Falls frequently and is clumsy

How does the nurse characterize the play of 5-year-old children?

Following rules

Has 3 phases: aura, seizure and postictal period

Generalized tonic-clonic seizure

The child with Duchennes muscular dystrophy must push on his legs and walk up the leg in order to rise to a standing position. The nurse recognizes this characteristic behavior as

Gowers manuever

The nurse would explain to parents that fears preschool children are usually

Greater than those they had as toddler.

What would the nurse include when creating a teaching plan that includes the long-term administration of phenytoin (Dilantin)?

Gums should be massaged regularly to prevent hyperplasia.

What will children who are unable to express themselves with words often do?

Have tantrums and act out

7. What is the most appropriate intervention when dealing with occasional aggression in a 4-year-old child?

Have the child take a time-out in the corner for 4 minutes.

The nurse is educating a group of preschool parents about the importance of safety. Which statement by a parent indicates the need for further education?

I only leave my child in the car for brief moments.

9. A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?

Immerse the burned area in cold water.

What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?

Increase calories and protein to compensate for the healing process.

A child has just been diagnosed with acute lymphoblastic leukemia. What is the result of an overproduction of immature white blood cells in the bone marrow?

Increased susceptibility to infection

27. The nurse points out what advantage(s) of a nursery school or preschool experience? (Select all that apply.)

Increasing self-confidence Fostering group cooperation Detecting adjustment problems Playing experiences with other children

A 4-year-old child insists he has more money with a nickel than his father has with a dime. What is this perception, as described in Piagets theory?

Intuition

The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?

It is acceptable to take frequent bubble baths.

What is the nurses best advice to a parent about a preschoolers imaginary friend?

It is common for preschoolers to have imaginary friends.

What should the nurse suggest as the most appropriate toy choice for a 3-year-old?

Large contruction set

The nurse is caring fora 3-year-old with severe burns. What is the nurse aware is the minimum adequate hourly urine output?

20 mL/hr

Temporary loss of awareness

Absence seizure

When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of

15mins

A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand, anterior trunk and genital area, and front of right thigh. The nurse assesses the body surface area (BSA) percentage burn as

26

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

Absence

Which major developmental tasks will the nurse expect a child to accomplish by the end of the preschool years? (Select all that apply.)

Acceptance of separation Increased communication skills Control of bodily functions

The major cause of health problems in preschool children is

Accidental injuries

Parents of a 5-year-old child tell the nurse they are concerned about their childs speech development by stating, No one can understand him but us. What clinical classification of speech disorder does the nurse suspect?

Articulation disorder

is a preschoolers idea that the world and all of its contents are created by реople.

Artificialism

What will the nurse teach the parents of a child with a low platelet count to avoid?

Aspirin

A child is brought to the emergency department with burns on the face and chest. What is the murses first priority?

Assess respiratory status.

On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm3. What is the priority nursing intervention?

Assessing neurological status