PNU 135 PassPoint PrepU Preschooler

The nurse is caring for a 4-year-old child who is near death. Which statement by the family bestindicates to the nurse that the family may be ready to consider organ donation?

"I would do anything to have no other family go through this."

At a wellness visit, the parents report that their daughter, age 4, resists going to bed at night. After instruction by the nurse, which statement by the parents indicates effective teaching?

"We'll read her a story and let her play quietly in her bed until she falls asleep."

The nurse is providing pre-operative teaching related to umbilical hernia repair to a preschooler and caregivers. Which approach(es) to pre-operative teaching should the nurse include? Select all that apply.

"You need to have an operation so the doctor can fix that lump on your tummy." "The doctor will give you medicine so you can sleep through the operation." "You might be able to go home with your parents the same day as the operation."

Which method is reliable for identifying a preschooler before administering a medication?

Check the hospital identification bracelet.

Which of the following techniques is most effective in preventing nosocomial infection transmission when caring for a preschooler?

Hand washing

When collecting data on a child with impetigo, the nurse expects which findings?

Honey-colored, crusted lesions

The nurse is evaluating a child with acute poststreptococcal glomerulonephritis (APSGN) for signs of improvement. Which finding typically is the earliest sign of improvement?

Increased urine output

Which documentation is most important when preparing a preschool-age child for surgery?

Informed consent

The nurse has just administered a drug to a child. Which organ is most responsible for drug excretion in children?

Kidneys

A mother of a 5-year-old child who was admitted to the hospital has a Protection from Abuse order for the child against his father. A copy of the order is kept on the pediatric medical surgical unit where the child is being treated. The order prohibits the father from having any contact with the child. One night, the father approaches the nurse at the nurses' station, politely but insistently demanding to see his child, and refusing to leave until he does so. What should the nurse do first?

Notify hospital security or the local authorities.

A 4-year-old child is seen in the pediatrician's office. The child is due for immunizations and the provider discusses with the caregiver the need for the immunizations. The nurse returns to the room to administer the immunizations and the caregiver refuses to sign the paperwork for the administration of the immunizations. What is the most appropriate action by the nurse?

The nurse listens to the caregiver's concerns and discusses the risks of nonimmunization.

After collecting data on a newly admitted 5-year-old child, the nurse assists in making the nursing diagnosis of Parental role conflict related to child's hospitalization. Which defining characteristic would most suggest this diagnosis?

Parents' failure to use available support systems or agencies to assist in coping

A 4-year-old is hospitalized following alleged sexual abuse. The child is withdrawn and exhibits poor eye contact. Which nursing strategies encourage client communication? Select all that apply.

Provide paper and crayons and encourage coloring. Engage in play with toys and dolls. Read a book to establish a rapport.

The parent of a preschooler with chickenpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?

Reye syndrome

A preschool-age child refuses to take prescribed medication. Which nursing strategy would be most appropriate?

Showing trust in the child's ability to cooperate even with an unpleasant procedure

A nurse is reinforce educating the parents of a 5-year-old child admitted to the pediatric unit with cystic fibrosis. Which statement concerning steatorrheic stools is most accurate?

They're frothy, foul-smelling, and fatty.

The parent of an 8-year-old client tells the nurse that when the child plays with other children, the child does not seem to interact with them, but simply plays alongside. What does the nurse determine about the child?

This is a parallel play typical of toddlers, not school-aged children.

When collecting data on a child with muscular dystrophy, the nurse expects which finding?

Waddling gait

A child with leukemia has just completed a course of methotrexate therapy. How soon should the nurse expect to see signs of bone marrow depression in this client?

Within 2 weeks

A nurse on the pediatric unit is caring for a group of preschool children. Which situation takes priority?

a child who develops a fever during a blood transfusion

The nurse is reinforcing anticipatory guidance on safety topics to a group of parents who have preschool-age children. When reinforcing education, what is appropriate to cover for the preschool level? Select all that apply.

bathtub safety bike helmet use water safety

A nurse is working on the pediatric unit. Which assignment best demonstrates primary care nursing?

caring for the same child from admission to discharge

Parents are concerned that their 3-year-old child has been exposed to erythema infectiosum (fifth disease). Which characteristic finding would the nurse explain to the parents they should monitor for?

intense redness of both cheeks that may spread to the extremities

A parent tells the nurse that the parent's preschool-aged child with spina bifida sneezes and gets a rash when playing with brightly colored balloons, and that recently the child had an allergic reaction after eating kiwi fruit and bananas. Based on the parent's report, the nurse suspects that the child may have an allergy to

latex.

The nurse is teaching the mother of an ill child about childhood immunizations. The nurse should tell the mother that live virus vaccines shouldn't be administered to children with:

leukemia.

The parents of a 4-year-old child with sickle cell anemia tell a nurse that they would like to have more children but are concerned about passing sickle cell anemia on to them. When speaking with the registered nurse who is supervising the nurse, the nurse would expect that a referral is made to which health care team member?

medical geneticist

A 4-year-old child is admitted to the burn unit with a circumferential burn to the left forearm. Which finding would alert the nurse to a potential complication that should be reported to the health care provider?

numbness of fingers

When making ethical decisions about caring for preschoolers, a nurse should remember to

provide beneficial care and avoid harming the child.

When telling a 4-year-old child about an upcoming procedure, the nurse's most important consideration is to:

use simple terms.

A preschooler with a history of heart failure is prescribed digoxin. Which nursing intervention is most important to perform before administering this drug to a child?

Check apical heart rate for 1 minute

The estranged parent of a preschool-age child comes to the hospital to visit the child. The child's medical record contains a restraining order that restricts the parent from visiting. When approached by the nurse, the parent becomes argumentative. What is the priority action by the nurse?

Contact the security department.

In a pediatric client, what is an early sign of acute renal failure (ARF)?

Decreased urine output

The nurse is caring for a 5-year-old with several tiny blisters near the mouth, several of which are draining clear fluid and others which have a yellowish crust. Which teaching will the nurse provide to the client's parent?

Keep the child home from school until antibiotic therapy has been administered for 24 hours.

The nurse is caring for a 5-year-old child with a femur fracture. The parent explains that the fracture occurred from a fall. The child's recollection of the event conflicts with the parent's explanation. What is the nurse's immediate responsibility?

Keep the child safe, and assess for abuse.

A child who tests positive for the human immunodeficiency virus (HIV) is placed in foster care. The foster parents ask the nurse how to prevent HIV transmission to other family members. How should the nurse respond?

"Wear gloves when you're likely to come into contact with the child's blood or body fluids."