PrepU Peds Assignment 2
A 5-month-old is hospitalized for dehydration. What can the nurse make with items found on the unit for an activity to distract the child?
A mobile using gauze and tongue blades
The nurse is providing discharge planning for a 12-year-old boy with multiple medical conditions. What would be the best teaching method for this child and his family?
Provide a trial period of home care.
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.
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?"
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.
An adolescent is complaining of leg pain and has received the maximum amount of analgesics allowed on his PCA pump. What other interventions can the nurse initiate for this client? Select all that apply.
-Massage -Play an X- Box game with him -Reposition the client from one side to another -Play the client's favorite music
Microorganisms are sometimes spread by what is called a vehicle. Of the following, which would fit into this category of transmission? Select all that apply.
-Microorganisms spread by food -Microorganisms spread by water -Microorganisms spread by blood
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing intervention would be least effective in alleviating the child's anxiety?
Explain all procedures using medical terminology.
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
Which intervention is most important in assuring a child's cooperation and reducing his or her fear during an emergency room visit?
Having the parent stay with the child
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.
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.
A 5-year-old scheduled for surgery in the morning wakes at 2 am and asks the nurse for something to eat and drink. What should the nurse tell this client?
That not having food or drink before surgery will prevent an upset stomach
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 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.
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.
Which of the following is the best technique for preventing the spread of infection in hospitalized patients?
washing hands between each patient
A mother of a recently discharged preschooler calls the pediatric floor that provided care to her child a week ago. She reports that the child is having elimination accidents, temper tantrums and is waking up at night with nightmares. How should the nurse respond to the mother's concerns?
Children this age often show regressive behaviors and have nightmares following hospitalization due to fear of another separation.
A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure?
In a treatment room
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 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
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
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 nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client?
Determine how much the child knows and is capable of understanding.
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply.
-Provide a room for the class with hospital gowns, masks and equipment used on children. -Tour the hospital, including the playrooms on the pediatric floors. -Let the children lie in the beds, use the call lights and practice being a patient.
A pediatric nurse caring for an 8-year-old who is having pain would use which of the following scales to assess the child's pain?
FACES scale
The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which actions would help reduce her stress related to the procedure? Select all that apply.
-Pretend to perform the procedure on her doll. -Teach her the steps of the procedure. -Introduce her to the health care personnel.
A 10-year-old is scheduled for an appendectomy in 6 hours. The child is placed on NPO status and wants to know why he cannot have anything to eat or drink. What is the best explanation by the nurse?
"We cannot give you anything to eat or drink before your procedure because we do not want you to get an upset stomach."
