Preschool EAQs

The nurse notes that a 4-year-old child is having difficulty relating to some of the children in the playroom. What does the nurse identify as the reason that this problem is not unexpected?

Exaggerating and boasting to impress others are typical behaviors of preschoolers

A 3-year-old child with thalassemia (Cooley anemia) is being discharged from the hospital. What should the nurse include in the instructions to the parents?

Minimize the risk of infection.

A 3-year-old boy is found to have X-linked Duchenne muscular dystrophy. Neither parent has muscular dystrophy. Which statement indicates that the parents understand how the disorder is transmitted?

"Our daughters may be carriers of the disease.

A 4½-year-old child is admitted to the pediatric unit in preparation for surgery. What psychological responses to hospitalization does the nurse anticipate from this preschooler? Select all that apply.

Fearfulness regarding intrusive procedures Misgivings about being punished for a misdeed

When planning discharge teaching for the parents of a child with asthma, what information should the nurse include?

Minimize exertion and exposure to cold

A combination of drugs, including vincristine and prednisone, is prescribed for a child with leukemia. For which adverse effect of vincristine should the nurse assess the child?

Neurologic complications

The nurse, caring for a 3-year-old child with meningitis, should be alert for which signs and symptoms of increased intracranial pressure? (Select all that apply.)

Vomiting Headache Irritability

The mother of a 4-year-old boy whose family recently emigrated from Colombia arrives at the pediatric clinic with her son who has a temperature of 102.0° F (38.9° C). He is irritable and has a runny nose, a rash, and several small, irregularly shaped red spots with blue-white centers in his mouth. What illness does the nurse suspect as the cause of these sign and symptoms?

measles

A nurse accompanies a 3-year-old child to the pediatric unit's playroom. The toddler seems reluctant to select a toy or activity. Which toy is most appropriate for the nurse to offer as a means of fostering creativity?

mold and clay

Which is the most therapeutic play activity for the nurse to offer a 4-year-old child who is restricted to bedrest?

Finger painting on blank sheets of paper

happens to their child. The best rationale for the nurse to convey why this is a disorder of young children is that they:

Have small airways

A 3-year-old child is to receive a liquid iron preparation. What should the nurse teach the mother regarding this medication?

Have the child drink the diluted iron preparation through a straw

A child with nephrotic syndrome visits the clinic for a follow-up. During the visit the parent states that the child is always tired and has no appetite. The nurse notes that the child has a muddy, pale complexion. What problem does the nurse suspect?

Impending renal failure

A 3½-year-old child with severe iron-deficiency anemia is seen by a nurse in the clinic. In addition to weakness and fatigue, what should the nurse expect the child to exhibit?

Increased pulse rate

A nurse who volunteers in a daycare for preschoolers has been asked to give a presentation to parents about health promotion. Which topics should the nurse include?

Injury prevention and dental health

A 3-year-old preschooler has been hospitalized with nephrotic syndrome. What is the best way for the nurse to evaluate fluid retention or loss?

Weighing the child at the same time each day

After a tonsillectomy, which finding alerts the nurse to suspect the initial stage of hemorrhage?

Frequent swallowing

What is the most appropriate play activity for a preschooler whose hand is immobilized during IV therapy?

Manipulating jigsaw puzzles

What is the most important nursing intervention for a 3-year-old child with a diagnosis of nephrotic syndrome?

Preventing infection

A nurse is planning to use an otoscope to examine the auditory canal of a 4-year-old child. In what direction should the nurse pull the pinna?

Up and back

A nurse is preparing to give a 3-year-old toddler an intramuscular injection, and the child starts to cry. What is the most therapeutic approach for the nurse to take?

"It's all right to cry as loud as you want, but don't move."

A 4-year-old child has been found to have Kawasaki disease and is to be treated with intravenous immunoglobulin (IVIG). Before administration of the IVIG, what action(s) should the nurse take? Select all that apply.

-Start an intravenous line. -Have the parents sign permission for blood product administration.

A 5-year-old child is being given dactinomycin (Cosmegen) and doxorubicin (Adriamycin) therapy after nephrectomy for Wilms tumor. What should the nursing care include?

Ensuring meticulous oral hygiene

In addition to standard precautions, what protective equipment or precautions should the nurse use when caring for a 4-year-old child admitted with pertussis?

Private room

A 4-year-old abused child, after being hospitalized for severe injuries, is placed in temporary foster care. The foster family comes to the hospital to meet the child. What action should the nurse take to facilitate their first meeting?

Providing the child and foster family with a private room

A nurse is preparing a preschooler for an elective surgical procedure. How much time should the nurse allow between telling the child about the surgery and the actual surgery?

Several days

Which between-meal snack should a nurse tell the parents of a preschooler with a urinary tract infection to offer their child?

Skim milk

A nurse is assessing a 4-year-old child. What age-appropriate language skills does the nurse expect the child to have fulfilled? Select all that apply.

Uses six- and eight-word sentences Has a vocabulary of 150 to 200 words

A nurse is obtaining the health history from the mother of a preschooler with Reye syndrome. The nurse should ask the mother if the child has recently had:

chickenpox

Monitoring vital signs, particularly the blood pressure and the rate and quality of the pulse, is essential in detecting physiological adaptations in a preschool child with nephrotic syndrome. Which clinical manifestation should the nurse be able to detect from these vital signs?

hypovolemia