preschooler

Parents report to the nurse that their 4-year-old child often lies and makes up wild stories. What is the most appropriate response by the nurse?

"Acknowledge your child by saying, 'That's a pretend story.'"

The nurse is caring for a 4-year-old child with hemophilia who experienced a fall. The child reports pain in the left wrist. Which nursing interventions would be included in the acute period? Select all that apply.

-Elevate the left arm on a pillow. -Apply ice to the left wrist. -Stabilize the left wrist on the child's stomach.

A mother brings her preschool child to the emergency department after he ingested an unknown quantity of acetaminophen. Which treatment will the physician probably prescribe next?

Gastric lavage and administration of acetylcysteine

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

Kidneys

The mother of a preschooler recently diagnosed with type 1 diabetes mellitus makes an urgent call to the pediatrician's office. She says her child had an uncontrollable temper tantrum while playing and now is lethargic and hard to arouse. The nurse should instruct the mother to take which action first?

Measure the child's blood glucose level.

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

The nurse is caring for a preschool child just diagnosed with impetigo. What is the most important action the nurse should take to prevent the spread of impetigo to others?

Teach child and family good handwashing techniques.

A 5-year-old child sustained third-degree burns to the right upper extremity after tipping over a frying pan. Which skin structures would the nurse include when explaining a third-degree burn to the child's parent?

all skin layers and nerve endings

A child is diagnosed with Wilms' tumor. During data collection, the nurse expects to detect:

an abdominal mass.

A nurse is finishing a shift on the pediatric unit. Because the shift is ending, which intervention takes priority?

documenting the care provided during the shift

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.

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

A child has arrived in the emergency department. The nurse documents the following findings in the client's chart knowing that they are consistent with which disease process?

pneumonia

The nurse is caring for a 4-year-old child who is near death. Which statement by the family best indicates 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."

A previously toilet-trained 4-year-old child begins wetting the bed after being hospitalized. Which statement should a nurse make to the parents?

"It is normal for a child to start wetting the bed again when hospitalized."

The nurse suspects that a child, age 4, is being neglected physically. To best collect data on the child's nutritional status, the nurse should ask the parents which question?

"What did your child eat for breakfast?"

The nurse is caring for a preschooler who sustained a mild concussion after falling from a bike. Which information does the nurse include when reinforcing bicycle safety with the preschooler's caregivers? Select all that apply.

-Be consistent and insist on a helmet, even if only riding on the driveway. -Allow your child to pick out the design of helmet to make it more personal. -Preschoolers should have a bike with pedal-back brakes instead of hand brakes.

A 4-year-old child had a subungual hemorrhage of the toe after a jar fell on the foot. Which statement regarding the rationale for using electrocautery to treat the injury is most accurate?

It's used to relieve pain and reduce the risk of infection.

A 5-year-old child is brought to the emergency department after being stung multiple times on the face by yellow jackets. Which symptom of anaphylaxis requires priority medical intervention?

Pulse rate of 60 beats/minute

The nurse is caring for a preschool-age child who sustained burns in a house fire. The child is prescribed morphine every 4 hours for pain. Which assessment parameter is most important when monitoring a child who's receiving morphine?

Respirations

A nurse is deciding whether to report a suspected case of child abuse. Which criterion is the most important for the nurse to consider?

incompatibility between the child's history and the injury

A preschooler has vomiting, diarrhea, and a potassium level of 3.0 mEq/L. The physician prescribes an I.V. infusion of dextrose 5% in water and half-normal saline solution with 10 mEq of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids and potassium chloride to:

meet physiologic needs.

A 3-year-old child with Down syndrome, admitted to the pediatric unit with asthma, does not enunciate words well and holds on to furniture when walking. What question would be appropriate for the nurse to ask the parent?

"How does your child's condition today differ from their normal condition?"

A child, age 3, 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."

A 5-year-old arrives in the clinic for a physical to enter school. Which potential child abuse findings should be brought to the health care provider's attention? Select all that apply.

-A patterned bruise is noted on the back. -Parental description of accident does not match injury. -Injuries in various stages of healing are documented.

The nurse is teaching a group of caregivers about high-risk choking hazards for preschoolers. Which foods and objects does the nurse include? Select all that apply.

-balloons -popcorn -coins

The nurse is providing anticipatory guidance on safety topics to a group of preschool parents. When reinforcing education, what is appropriate to cover at the preschool level? Select all that apply.

-bike helmet use -water safety

The parents of a child with cystic fibrosis, an autosomal recessive disorder, are considering having a second child. Each parent is heterozygous for the cystic fibrosis trait. What is the chance that their second child will manifest the disorder?

25% To manifest, or express, an autosomal recessive disorder, a child must inherit the trait from both parents. A heterozygous person carries one normal gene and one affected gene and doesn't express the disorder. A child of two heterozygous parents has a one-in-four (25%) chance of manifesting an autosomal recessive disorder. Outcomes of previous pregnancies don't influence the probability of subsequent offspring expressing the genetic disorder.

Which nursing action should be included in the care plan to promote comfort in a 4-year-old child hospitalized with meningitis?

Avoid making noise when in the child's room.

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 4-year-old with a full-thickness burn. Before sending the child to hydrotherapy for a scheduled wound debridement, which nursing action is a priority?

Implement pain control measures

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

Informed consent

A preschooler is returned to the pediatric department following surgery. Postoperative pain management orders include meperidine 25 mg I.M. every 6 hours. When administering this injection, which nursing action is best?

Let the child choose which leg will receive the injection.

Encouraging children to engage in fantasy play and participate in their own care is a useful developmental approach for which pediatric age-group?

Preschool age (3 to 5 years)

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

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

caring for the same child from admission to discharge

A charge nurse is at the front desk when a person demands information about a child who has been admitted on the unit. The nurse should:

inform the person that confidentiality prevents the nurse from disclosing the information.

When assisting in developing a plan of care for a hospitalized child, the nurse knows that children in which age-group are most likely to view illness as a punishment for misdeeds?

preschool age

A 3-year-old child received a burn at the angle of the mouth from chewing on an electrical cord. Which finding should the nurse expect to observe 10 days after the injury?

profuse bleeding from the injured site

A school nurse is conducting a seminar for parents of preschool children on the prevention of head injuries. What is the most appropriate information for the nurse to give the parents?

Children should always wear helmets when riding bicycles.

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.

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.