Chapter 33: Caring for Children in Diverse Settings

general inpatient pediatric unit.

For IV rehydration, the child should be admitted to where?

The child is being discharged home with the caregiver.

The hospital nurse is providing discharge instructions to the caregivers of a 10-year-old child with a new prosthetic limb. Which finding will cause the nurse to contact the primary health care provider?

"Why don't you sit on your mom's lap?"

The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best?

Let the child see them without a mask first

To decrease anxiety for a child and to help them feel more comfortable with the nurse, the nurse should do what if a mask is necessary?

keeping up with his schoolwork

What will the nurse view as best maintaining normalcy in the life of a 10-year-old boy who is experiencing a lengthy hospitalization?

Protest: the child cries loudly and latches onto the caregiver, refusing to let others hold them

what is the first stage of separation

Despair: the child is apathetic and listless (EX: lies in the bed, looking at the wall.)

what is the second stage of the separation response

Denial: the child appears to be accepting of his circumstances and shows interest in his environment but rejects the primary caregivers.

what is the third stage of separation

ignore them

what seems to be the best remedy to provide an outlet for children having a tantrum

therapeutic play

A nurse is using a doll to explain what will be done when starting an intravenous (IV) line on a 4-year-old child. What type of play is this?

regression

As a way of coping, a child may return to a previous stage of development such as acting out. What is this called?

denial

In the _________ stage, the child begins taking interest in his or her surroundings and appears to accept the situation. However, the damage is revealed when the caregivers do visit: the child may turn away from them, showing distrust and rejection.

"The machine makes a very loud rattle; however, headphones will help."

The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance imaging (MRI) scan. Which statement would best help prepare the girl for the test and decrease anxiety?

"It is best to wait and let him bring up the surgery or any questions he has."

The nurse is educating the parents of a 7-year-old boy scheduled for surgery to help prepare the child for hospitalization. Which statement by the parents indicates a need for FURTHER TEACHING?

Remove one restraint at a time on a regular basis to check for skin irritation.

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?

Observe him for physical signs which might indicate pain.

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child?

Protest (The child reacts aggressively to the separation caused by hospitalization and exhibits great distress by crying, expressing agitation, and rejecting others who attempt to offer comfort during the first phase of protest.)

A child is admitted to the pediatric surgical unit following an open appendectomy. The parents return to the room to find the child crying and agitated, and the child pushes the parents away. The nurse educates the parents that their child is likely exhibiting which phase of separation anxiety due to the hospitalization? Protest Despair Denial

Keep the crib side rails up at all times

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?

half (4 cups of ice = 2 cups of fluid)

Ice is approximately equivalent to _____ the same amount of water

"Let's see who can blow these cotton balls off the table first."

The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will best elicit the child's cooperation? Do you want to play a breathing exercise game with me?" "Let's see who can blow these cotton balls off the table first."