CP- Preschooler

The nurse is caring for a 4-year-old child who is experiencing pain. When evaluating the child's response to pain, which of the following factors are most important for the nurse to assess? Select all that apply. parental presence personality traits meaning of pain past experiences communication skills

parental presence personality traits past experiences communication skills

The nurse assesses a child after heart surgery to correct tetralogy of Fallot. Which finding would the nurse report to the health care provider as an indication that the client has low cardiac output? A. bounding pulses and mottled skin B. altered level of consciousness and thready pulse C. capillary refill of 2 seconds and blood pressure of 96/67 mm Hg D. extremities warm to the touch and pale skin

B. altered level of consciousness and thready pulse

The public health nurse is teaching the parents of a 5-year-old client diagnosed with sickle cell disease. What education will the nurse include? Select all that apply. Keep the client's immunizations up to date. Avoid giving the client pain medication. Schedule regular appointments with a hematologist. Wait 24 hours to call the healthcare provider if the client has a fever. Monitor for abnormal skin color.

Keep the client's immunizations up to date. Schedule regular appointments with a hematologist. Monitor for abnormal skin color.

The nurse discovers that a young client has been given a dose of morphine four times the dose prescribed. What is the priority action of the nurse? Monitor the client's respiratory rate for 5 minutes. Follow the facility policy for reporting of the error. Obtain naloxone and assess the need for administration. Bring emergency resuscitation equipment to the child's room.

Obtain naloxone and assess the need for administration.

The emergency department nurse is obtaining a history from the parents of a 4-year-old child. Multiple bruises and abrasions are noted. The nurse highly suspects child abuse based on which finding? The parents have a flat affect and appear emotionally detached from the child. The stories about the accident or injury from the parents conflict. The patient's history matches the injury.

The stories about the accident or injury from the parents conflict.

The mother asks the nurse why peanuts are one of the worst things a child can aspirate. What should the nurse include in the explanation as the main reason for the problem associated with aspirating peanuts? They swell when wet. They contain a fixed oil. They decompose when wet. They contain sodium.

They swell when wet.

A nurse manager of the pediatric unit discovers that she is overbudget on supplies. How could each nurse assigned to the unit help with cost containment? Order only brand-name supplies instead of the generic equivalent. Use the supply closet at work to stock personal medicine cabinets because the supplies are free. Order supplies that are soon to be expired. Use care pathways to specify care and identify daily outcomes.

Use care pathways to specify care and identify daily outcomes.

A 5-year-old child who weighs 44 lb (20 kg) is given penicillin V suspension for a throat culture positive for streptococcus. The dose is 40 mg/kg/day, divided into two doses. The pharmacy supplies penicillin V in a concentration of 250 mg/5 mL. The nurse should administer how many milliliters for each dose? Record your answer using a whole number.

8 Determine the dosage for 1 day:40 mg/kg/day x 20 kg = 800 mg/day or 400 mg/dose. Determine the volume for the dose:250 mg/5 mL = 400 mg/x. Cross multiply and solve for x:250x = 2000 mL.x = 8 mL.

A parent of a child with hemophilia states that she worries whenever the child has a bump or cut. The nurse should explain that after the area is cleansed, the wound should be treated by applying which measure? A. gentle pressure B. warm, moist compresses l C. a tourniquet above the injured area D. a wet-to-dry dressing

A. gentle pressure

A nurse is deciding whether to report a suspected case of child abuse. Which criterion is the most important for the nurse to consider? A. inappropriate parental concern for the degree of injury B. absence of parents to question about the injury C. inappropriate response of the child to the injury D. incompatibility between the child's history and the injury

C. incompatibility between the child's history and the injury Explanation: Incompatibility between the history and the injury is the most important criterion on which to base the decision to report suspected child abuse. For example, the child may have a skull fracture but the parents state that the child fell off of the sofa. The other criteria also may suggest child abuse but are less reliable indicators.