Keys to Providing Safe & Quality Pediatric Nursing Care

The numeric values defined as a fever

100.4 F or higher

Expected weight of a 1-year-old who weighed 8 lbs. 12 oz. at birth

26 lbs. 4 oz.

Age when the infant is expected to reach the milestone of rolling over from back to tummy

4 months

Age a child is expected to copy a circle this is closed

4 years old

Depending on activity level, the normal pulse rate range for a 18-month-old child.

70-150 per minute

The age range when a child is expected to be able to perform their own oral care

8 years and older

Using the rule of thumb BP formula, this is the anticipated BP value for a 3-year-old

93/56

Something that the nurse can place on top of the skin after a laceration occurred or an IV cannula is removed or a child receives an injection that cn make them feel better

Bandaid

The nurse performs a neuro check during this part of the A-I prioritization assessment approach

Disability

Pain rating scale used with preschoolers

FLACC scale

This medication is used for children older than 12 yrs. to provide continuous pain control for up to 72 hrs.

Fentanyl

Erikson's developmental stage for adolescents

Identity vs. Role confusion

The way adolescents view themselves in relation to experiencing bad outcomes of risky behavior

Invincible

Three items that need to be reassessed after administering an opioid

RR, LOC, did the pain meds work

The nurse is assessing a 9 month-old infant for a well-baby check-up. Which of the following observations would be of most concern? a. The infant does not sit unsupported. b. The mother has not given him finger foods. c. The infant cries when the mother leaves. d. The infant cannot say "Mama" when he wants his mother.

a

The nurse is providing postsurgical care for a 5-year-old. The nurse knows to avoid which of the following questions when assessing the child's pain level? a. "Would you say that the pain you are feeling is sharp or dull?" b. "Would you point to the cartoon face that best describes your pain?" c. "Would you point to the spot where your pain is?" d. "Would you please show me which picture best describes your hurt?"

a

The adolescent receiving morphine IV for pain control needs which included in his nursing care plan? Select all that apply. a.Monitoring for itching b.Stand-by assistance when using the bathroom c.Naloxone readily available d.Assessment for suppressed cough reflex e.Low fat diet

a, b, c

The nurse is mentoring a newly graduated nurse on the pediatric unit. Which action by the new nurse requires further instruction when preparing an intramuscular injection for a 6-month-old? Select all that apply. a.The nurse prepares to administer 0.7 mL of solution using one injection b.The nurse prepares to use a 23-gauge needle for injection c.The nurse prepares to inject the medication into the ventrogluteal site d.The nurse prepares to administer the medication using a 5/8-inch needle e.The nurse determines the viscosity of the medication when choosing the needle size

a, c

Watching television, listening to music, guided imagery, & deep breathing

activities that can decrease pain and fear in adolescents.

An adjuvant classification of medications used with analgesics to control pain

any of the following: Steroids Antidepressants Sedatives Antianxiety meds Muscle relaxants Anticonvulsants Antiemetics

Erikson's stage of development for the toddler

autonomy vs. shame and doubt

A term neonate weighs 7.5 lbs. (3 kg) at birth. The parents ask the nurse how much the child should weigh when he is 1-year-old. What is the best response by the nurse? a. 16 lbs. (7.33 kg) b. 22 lbs. (10 kg) c. 28 lbs. (12.7 kg) d. 32 lbs. (14.5 kg)

b

An adolescent just had surgery and has a dressing on his abdomen. Which question should the nurse expect the patient to ask initially? a. "Did the surgery go OK?" b. "Will I have a big scar?" c. "What complications can I expect?" d. "When can I go back to school?"

b

The nurse is caring for a hospitalized 4-year-old who insists on having the nurse perform every assessment & intervention on her imaginary friend first. The child needs an IV started & the child refuses to allow the nurse to perform the procedure until the nurse performs it on her imaginary friend. The nurse identifies this preschooler's behavior as: a.Problematic because it interferes with needed nursing care. b.Normal for this child's stage of growth & development. c.Concerning since this child is old enough to have a basis in reality. d.Questionable & may indicate that the child has no real friends.

b

Which nursing interventions are important when caring for a hospitalized toddler? Select all that apply. a.Provide thorough explanation to the toddler prior to a procedure. b.Instruct parents that regression may occur. c.Encourage use of a security object from home. d.Allow client autonomy by offering select choices. e.Maintain the toddler's routine when able. f.Discourage parents' participation in client care.

b, c, d, e

Age when separation anxiety peaks in infancy

between 12-18

A 6-year-old child admitted to the hospital 2 days ago tells the nurse, "I'm too sick to feed myself." The nurse recognizes that this statement is most likely indicative of a. Immaturity b. Loneliness c. Regression d. Laziness

c

The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse that she wants her mother with her "like before." The most appropriate nursing action is to: a. Grant her request. b. Explain why this is not possible. c. Identify an appropriate substitute for her mother. d. Offer to provide support to her during the procedure.

d

Action nurse implements to decrease the child's fear of having the BP cuff placed on their arm

let the child play with the equipment

A cream that is applied to a potential IV site prior to insertion of the IV cannula

lidocaine & prilocaine

Name 1 factor that can modulate pain to feel more or less for a school-age child depending on the situation

quality and anticipated duration of pain

The nurse takes this action first when the infant's respiratory rate is assessed as 40.

reassess respiration

This is the temperature that eye drops and ear drops should be when administered

room temperature

How the nurse positions self to get on the physical level of toddler

sit or bend down

Muscle the nurse locates when administering an IM injection to a 6-month-old infant

vastus lateralis