NURS 3430 Lifespan - Final

The nurse is caring for a 5-year-old girl newly diagnosed with a seizure disorder. She observes that the child has separation anxiety when her parents leave the room. What are essential aspects of separation anxiety specific to this stage of development?

"Young children can react 'negatively' to their parents during hospitalization; they may cling to you to ensure your continued presence" - Indicated "Your child may need and desire parental guidance and support from other adult figures as she returns to school" - Non-essential "Separation anxiety may be seen in your child by refusing to eat, having trouble sleeping, crying quietly, for you when gone, or withdrawing from others" - Indicated "Loss of peer group contact may pose a severe emotional threat because of loss of group status and loss of group acceptance" - Contraindicated "Separation anxiety comes in stages: denial, despair, and detachment" - Contraindicated

It is time to give a 3-year-old medication. What approach is most likely to receive a positive response from the child?

"it's time for your medication now. would you like water or apple juice afterward?"

Match the following activities to the appropriate age that they typically occur

-Able to sit if propped up: 4 months -Stand alone: 12 months -Throws ball without falling: 18 months -Walks independently: 15 months -Catches ball: 4 years -Jumps with both feet: 30 months -Ride tricycle: 3 years -Rolls from back to abdomen: 6 months -Spread butter or jam on bread: 6 years

The nurse and child-life specialist are coordinating education for a teenager regarding an upcoming procedure. Which of the following are a priority for this aged population?

-Discuss how procedure may affect appearance -Encourage questions about fears -Involve in decision-making -Discuss coping strategies

A nurse is preparing a five-year-old child for a tonsillectomy. Which of the following statements are appropriate when discussing the procedure?

-You will get medicine to help with your owies. -You won't have as many sore throats. -You might have a scratchy throat.

Complete the following statement with information from Majidi et al., 2021 study on Type 1 Diabetes management Non-Hispanic Blacks were (1) times more likely to have at least one DKA episode in the previous 12 months when compared with non-Hispanic Whites. They were also 2.5 times more likely than Non-Hispanic Whites to have at least (2) severe hypoglycemic event in the previous 12 months.

1. 2.5 2. 2

The nurse is performing a Glasgow Coma Scale on a school-age child with a head injury. The child opens eyes spontaneously, obeys commands, and is oriented to person, time, and place. Which is the score the nurse would record?

15

The video "How does implicit bias affect health care" describes challenges of implicit bias in healthcare. How much money does biased healthcare cost the health systems each year?

310 Billion

A hemoglobin A1c level of less than what is a goal for adolescents with type 1

7.5

At which age do most children have an adult concept of death as being inevitable, universal, and irreversible?

9-10

The dissertation "The negative effects of instability on children" relates several challenges regarding instability on childhood development. Based on the conclusion, which of the following childhood outcomes is related to instability?

Academic achievement.

A nurse is interacting with a school-age child in the hospital setting. Which of the following interventions is best for encouraging idependence?

Allow for choices in care and routines (like eating times and foods).

A nurse in the emergency department is assessing a 5 year old child with symptoms of pneumonia and a fever of 102 F. Which intervention can the nurse implement to promote a sense of control for the child?

Allow the child to hold the digital thermometer while taking the child's blood pressure.

The nurse is caring for a school age child who has had a cardiac catheterization, and upon assessment of the leg finds the bandage and bed soaked with blood. Which is the priority nursing action?

Apply direct pressure above catheterization site

The parents of a 2-year-old child state that they feel guilty that they have to go home because they have other children. What is the best response?

Are there any familiar objects you can leave here that remind the child of you?

Which defect results in increased pulmonary blood flow

Atrial septal defect

Which defect results in increased pulmonary blood flow?

Atrial septal defect

According to Givler et al. (2022), South African culture might have the following reaction to death:

Avoid discussing death because it might make it happen.

You notice a 12 month old surrounded by toys. Which of the following would put the child at the highest risk for choking?

Bean bag

Pediatric patients require unique levels of advocacy because of many health vulnerabilities. According to the class PowerPoint for module 6, which of the following reflects some cognitive concerns that enhance the vulnerabilities?

Challenges identifying symptoms or illnesses

Pediatric patients require unique levels of advocacy because of many health vulnerabilities. According to the class PowerPoint for module 6, which of the following reflects some cognitive concerns that enhance the vulnerabilities?

Challenges identifying symptoms or illnesses.

A nurse is caring for a child who is near death. Which physical signs indicate the child is approaching death? (Select all that apply.)

Change in respiratory pattern Tactile sensation decreasing Difficulty swallowing

Which of the following is considered a risk factor for asthma development according to Ferrante and La Grutta?

City living, decreased microbial exposure, genetic, allergies

Which of the following coping behaviors indicate adaptive coping for a parent with a child with chronic illness? (Select all that apply)

Discusses challenges presented by the diagnosis and shares information with others. Makes realistic plans for the child's future. Ask appropriate questions regarding diagnosis and treatment plans.

The nurse is preparing education for a newborn child with spina bifida. The nurse is trying to determine what community resources are available to help support the needs of the family and child. Match the following education questions as indicated, contraindicated or non-essential.

Do you even have the support needs to manage care of such a complex child? Contraindicated Do you have transportation to get to your child's appointments? Indicated Do you have access to physical therapists in your community to help with development? Indicated Do you know that many neighborhoods are not wheelchair accessible? Non-Essential Do you know how complicated your life will be with this child? Contraindicated

A six-year-old has recently been diagnosed with tonic-clonic seizures requiring continued medications at home. The nurse is tasked with providing education to improve the child's safety at school. Sort the proposed education as indicated, contraindicated, or non-essential.

Educate family regarding the use of protective equipment while riding a bike. - Indicated Educate family on intervention to keep the child safe during a seizure (side-lying, padding area) - Indicated Seizures used to be considered part of mental health challenges. - Non-essential Educate families about characteristics of seizures and what to expect. - Indicated Educate the family on the importance of placing something in the mouth during seizures to prevent choking. - Contraindicated It is important to test the rest of your family to see if they have caught seizures - Contraindicated

The mother of a three-year old approaches the nurses related to her child's IV. Since the IV is in the hand, the other is concerned that the child is distraught by it and asks for the nurses to cover the IV. Which of the following is the most appropriate action?

Educate the mom regarding the importance of assessing sites to avoid complications.

Which intervention will encourage a sense of autonomy in a toddler with disabilities?

Encourage independence in as many areas as possible

Which is the priority nursing intervention for an unconscious child after a fall?

Establish adequate airway.

A nurse is conducting reflex testing on infants at a well-child clinic. Which reflex finding would be reported as abnormal and considered as a possible sign of cerebral palsy?

Extensor reflex at 7 months of age

The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. Which would the nurse explain about exercise in type 1 diabetes?

Extra snacks are needed before exercise.

The nurse has documented that a child's level of consciousness is in a persistent vegetative state (PVS). Which describes this level of consciousness?

Eyes follow objects only by reflex.

According to Castillo & Kitsos, Pediatric care is primarily patient-specific, which creates challenges when transitioning to adult care.

False

According to Shi et al. (2022), children in households experiencing food insecurity are less likely to miss appointments.

False

Healthcare providers are legally obligated to assent minor children for treatment and care?

False

The video "Why education matters to health: exploring the causes" (module 6 PowerPoint) states that health outcomes are more affected by access to healthcare than education.

False

Vagus nerve stimulation has high success in stopping seizures

False

Children should not be assessed for pressure ulcers because they are uncommon. Assessment can be detrimental to the child's trust in the healthcare provdier.

False.

Standard precautions for infection control include:

Gloves are worn to change diapers when there are loose or explosive stools.

The initial response from a parent when learning of a chronic or complex health condition is shock, followed by which response?

Guilt and self-accusation

Which of the following are ways to decrease distress from surgery?

Honest answers Education for procedure Allow family visitations Pain control Offering choices

A nurse assess a 7-year-old child's skin for pressure ulcers and skin breakdown. Which of the following devices and locations should be evaluated for pressure ulcers?

IV sites under pulse oximeter hair tracheostomy tube holder heels skin under CPAP mask

The parents of a child with cerebral palsy ask the nurse whether any drugs can decrease their child's spasticity. The nurse's response would be based on which statement?

Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity.

Which of the following symptoms is typically associated with Type 1 diabetes diagnosis?

Increased thirst Weight loss Increased urine output Headache Bedwetting

Which of the following statements is true regarding type 1 diabetes healthcare inequities according to Majidi

Inequities exist in glycemic control when comparing white with non-hispanic black patients

The clinic nurse overhears school-age siblings tell their 6-year-old sister, who is chronically ill, "It isn't fair that you get everything just because you are sick." Which is the nurse's best assessment of this situation?

Jealousy is a common reaction to the illness or hospitalization of a sibling.

A child is designated a falls risk. Which of the following safety regulations should be in place to reduce the risk of falls?

Keep the bed in the lowest position with side rails up

Which of the following are stages of hospitalization based on the article of McBride Henry?

Learning how to exist with repeated hospitalizations Recognizes how illness progress in their child Understanding the requirements of hospitalizations Inability to recognize the illness trajectory

Four year old Brian appears to be upset by hospitalization. Which is an appropriate intervention?

Let him know it is all right to cry.

A 17 year old who identifies as gay expresses concern to you about how his family will react when he tells them about his sexual orientation. Which is the nurse's best response?

Let's discuss a safety plan before you tell your family.

Which nursing intervention would the nurse include to help the siblings of a child with special needs cope?

Listen to their feelings and suggestions regarding their sibling

What is considered a way to address bias and racism in clinical care?

Look for examples of implicit bias or racism in your practice Listening to the voices of black, indigenous, and people of color (BIPOC) voices when addressing bias. Understand how your judgement and interactions may be affected by bias. Recognize that implicit bias affects healthcare decisions.

Which of the following reasons are presented by Luken et al. (2021) identified the following information regarding child abuse reporting in the United States?

Most cases of child maltreatment reflect societal failures through structural and economic inequity.

A nurse is trying to understand what factors increase the likelihood of sexual abuse in her clients. Which factors increase the likelihood a child will experience sexual abuse? (Select all that apply).

Mothers employment outside the home Single mom who lives with her boyfriend Parents who fight constantly

Match the following information for needle length and injection site for vaccinations

Newborn: 5/8 inch needle, vastus lateralis Child/adolescent: 1 to 1/2 inch needle, deltoid Uncategorized: 1/2 inch needle, dorsogluteal, ventrogluteal

Which would the nurse teach about the prevention of sickle cell crises to parents of a preschool child with sickle cell disease? (Select all that apply).

Notify health care provider if a fever of 38.5 or greater occurs. Give penicillin as prescribed Signs and symptoms of respiratory problems

A nurse educates parents of a young child regarding fever treatment and interventions at home. Which of the following statements are appropriate for this education?

Notify the healthcare provider if the temp exceeds 40 C.

Which insulin preparations are rapid and short-acting? (Select all that apply.)

NovoLog Novolin R

Which of the following are helpful ways for children to feel more control in the hospital?

Offer realistic choices like which medication to take first when multiple medications are due. Discuss home routines with parents and how some of them can be maintained in the hospital. Set a schedule so the child knows what to expect throughout the day.

The feeling of guilt that the child "caused" the disability or illness is especially critical in which child?

Preschooler

The nurse and child life specialist are coordinating education for school age child regarding an upcoming procedure. Which of the following are a priority for this aged population?

Provide child opportunities to participate with care. Use photographs and diagrams. Allow child to play with equipment. Plan in advance of procedure to allow child time to understand.

Joel is an eight year old patient recently diagnosed with heart failure. Heart failure requires admission to the hospital until heart transplantation can occur. The family is concerned about joel's time away from his siblings. Which of the following interventions is appropriate regarding the parent's concern?

Provide siblings with time to visit and understand Joel's treatment.

Which best describes why toddlers have fewer respiratory tract infections as they grow older?

Repeated exposure to organisms causes increased immunity.

A nurse is trying to improve the recovery of children in her care. Which interventions support decreasing separation anxiety?

Routines that mimic the home routine Encourage the family to bring in pictures and items from home. Encouraging family visitors, including siblings.

Serotonin syndrome is considered a life-threatening side effect of which medication?

SSRI

Which of the following are clinical manifestations of SCD?

Severe abdominal pain Chronic leg ulcers Painful swelling of hands and feet Visual disturbances

Please sort the following into stressful/non-stressful elements of hospitalization in the intensive care unit

Sleep deprivation - stressful Structure routines - non-stressful Discussion about procedures before completed - non-stressful Pain controlled - non stressful participation in rounds - non stressful Constant light exposure - stressful open and complete updates on medical treatment - non stressful limiting medical information to prevent worry - stressful alarms - stressful Comparison to other patient's conditions - stressful

You are going to give an IV medication to a 10-year-old patient. The child asks if the medication will hurt, and you know that patients have said it burns when it is infused. What is the best thing to say to the patient prior to administering it?

Some kids say the medicine feels warm. After it goes in, tell me what it feels like to you.

CF is suspected in a toddler. Which test aids in establishing this diagnosis?

Sweat chloride test

What actions are appropriate precautions for an adolescent diagnosed with seizures? (Select all that apply)·

Swimming with a companion Wearing a safety bracelet Educate reagrding medication adherence Talk to school teachers about the care of children with seizures.

The nurse is working with children who have parents who are in the military. Which of the following interventions is most appropriate for this population?

Talk to the family about resources available in the community

A seven-year-old child hospitalized for pneumonia currently has a temp of 40 C. The mother of the child wants to place the child in a tepid bath to help the fever come down. Which of the following is the most appropriate response?

Tepid baths are ineffective for fevers because they increase the child's discomfort without lowering the temp.

A nurse is prepping to start an IV for a six year old undergoing surgery. Which of the following statements is most appropriate to explain the procedure to a child.

The IV start will feel like a pinch.

A previously healthy 6-year-old is admitted to the hospital for a ruptured appendix. The parents express concern because when they come back to the hospital each morning their previously potty-trained child has wet the bed. What is the most likely explanation?

The child has regressed due to the stressful situation.

Which of the following indicates that a child no longer requires a booster sea while traveling in the car?

The child is eight years old The midpoint of the head is higher than the top of the seatback The child can sit in the seat with their back against it and knees bent at the knee.

A school-age child is demonstrating the use of an Aero Chamber during albuterol administration. Which of the following statements indicates the most appropriate use?

The child takes at least six breaths with medication in Aero Chamber before giving additional doses.

According to the video "Diagnosis: Parenting a child with a disability," one of Jack's mother's chief problems during his schooling was __________?

The focus is on diagnoses versus assessment.

The nurse is talking with the parents of a child who died 6 months ago. They sometimes still "hear" the child's voice and have trouble sleeping. How would the nurse interpret these feelings?

These are normal grief responses.

According to Luken et al. (2021), Native North American communities have experienced extreme oppression and economic disadvantages.

True

Adolescents with chronic disease risked delays in psychosocial development

True

Children who suffer from seizures are prone to increased seizures with illness (especially fevers)

True

Hospitalizations can improve the pediatric patient's interpersonal skills.

True

School-age children can show depression through decreasing academic performance.

True

Structural racism is evident in funding strategies for pediatric chronic illness.

True

The leading cause of death after a pediatric heart transplant is stroke.

True

When the parents of adolescents leave, the nurse should assess for separation anxiety.

True

The nurse is preparing education for a newborn child with sickle cell disease. Match the following education statements as indicated, contraindicated and non-essential.

You will need to be especially mindful of the symptoms of infection and report to your child's doctor early. - Indicated Antibiotics should be avoided to prevent superinfections. - Contraindicated Oxygen administration should be a priority if your child is in a sickle cell crisis. - Contraindicated It is essential to ensure that the child gets enough fluid intake to prevent dehydration. - Indicated I believe this disease is most common in Black patients, but you are Hispanic. - non-essential

A 15 year old male with history of asthma is in the emergency department for immediate treatment. The physician has examined the patient and written orders. Which nursing interventions are the highest priority for this adolescent with an asthma exacerbation? Sort into emergent and non-emergent interventions.

-Ask the parents if they use feather pillow - Non-emergent -Administer humidified oxygen to keep the oxygen saturation above 90% - Emergent -Administer IV mag - Emergent -Encourage oral intake - Non-emergent -Organize discharge education - Non-emergent -Allergy testing to determine trigger - Non-emergent -Relieve bronchospasm with short acting B2 agonists - Emergent - Provide IV corticosteroids - Emergent

A nurse prepares to educate a newly diagnosed asthmatic regarding potential asthma triggers. Match the following education statements as indicated, contraindicated and non-essential.

-Exposure to smoking intermittently can decrease sensitivity to smoking - Contraindicated -Short-acting meds, like albuterol, are important to help treat asthma attacks - Indicated -It is important to keep a journal or log of times that asthma symptoms are flared - Indicated -Children with asthma should always be friends in school - non-essential - Exercise should not be added to daily activities to avoid falre-ups - contraindicated -Routine use of long-term control meds decreased asthma flare-ups - Indicated

Match the following cardiac defects as the primary challenge encountered with the defect. (increased pulmonary blood flow, obstruction of blood flow, decreased pulmonary blood flow, mixed blood flow)

-Tetralogy of Fallot - Decreased -Transposition of the Great arteries - mixed -Atrial septal defect - Increased -Coarctation of the aorta - Obstruction -Aortic stenosis - obstruction -Truncus arteriosus - mixed -Atrioventricular canal defect - increased

According to the GWSPH researchers, nitrogen dioxide pollution is responsible for approximately 1. % of new asthma cases in cities. A key way to reduce air pollution is to 2.

1. 50 2. Decrease burn of fossil fuels

How many adolescents experience challenges with chronic disease management when transitioning from pediatric to adult care

50%

According to the article "sickle cell disease patients often mistreated: what nurses can do" how much longer do patients with CSD wait for pain meds compared to patients in less severe pain?

60%

Which hospitalized children should have their intake and output (I&O) recorded as part of the care plan?

8 year old admitted with dehydration 14 year old postoperative for laparoscopic appendectomy with IV access but not receiving any fluids at the time. 16 year old admitted for treatment of diabetes mellitus 3 year old receiving parenteral therapy along with antibiotics

A 6-month-old infant with heart failure is scheduled to receive digoxin (Lanoxin). The nurse would notify the healthcare provider and withhold the medication if the apical pulse is less than _______ beats/min.

90-110

A child requires placement in isolation related to infection with COVID-19. Which of the following statements is appropriate interventions or education?

COVID-19 has made you very sick, and you can't help that. Allow the child to play with PPE to become comfortable with staff wearing it.

A teenage child admits to alcohol use with friends to a pediatric nurse. The parents ask the nurse to talk to the child regarding the consequences of alcohol use in adolescence. Match the following educational information as indicated, contraindicated or non-essential.

Can you tell me more about your drinking? i. Indicated It is best to get alcohol from your friends and family. i. Contraindicated Can you tell me more about when you are most likely to use alcohol? i. Indicated It is completely ok to drink socially during high school. i. Contraindicated Do you know about the health consequences of alcohol use? i. indicated Alcohol can be used to clean wounds. i. Non-essential

You go in to check a blood glucose on a 3 year old patient who was just diagnosed with type 1 DM. Once you have the blood sample you need, you apply pressure, and the bleeding stops. The child asks for a band aid. What is your best reponse?

Okay. Do you want a red on or a yellow one?

Which clinical manifestation would the nurse expect when a child with sickle cell anemia experiences an acute vasoocclusive crisis?

Painful swelling of hands and feet

What are some of the challenges identified by Discenza indicating that racism exists in the NICU?

Parents noted biased statements of nursing staff towards other families. Healthcare team members did not include families in decisions regarding the care of their child. Parents felt that important information was not provided regarding their childs health Healthcare teams only told African American families treatment options instead of discussing options.

Shi et al. (2020) interviewed guardians of children regarding missed medical appointments. According to the results, which of the following situations does the child have the best chance of attending a well-child visit?

Parents who have flexible work hours and paid time off.

A five-year-old child is admitted to the hospital newly diagnosed with heart failure related to an undiagnosed coarctation of the aorta. Which of the following statements best represents heart failure in children?

Pediatric heart failure rarely exhibits signs of just right or left-sided heart failure.

A school age child is being admitted to the hospital related to Diabetic Ketoacidosis. Please rank the following actions in priority for treatment of DKA.

Place IV IV rehydration Insulin administration

A nurse is caring postoperatively for an 8 year old child with multiple fractures and other trauma resulting from a motor vehicle injury. The child is experiencing severe pain. Which is an essential consideration in managing the child's pain?

Plan a preventative schedule of pain medication around the clock

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with cardiomyopathy. Which signs and symptoms would the nurse include?

Poor feeding Tachypnea Rapid weight gain

Which defect results in increased pulmonary blood flow?

Prioritize diuresis to decrease edema and volume overload Use medication to enhance heart function (like enalapril and digoxin)

Sarah is sixteen-years-old. She is visiting planned parenthood to discuss birth control options. Which of the following statements is true regarding her visit?

Sarah can obtain information regarding birth control.

Sarah is a 6 month old infant hospitalized for chronic urinary tract infections. Whenever sarah's mom enters the room, Sarah begins to cry loudly and demonstrates increased stranger anxiety. Which of the following statements best represents Sarah's behvior?

Sarah's behavior is normal and parenteral education should involve information regarding separation anxiety.

Sarah is a four-year-old being admitted for a tonsillectomy. The parents are discussing the morning and overhear the family mention the child ate scrambled eggs this morning when waking up. Which information is most important to determine if the child has fasted long enough before surgery?

Scrambled eggs require a minimum of six hours of fasting before surgery.

The parents of a 6-year-old hospitalized child for a tonsillectomy. Which of the following statements are appropriate when discussing the procedure?

The parents could be experiencing stress and need time to cope.

A nurse caring for a toddler who has been continuously screaming since the parents left the bedside. After about an hour, the toddler stops crying. When the nurse assess the child, the child allows the assessment without protest, not responding to nursing questions. Which of the following best represents a toddler's behavior?

The toddler is exhibiting symptoms of despair.

A child with DM presents to the clinic with a sore throat, cough, low grade fever, and a blood glucose level of 245 mg/dl. The nurse instructs the parent to do which of the following during the illness?

Urine testing for ketones every three hours.

To determine if a child's toy does not present a choking hazard while in the hospital, what process would the nurse utilize?

Use a toilet paper roll to indicate whether the toy will pass the choke test.

Two nurses are repositioning a patient who is bedbound after spinal surgery. Which of the following interventions decreases the patient's chance of a pressure ulcer?

Use gel pads under pressure points.

Children taking phenobarbital (phenobarbital sodium) or phenytoin (Dilantin) may experience a deficiency of:

Vitamin D and folic acid.

A 2 month old infant with unrepaired tetralogy of fallot presents to the hospital with the following assessment: HR 190, RR 75, Sat 85%, subcostal retractions, sweating on the forehead while eating, increased appetite, pedal pulses 1+, generalized edema - specifically in the eyes. The mom reports that the infant can't tolerate wearing clothes because of sweating while eating. The cardiologist wants the family to keep the oxygen level in the 80s at home. Sort the above assessment finding into symptom/ not a symptom of HF.

-HR 190 - Symptom -Sat 85% - Not a symptom -RR 75 - Symptom -Pedal pulse 1+ - Symptom -Sweating on forehead while eating - Symptom -Generalized edema, specifically in eyes - Symptom -Subcostal retractions - Symptom -Increase appetite - Not a symptom

According to the video "living with sickle cell disease", approximately one out of every 1 black americans experience sickle cell disease 2 begins in childhood and can affect development significantly.

1. 365 2. Neurocognitive impairment

Which of the following is considered a manifestation of separation anxiety in infants and toddlers?

Searches for parents with eyes - infant Attempts to keep parent at bedside - toddlers Screams "go away" at strangers - toddlers Avoids contact with strangers - infant Attempts to escape to find parent - toddlers Clings to parents - infant Kicks or bites strangers - toddlers Screams - Infant

Match the following play activities that support (or do not support) growth and development in children.

Select several toys the child plays with at home - supporting Isolated children should be limited to play - not supporting Limit toy activities to age-appropriate activities - not supporting Distracts child from medical procedures - supporting Allow nurses to spend time playing with child separate from procedures - supporting Only allow for positive talk regarding illness - not supporting Providing activities that can be adjusted based on illness level - supporting Provide all new toys for the child to play - not supporting

Match the following items with the appropriate fasting period prior to a procedure requiring sedation to prevent pulmonary aspirations

Similac - 6 hours Grape juice - 2 hours Goat's milk - 6 hours Black coffee - 2 hours Breast milk - 4 hours Macaroni and cheese - 6 hours

A nurse is providing a family education regarding pancreatic enzyme administration for a patient with cystic fibrosis. Please indicate which education is indicated, contraindicated, and non-essential.

The enteric-coated beads should be crushed in infants to improve efficacy. - Contraindicated Monitor childs stool output to help determine correct dosing of enzymes with healthcare provider. - Indicated Pancreatic enzymes should be administered within 30 minutes of the meal. - Indicated Pancreatic enzymes are benign and there are no limitations on dosing. - Contraindicated Cystic fibrosis patients are the best! - Non-essential

A 15 year old has patient controlled analgesia (PCA) pump after spinal surgery. The mother states she is setting alarms so she can wake up and push the button to deliver pain med boluses throughout the night so her child can sleep comfortably. Which of the following are indicated, contraindicated, and non-essential.

You need to trust us to know how to take care of your child and not try to perform medical tasks yourself - contraindicated The hospital beds are pretty uncomfortable and make good sleep difficult - non-essential When you child is the one to decide when to push the button, we can better evaluate how well the pain is being controlled - Indicated Pushing the button while your child sleeps could cause too much sleepiness and not enough drive to breath deeply - indicated Sleep is very important to healing so that's a good plan to help your child - Contraindicated Sleep is important for both you and your child. I will push the button when I come in to do vital signs if it looks like your child is in pain - Contraindicated