Pediatrics:Ch 29
A pediatric nurse caring for an 8-year-old who is having pain would use which of the following scales to assess the child's pain?
FACES scale
The nurse is admitting a 14-year-old child for a tonsillectomy and is preparing the child for the procedure. Which communication is best?
"Are you wondering about anything related to your tonsillectomy?"
The nurse is caring for a 7-year-old child who will undergo an appendectomy. When teaching the child about the procedure, the child tells the nurse, "I'm scared I'm going to die." How should the nurse first respond?
"I understand you're scared."
A child's caregiver tells the nurse, "I plan to room-in with my child." Which action will the nurse take?
Ask if the caregiver would like to help the nurse with bathing the child and with the next dressing change.
When working on a pediatric unit, the nurse will perform which action(s) to minimize client fear and anxiety? Select all that apply.
Explain procedures to the child beforehand in age-appropriate terms. Include the child's family when providing education. Remain calm and empathe tic with caring for the child. Encourage the child to inform the nurse of fears. Allow the child to bring a security blanket from home.
Which intervention is most important in assuring a child's cooperation and reducing his or her fear during an emergency room visit?
having the parent stay with the child
The nurse is preparing to start an intravenous (IV) line on a stable pediatric client in the hospital. Which location is most appropriate for the nurse to use for this procedure?
the pediatric treatment room
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child how to take deep breaths. The best way that the nurse can accomplish this is by:
using a pinwheel.
A 10-year-old is scheduled for an appendectomy in 6 hours. The child is placed on NPO status and wants to know why he cannot have anything to eat or drink. What is the best explanation by the nurse?
"We cannot give you anything to eat or drink before your procedure because we do not want you to get an upset stomach."
Which approach by the nurse best demonstrates the correct way to prepare a Hispanic child for a planned hospital admission?
Allow the child to put on surgical attire and "operate" on a doll to teach what will be happening.
The caregiver of an 8-month-old child in the pediatric intensive care unit (PICU) states a strong desire to hold the child. The caregiver states, "I know I cannot hold my child due to the equipment and their condition, but I wish I could touch my child." Which action by the nurse is appropriate?
Encourage the caregiver to sit beside the child, caressing and stroking the child.
The LPN enters a 3-year-old client's room and states it is time to go to the treatment room for their daily intramuscular ceftriaxone injection. The parent responds, "It has been a long day. Can we just do it in here?" Which action by the nurse is appropriate?
Explain why it is necessary to take the client to the treatment room.
A child is admitted with a highly contagious infection. Which nursing action is a priority?
Place the child on appropriate precautions for the diagnosis.
The nurse is preparing a postsurgical care plan for an infant girl located on a general hospital unit that only occasionally admits children. To ensure the infant's safety, what should the nurse include in the plan?
Place the infant in a room close to the nurses' station.
A school-aged child needs to have an IV started. Where would be the best place for the nurse to perform this procedure?
in a treatment room
On the first postoperative day, a 4-year-old child who was hospitalized for an emergency appendectomy has begun to cry relentlessly, will not let the nurse touch him or her, and keeps asking for the parent. The pediatric nurse is aware that this client is in which stage of separation?
protest
The nurse caring for a 6-month-old infant can best reduce the stress of hospitalization by:
supporting the parent and his or her caregiving efforts.
A hospitalized 5-year-old child tells the nurse, "I am lonely and bored, and it's not fair I cannot see other people more." The child is on transmission-based precautions. Which action by the nurse is appropriate?
Arrange the daily care schedule to spend extra time in the child's room.
The nurse is caring for a preoperative pediatric client. What would it be best for the nurse to do with this client?
Determine how much the child knows and is capable of understanding.
The nurse is caring for a hospitalized adolescent. What intervention can the nurse use to promote a sense of control for the adolescent?
Give the adolescent a meal card to select food choice options for each meal.
A 2-year-old child is admitted to the hospital for dehydration. This is the first time the child has been in the hospital, and the caregiver has not arrived but is en route. The child is crying and appears afraid. Which intervention by the nurse is appropriate for this child?
Hold and rock the child until the caregiver arrives.
Visitors arrive at the nurse's station with latex balloons for a pediatric client. The visitors ask the nurse for a client's room location. Which action by the nurse is priority?
Inform the visitors latex balloons are not allowed on the unit.
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?
Keep the crib side rails up at all times.
The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which actions would help reduce her stress related to the procedure? Select all that apply.
Pretend to perform the procedure on her doll. Teach her the steps of the procedure. Introduce her to the health care personnel.
A preschool teacher calls the hospital and wants to introduce the concept of a hospital to her preschool class in case they ever get sick and need to be admitted. What resources could the child life specialist provide for this group to aid in their learning? Select all that apply.
Provide a room for the class with hospital gowns, masks and equipment used on children. Tour the hospital, including the playrooms on the pediatric floors. Tell the children that hospitals are places for sick people to come and sometimes they don't leave. Let the children lie in the beds, use the call lights and practice being a patient.
The nurse is caring for a 10-year-old child who is in a contact isolation room. Which intervention would be appropriate for this child?
Provide age-appropriate toys and games.
A 7-year-old child is upset because the family has to wear personal protective equipment (PPE) while in their room. When the family enters, the child cries and requests the PPE be removed. Which action by the nurse is appropriate?
Reinforce teaching to the child of why the PPE is required.
The pediatric nurse is caring for a group of children. Which clinical situation will the nurse identify as being a safety concern?
Sleepy mother holding her sleeping child at the child's bedside.
A 6-year-old with leukemia is placed on reverse isolation. What nursing actions could prevent depression and loneliness in this client? Select all that apply.
Spend extra time to talk while in the room. Read a story while in the room. Play a game while in the room.
The nurse is caring for a preschool aged child following abdominal surgery. Of the following nursing actions, which is the highest priority?
The nurse uses pain assessment tools.
Which client does the nurse understand would be the best candidate for patient-controlled analgesia (PCA)?
a 7-year-old who understands that when the button is pushed he will get medication to help relieve pain
The pediatric nurse would use standard precautions in caring for which client on her floor?
an adolescent who has a broken arm
An adolescent reporting leg pain and has received the maximum amount of analgesics allowed on the patient-controlled analgesia (PCA) pump. What other intervention(s) can the nurse initiate for this adolescent? Select all that apply.
provide massage to the adolesent play a video game with the adolescent reposition the adolescent from one side to another play the adolescent's favorite music
A 5-year-old scheduled for surgery in the morning wakes at 2 am and asks the nurse for something to eat and drink. What should the nurse tell this client?
that not having food or drink before surgery will prevent an upset stomach
In caring for pediatric clients, which statement best describes when the will nurse follow standard precautions to provide care for a client?
when providing care to any client
A 6-year-old child diagnosed with pneumonia is admitted to the hospital for treatment. The child states to the nurse, "I think I am here because I am going to die. This is where my grandmother and uncle both died." Which response by the nurse is most appropriate?
"People come here for many reasons. We will give you the best care we can."
A 6-year-old child will be hospitalized for a surgical procedure. How can the nurse best ease the stress of hospitalization for this child?
Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital.
A hospitalized child is placed in droplet isolation. What intervention(s) will the nurse teach the parents and family to follow? Select all that apply.
how to put on and dispose of a gown good handwashing technique how to properly wear a mask
A nurse is admitting a 7-year-old child to the pediatric unit of the hospital. While the nurse is showing the child and parents the room and explaining where things are, the child becomes upset and frightened. What is the best action by the nurse?
Go slowly with the acquaintance process.
Health care providers follow transmission-based precautions when caring for children with documented pathogens or children suspected of having highly transmissible pathogens. Which of the following are included in transmission-based precautions?
airborne precautions droplet precautions contact precautions
The nurse is caring for a hospitalized toddler who is prescribed bedrest. Which item(s) would the nurse recognize as appropriate for the toddler? Select all that apply.
boxes to put toys in and/or take out toys stacking blocks or small boxes nursery rhymes or sing-along songs on tape
