Preschooler

How should a nurse prepare a suspension before administration?

by shaking it so that all the drug particles are dispersed uniformly

A preschooler goes into cardiac arrest. When performing cardiopulmonary resuscitation (CPR) on a child, how should the nurse deliver chest compressions?

with the heel of one hand

A mother who is visibly upset tells the nurse she wants to take her child home because the child is dying. What would be the nurse's best response?

"Can you tell me why you want to take your child home now?"

After teaching the parents about the cause of ringworm of the scalp (tinea capitis), which statement by a parent indicates successful teaching?

"It's a fungal infection of the scalp."

A community nurse is assessing a young child who has had a colostomy stoma for several years. The nurse notices that the stoma is dark pink and moist. What is the best response to the child's parents about the appearance of the stoma?

"The stoma looks healthy; continue your present care."

At a well-child check, the parents of a 4-year-old child tell the nurse that they understand what their child says but others have difficulty. What is the nurse's best response?

"Your child may benefit from a referral to a speech pathologist for an evaluation."

A child is being seen in the emergency department for reports of severe sore throat, trouble swallowing, and fever. The child has swollen cervical lymph nodes and a fiery red pharynx on examination. Which assessment findings below should be reported immediately to the healthcare provider?

drooling and not swallowing

A nurse is preparing a 4-year-old child for surgery. Which is the best nursing intervention?

Allowing the child to wear underwear if desired.

A child is admitted to the emergency department with an acute asthma attack. Which early assessment finding does the nurse expect?

expiratory wheezing

When developing a plan of care that includes interventions aimed at preventing complications of a low platelet count in a child with leukemia, which intervention is most appropriate?

Consult with a primary care provider about the use of a stool softener.

The nurse meets with the family of a 3-year-old child who is seriously ill. What is the most important role of the nurse as collaborator?

Coordinates the multidisciplinary services and provides information about them.

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?

gentle pressure

A child is in the emergency department with suspected epiglottitis and has been ordered an X-ray to confirm the diagnosis. The nurse would prepare the child for X-ray by which methods?

in the emergency department, by portable X-ray

The nurse is caring for a very anxious child whose pain has not been manageable. The parents stay in the child's room, crying and yelling at each other. Grandparents and other family members are also constantly in attendance. To effectively help the child with pain management, which action should be a priority for the nurse?

Develop a visitation schedule with the family that allows the child to rest.

A nurse is caring for a preschool-age client with a neuroblastoma who has been receiving chemotherapy for the last 4 weeks. His laboratory test results indicate a Hgb of 12.5 g/dL (125 g/L), HCT of 36.8% (0.37), WBC of 2000 mm3 (2 X 109/L), and platelet count of 150,000/μL (150 X 109/L). Based on the child's values, what is the highest priority nursing intervention?

Encourage meticulous handwashing by the client and visitors.

A mother of a friendly 4-year-old child expresses concern to the nurse about stranger abduction. What is the best response by the nurse?

Encourage the mother to talk with the child about what to do if a stranger approaches.

How does the nurse describe the movements of a child with spastic cerebral palsy?

increased muscle tone and stretch reflexes

A child is being discharged after being diagnosed with an asthma attack. What information regarding the rescue inhaler is most important for the nurse to include in discharge teaching?

Monitor heart rate.

A mother of a 5-year-old child who was admitted to the hospital has a Protection from Abuse order for the child against his father. A copy of the order is kept on the pediatric medical surgical unit where the child is being treated. The order prohibits the father from having any contact with the child. One night, the father approaches the nurse at the nurses' station, politely but insistently demanding to see his child, and refusing to leave until he does so. What should the nurse do first?

Notify hospital security or the local authorities. SUBMIT ANSWER

The child in a new hip spica cast seems to be adjusting to the cast, except that after each meal the child tells the nurse that the cast is too tight. What should the nurse plan to do?

Offer smaller, more frequent meals.

A preschool child immobilized in a hip spica cast has trouble breathing after meals. Which action would be best?

Offer the child small feedings several times a day.

A 4-year-old child is having a sickle cell crisis. The initial nursing intervention should be to

provide oral and I.V. fluids. SUBMIT ANSWER

Parents of a preschooler with chickenpox ask the nurse about measures to make their child comfortable. The nurse instructs the parents to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?

Reye's syndrome

A child, age 5, is brought to the pediatrician's office for a routine visit. When inspecting the child's mouth, the nurse expects to find how many teeth?

Up to 20

Parents of a 4-year-old child with acute leukemia ask a nurse to explain the concept of complementary therapy. The nurse should tell the parents that

complementary therapy is an alternative to conventional medical therapies.

A nurse is caring for a child who was involved in a bus accident on the way home from preschool. Several people were killed in the accident. When talking with the child's parents about normal reactions to a traumatic event, the nurse should tell them that

it is normal for the child to want to sleep with them at night.

A parent tells the nurse that the parent's preschool-aged child with spina bifida sneezes and gets a rash when playing with brightly colored balloons, and that recently the child had an allergic reaction after eating kiwi fruit and bananas. Based on the parent's report, the nurse suspects that the child may have an allergy to

latex.

A preschool-age child refuses to take ordered medication. Which nursing strategy is mostappropriate?

showing trust in the child's ability to cooperate even with an unpleasant procedure

A pediatric nurse is caring for a child suspected of having been sexually abused. Which finding would best support the nurse's suspicions?

swelling of the genitals

Before performing an otoscopic examination on a child, where should the nurse palpate for tenderness?

tragus, mastoid process, and helix

A school-age child with burns on the trunk and arms has no appetite. The nurse and the parent develop a plan of care to stimulate the child's appetite. Which suggestion made by the parent would indicate the need for additional teaching?

withholding dessert and treats unless meals are eaten

A child with leukemia has just completed a course of methotrexate therapy. How soon should the nurse expect to see signs of bone marrow depression in this client?

within 2 weeks

A nurse is finishing a shift on the pediatric unit. Because the shift is ending, which intervention takes priority?

documenting the care provided during the shift

A nurse is deciding whether to report a suspected case of child abuse. Which criterion is the most important for the nurse to consider?

incompatibility between the child's history and the injury

The nurse is instructing a 4-year-old child about an upcoming procedure. What approach should the nurse employ during teaching?

Use simple terms.

A nurse on the pediatric unit is caring for a group of preschool children. Which situation takes priority?

a child who develops a fever during a blood transfusion

A young child is returning to the pediatric unit after having surgery to form a colostomy. When assessing the stoma, the nurse becomes most concerned when what is observed?

a dark maroon stoma

A client with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the client's history, the nurse considers which information to be most important?

a recent episode of pharyngitis

A healthcare provider diagnoses leukemia in a 4-year-old child who complains of being tired and sleeps most of the day. Which nursing diagnosis should the nurse use to best reflect this physiologic effect of leukemia?

activity intolerance related to lack of normal blood cell production

A preschooler with a fractured femur of the left leg in traction tells the nurse that his leg hurts. It is too early for pain medication. The nurse should:

assess the feet for signs of neurovascular impairment.

Which is the priority intervention for a preschool child with epiglottiditis and a deteriorating respiratory status?

assisting with intubation

A 4-year-old child continues to come to the nurses' station after being told children are not allowed there. What behavior is the child exhibiting?

attention seeking

A nurse is performing a respiratory assessment on a 5-year-old child diagnosed with pneumonia. Which assessment finding should be reported to the health care provider immediately?

moderate intercostal retractions

A parent tells the nurse that their 6-year-old child has severe nosebleeds. To manage the nosebleed, the nurse should tell the parent to:

place the child in a sitting position with the neck bent forward and apply firm pressure on the nasal septum. SUBMIT ANSWER

A child with sickle cell anemia is admitted to the healthcare facility in vaso-occlusive crisis after developing a fever and joint pain. What is the nurse's highest priority when caring for this child?

providing fluids

A nurse is caring for a 4-year-old child on complete bed rest. What would be a priority nursing diagnosis when caring for this child?

diversionary activity deficit related to lack of appropriate toys and peers

The nurse is assessing a 5-year-old client and wants to gain the client's cooperation. Which actions are appropriate for the nurse?

Save the more intimidating or intrusive parts of the assessment, such as eyes, ears, and genitalia, until the end of the assessment.

The nurse is calculating drug dosages for a child. What is the most important measurement for the nurse to consider?

weight in kilograms

After the nurse has taught the parents of a 5-year-old boy who has leukemia how to talk with their child about death and dying, which statement would indicate that the parents have age-appropriate expectations about their child's reaction to his impending death?

"He might think he's caused his death because he's misbehaved."