Chapter 29 prep U EXAM 5 The nurse is working with a group of caregivers of children in a community setting. The topic of hospitalization and the effects of hospitalization on the child are being discussed. Which statement made by the caregivers supports
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 assigned to care for a 7-year-old child following hernia repair. When will the nurse begin to plan for the client's discharge?
: immediately upon the client's admission to the unit
A 5-year-old child is scheduled for hospitalization in 2 weeks. Which is the best intervention to help ease the potential stress of hospitalization in this child?
Encourage the family and client to participate in a program to prepare for the hospitalization.
The nurse is caring for a 4-year-old child who has been hospitalized for more than 1 week with severe burns. Which intervention would be appropriate in caring for the child?
Explain necessary procedures in simple language the child will understand.
The nurse is caring for a child who has been hospitalized for 6 days and whose caregivers are unable to stay with the child. The child cried most of the day for the first 3 days but now is quiet and withdrawn. This behavior in the child is an example of which stage of separation?
despair
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
A 12-year-old child is being discharged from the hospital. The nurse provide discharge instructions to:
the child and the parent.
The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV on a stuffed bear. This is an example of:
therapeutic play.
After teaching a group of students about therapeutic play, the instructor determines that additional teaching is needed when the students identify what as a characteristic of therapeutic play?
use of a highly structured format
The nurse is caring for a 3-year-old child at an outpatient pediatric clinic. The child asks her mother, "What is a hospital?" Which statement by the child's mother requires additional teaching?
"It is where mommies go to have babies."
The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will best elicit the child's cooperation?
"Let's see who can blow these cotton balls off the table first."
A hospitalized child is placed in droplet isolation. What intervention(s) will the nurse teach the parents and family to follow?
how to put on and dispose of a gown good handwashing technique how to properly wear a mask
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
The nurse approaches a client room and notes a sign stating the client is on droplet precautions. Which personal protective equipment (PPE) will the nurse use for this client?
mask with face shield
The nurse is working with a group of caregivers of children in a community setting. The topic of hospitalization and the effects of hospitalization on the child are being discussed. Which statement made by the caregivers supports the most effective way for children to be educated about hospitals?
"We are going to take our child to an open house at the hospital so she can see the pediatric unit."
While the nurse is admitting a 5-year-old client, the caregiver asks, "What can I do to make my child feel secure? This is our first hospitalization." Which nursing response is best?
"You staying with your child will provide the most security."
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.
What can a nurse do during an emergency admission to alleviate some of the child's and family's fears/anxieties over the situation? Select all that apply.
Ask the family members health history questions while the child is being initially treated. Place an identification bracelet on the child, explaining that this will help the hospital staff know who he or she is at all times. Remain calm, explaining procedures to both the family and the client in a caring manner.
The nurse is caring for a 6-year-old client who is prescribed to cough and deep breathe following surgery. Which nursing action is best for this client?
Blow a pinwheel and bubbles with the child.
A mother of a recently discharged preschooler calls the pediatric floor that provided care to her child a week ago. She reports that the child is having elimination accidents, temper tantrums and is waking up at night with nightmares. How should the nurse respond to the mother's concerns?
Children this age often show regressive behaviors and have nightmares following hospitalization due to fear of another separation.
1The 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 10-year-old boy who is in traction. The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. What would be the best intervention?
Enlist the aid of a child-life specialist.
A preschooler is admitted to the pediatric floor for dehydration and is frightened. Which nursing intervention would be least effective in alleviating the child's anxiety?
Explain all procedures using medical terminology.
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 empathetic with caring for the child. Encourage the child to inform the nurse of fears. Allow the child to bring a security blanket from home.
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 caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day. Which behaviors of the child would alert the nurse that he is in the second stage of separation anxiety?
He sits quietly and is uninterested in playing and eating.
A school-aged child is scheduled for tonsillectomy in a local outpatient surgery center. Which statement by the mother indicates that further education is needed?
He will need to spend the night here after the surgery is done."
An adolescent would benefit from being out of his hospital room. What can the nurse do to promote this? Select all that apply.
Invite the adolescent to meet with other teens for lunch in a common space. Challenge the adolescent to a video game in the recreation area.
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.
A nurse is admitting a 7-year-old to the hospital. The child's parents will be unable to stay with him. What can the nurse do to help the child meet his developmental, emotional, and intellectual needs?
Make a referral to the child-life program.
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 is hospitalized and is in contact isolation and must remain in his room. Which activity could the nurse use to entertain the client to reduce his sense of loneliness?
Play "I Spy" with items in his room.
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.
The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which are examples of interventions that nurses perform in the "building a trusting relationship" stage? Select all that apply
Preparing the child for a procedure by playing games. Explaining in simple terms what will happen during surgery.
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. 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.
The nurse caring for a preschool child prepares to use therapeutic play to put the child at ease and decrease the child's anxiety. Which game is best for the child, according to the child's developmental stage?
Ring-around-the-rosy
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.
A 3-year-old who has just been admitted with pneumonia needs to have an intravenous (IV) line inserted for antibiotic therapy. What is the best nursing action?
Take the patient to the treatment room to have the IV inserted.
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
The following assessments are gathered from an 8-year-old pediatric client returning from surgery. Which information would need to be reported to the physician promptly?
anuria for 7 hours
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
The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the assistance of the child-life specialist. What should the therapeutic play involve to best deal with the child's stressors?
sewing puppets with needles
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 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.
The public health nurse is educating parents of young children about awareness of the hospital. When is the best time to educate the children about the hospital?
when the children are capable of understanding basic functions of community resources
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."
The pediatric nurse is caring for a child who is recovering after abdominal surgery several days ago. After the child's sutures are removed, the child asks the nurse, "Will my insides fall out now?" How should the nurse respond?
"Your insides are healed and the cut you see on the outside is not what it looks like inside."
When a child is hospitalized and must be away from the caregiver, the child goes through stages of response to the separation. The child who cries and refuses to let the nurse or anyone else provide comfort and is continually looking out the door to see if the caregiver is returning is in which stage of separation?
protest
