PEDS Chapter 38 (hospitalized child)

A nurse is interviewing the parents of a toddler about use of complementary or alternative medical practices. The parents share several practices they use in their household. Which should the nurse document as complementary or alternative medical practices (select all that apply)?

-admin of chamomile tea at bedtime -hypnotherapy for relief of pain -acupressure to relieve headaches

A nurse plans therapeutic play time for a hospitalized child. Which are the benefits of therapeutic play (select all that apply)?

-allows child to express feelings -nurse can gain insight into childs feelings -child can deal w/ concerns and feelings

A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement (select all that apply)?

-discuss dietary restrictions -send pain scale home w/ family -discuss complications that may occur

What is an age-appropriate nursing intervention to facilitate psychologic adjustment for an adolescent expected to have a prolonged hospitalization (select all that apply)?

-encourage parents to bring in homework and schedule study times -allow adolescent to wear street clothes -encourage parents to bring in fav foods

Ryan has just been unexpectedly admitted to the intensive care unit after abdominal surgery. The nursing staff has completed the admission process, and Ryans condition is beginning to stabilize. When speaking with the parents, the nurses should expect which stressors to be evident (select all that apply)?

-unfamiliar environment -strange smells -inadequate knowledge of condition/routine

During the the first 4 days of hospitalization, Eric, age 18 months, cried inconsolably when his parents left him, and he refused the staffs attention. Now the nurse observes that Eric appears to be settled in and unconcerned about seeing his parents. The nurse should interpret this as which of the following?

He may be experiencing detachment, which is the third stage of separation anxiety

The nurse is caring for an adolescent who had an external fixator placed after suffering a fracture of the wrist during a bicycle accident. Which statement by the adolescent would be expected about separation anxiety?

I hope my friends dont forget about visiting me

Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." The nurse's best assessment of this situation is that:

Jealousy and resentment are common reactions to the illness/hospitalization of a sibling

What is the best action for the nurse to take when a 5 year old child who requires another 2 days of IV antibiotics cries, screams, and resists having the IV started?

Let the child decide which color arm board to use with the IV

A nurse is preparing to complete an admission assessment on a 2-year-old child. The child is sitting on the parents lap. Which technique should the nurse implement to complete the physical exam?

Perform the exam while the child is on the parents lap

The nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac surgery. As part of the preparation, the nurse explains that Kayla will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:

an appropriate part of the child's preparation

Olivia, age 5 years, tells the nurse that she "needs a Band-Aid" where she had an injection. The best nursing action is to:

apply a Band-Aid

Which situation poses the greatest challenge to the nurse working with a child and a family?

emergency hospitalization

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:

encourage parents to room in

What is the primary disadvantage associated with outpatient and day facility care?

lack of physical connection to the hospital

When a preschool child is hospitalized w/o adequate preparation, the nurse should recognize that the child may likely see hospitalization as:

punishment

A previously potty-trained 30-month-old child has reverted to wearing diapers while hospitalized. The nurse should reassure the parents that this is normal because:

regression is seen during hospitalization

Because of their striving for independence and productivity, which age-group of children is particularly vulnerable to events that may lessen their feeling of control and power?

school-age children

What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?

separation anxiety

A 10-year-old girl needs to have another IV line started. She keeps telling the nurse, Wait a minute, and Im not ready. The nurse should recognize that:

this is normal behavior for a school-age child

A 14-year-old boy is being admitted to the hospital for an appendectomy. Which roommate should the nurse assign with this patient?

A 15-year-old boy admitted w/ a vaso-occlusive sickle cell crisis

Latasha, age 8 years, is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. What will help her most in her adjustment to the hospital?

Explain hospital schedules such as mealtimes

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 childs blood pressure

A child is playing in the playroom. The nurse needs to take a blood pressure on the child. Which is the appropriate procedure for obtaining the blood pressure?

Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.

Emma, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her "a lot of new toys because she will be in the hospital." The nurse's reply should be based on an understanding that:

At this age, children often need comfort and reassurance of familiar toys from home

A school-age child, admitted for intravenous antibiotic therapy for osteomyelitis, reports difficulty in going to sleep at night. Which intervention should the nurse implement to assist the child in going to sleep at bedtime?

Create a schedule similar to the one the child follows at home