Unintentional Injuries Ch 52
The nurse is planning to provide education on injury prevention to caregivers of toddlers. Which information will the nurse include in the session? Select all that apply.
-car seat safety -burn prevention -water safety -poisoning prevention
A nurse is assessing an adolescent with a suspected increased intracranial pressure. What assessment finding would support this diagnosis? Select all that apply.
-heart rate of 55 bpm -blood pressure 158/58 mm Hg -pupils slow to react to light
A young client with symptoms similar to those of a concussion comes to the emergency department. This client also has focal seizures, eye deviation, and some loss of speech. Which of the following should the nurse suspect?
contusion
A young client with head trauma arrives at the emergency department. The injury is severe, and the child has rapid brain compression. Bleeding is arterial. The nurse recognizes that this client has which type of head injury?
epidural hematoma
A nurse has received the above hand-off report from the emergency department. The nurse creates a plan of care for the child. What is the nurse's priority in providing care for the child?
gas exchange
A 5-year-old child is exhibiting manifestations of hypotension. What is the first-line treatment for poor perfusion and hypotension?
volume replacement
A child comes to the emergency department after experiencing a hard hit to the head. He has postauricular ecchymosis and otorrhea. What does the nurse expect the diagnosis to be for this client?
skull fracture
A 10-year-old boy who was in a car wreck has been brought to the emergency room for evaluation. He appears to have suffered abdominal trauma due to his seat belt. He has tenderness in the left upper quadrant of the abdomen, especially on deep inspiration. Given these circumstances, the nurse should suspect injury to which of the following organs?
spleen
When a child suffers a head injury, the nurse does an emergency assessment. Which is included in the assessment technique? Select all that apply.
-Reaction of pupils -Level of consciousness -Motor ability -Pulse and respiratory rates -Temperature
The nurse has completed an educational program on prevention of head injuries in children. Which statement by a parent indicates a need for further education? Select all that apply.
-"As long as my child is skating in our garage, there is no need to wear a helmet." -"Once my child turns 4, we can get rid of our car booster seat." -"I won't allow my child to ride her bike in the street."
A preadolescent child sprains the right ankle while inline skating. What should the nurse instruct the child and parents about the care that the child will need at home? Select all that apply.
-Apply ice pack for 20-minute intervals. -Maintain ice pack application on the ankle for several days. -Keep wrapped in an elastic bandage. -Remind to use crutches to walk for 3 to 4 days.
The nurse at a pediatric emergency department is caring for the victims of a multiple car accident. For proper emergency triage, which does the nurse complete as being the first step?
Perform an across-the-room assessment.
The nurse is at a community pool when called for assistance. When caring for the 6-year-old, unconscious, potential drowning victim, the nurse will deviate from the U.S. Centers for Disease Control and Prevention's (CDC) advice for cardiac arrest resuscitation in which way?
Perform mouth-to-mouth resuscitation.
A nurse is caring for a child being assessed for a possible abdominal injury and who reports abdominal pain. The mother asks why her child cannot have anything for pain. What is the best response by the nurse?
"Pain medication can mask increasing pain that could indicate a change in condition. We need to continue to assess your child's condition."
The nurse is caring for a 6-year-old child who was injured in a bicycle accident. Which question would be most important for the nurse to ask during the health history?
"Tell me how the bicycle accident happened."
A 4-year-old child is seen in the emergency department after ingesting an unknown amount of acetaminophen. The nurse is preparing to administer acetylcysteine as an antidote but the child is refusing to drink the solution. Which strategy(ies) can the nurse use to best provide atraumatic care to the child? Select all that apply.
-Explain to the child that the drink will get rid of the medicine that was swallowed. -Allow the child to sit on the parent's lap while administering the solution. -Allow the child to choose a cup to use to drink the solution.
A pediatric nurse is discussing accident prevention with a group of new parents. Which of the following are leading causes of mortality and morbidity in children? Select all that apply
-Falls -Drowning -Accidental poisoning -Burns
A nurse correctly identifies which data as needing to be obtained from an injured child in relation to his or her respiratory status? Select all that apply.
-Quality of respirations -Rate of respirations -Skin color -Sound of obstruction
The nursing instructor is observing a student nurse care for a child who suffered a skull fracture with cerebrospinal fluid (CSF) leaking from the child's nose. What action by the student nurse would indicate a need for intervention by the nursing instructor?
assisting the child to place tissue in the nose to halt the drainage
