When a child asks whether a procedure will hurt the reply to the child should be Quizlet
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(Ch. 1, 2, 3, 4, 5, 19, 20, 22) Terms in this set (130)The etiology component of the nursing diagnosis describes the: a. Projected changes in an individual's health status, clinical conditions, or behavior d. Physiologic, situational, and maturational factors that cause the problem or influence its development With regard to the nutritional well-being, at what age should the nurse instruct the parents that lifelong learning habits have been fostered? a. By 1 year of age d Bright Futures program provides initiatives that focus on health promotion of child by focusing on (Select all that apply.) a. encouraging use of community resources. a. encouraging use of community resources. Which nursing intervention would be most effective in decreasing mortality from unintentional injury? a. Teaching children the dangers of contact sports d. Teaching parents-caretakers about proper use of vehicle restraint seats A child is admitted to the hospital with a diagnosis of possible meningitis. Which information is the most important to ask at the time of admission? a. "Are there any pets in the household?" c. "Are the immunizations up to date?" The role of the pediatric nurse is influenced by trends in health care. Which is an influential trend in pediatric health care? a. Primary focus on treatment of disease or disability b. Shift of focus to maintenance of health and illness prevention A nurse is preparing an educational workshop on atraumatic care in pediatric patient care. The most appropriate nursing intervention to include in the workshop is to a. prepare the child that their parents will not be able stay during hospitalization by watching a video. d. provide the child play activities for expression of fear and aggression. The nurse is providing education to a group of parents at a health fair in a local kindergarten school. The nurse describes the most common cause of death for children age 5 to 9 years is a. inappropriate use of bike helmets and seat belts. a. inappropriate use of bike helmets and seat belts. A nurse has been working with a family who has 2 children, ages 5 and 7 years of age, to provide health teaching related to healthy nutritional patterns. Which observation if noted would indicate that additional instruction should be given related to health teaching in this area? a. The children demonstrate application of skills by identifying healthy food snacks. c. In response to the family's identification of healthy food snacks, the nurse provides limited feedback since the answers are correct. The nursing process is a method of problem identification and problem-solving that describes what the nurse actually does. The five-step nursing process model includes (Select all that apply.) a. planning. a. planning. Nurses play an important role in current issues and trends in health care. Which is a current trend in pediatric nursing and health care today? a. The patient is the unit of care for the health care provider. c. Health promotion resources enable children to achieve their full potential. The nurse in considering ethical dilemmas that may affect delivery of care with regard to pediatric patients, must consider that the patient's well-being is of paramount importance. This concept is best described by a. fairness. c. beneficence. The nurse demonstrates understanding of family-centered care by a. encouraging family visitation. a. encouraging family visitation. 1. Arrange in sequential order the steps of the nursing process in relationship to evidenced based practice (EBP). (Answer with a letter followed by a comma and a space (e.g., A, B, C, D).) a. Collecting research based on the question of interest CAEBD When considering the most common cause of death for children greater than 1 year of age, which represents the most likely cause of death? a. Homicide
b. Unintentional injuries The practice of cultural humility is continual and an important concept in the nursing process. Nurses can facilitate this process by (Select all that apply.) a. integrating cultural knowledge. a. integrating cultural knowledge. In reviewing the child's family history, documentation indicates that the child is living in a household in which the two adult caregivers are not married but still continue to care for the child. This represents which type of family structure? a.
Polygamous b. Binuclear Which statement is true concerning folk remedies? a. They may be used to reinforce the treatment plan. a. They may be used to reinforce the treatment plan. A nurse is assessing a family for effective coping and defensive strategies. The family social system theory the nurse will use is the: a. family systems theory, as derived from general systems theory. d. family stress theory. A 7-year-old child tells the nurse, "Grandpa, Mommy, Daddy, and my sister live at my house." Based on the nurse's knowledge of family structure and function, the nurse identifies this family structure as a a. binuclear family. b. extended family. Which phrase is descriptive of homosexual or gay-lesbian families? a. Nurturing environment is lacking d. Family environment can be just as healthy as any other The nurse is planning care for a patient with a different ethnic background from the nurse's own. The most appropriate goal for the nurse in caring for this patient is to a. strive to keep ethnic background from influencing health care. d. adapt, as necessary, ethnic practices to health needs. The nurse is working with the parents of a young pediatric patient for which it is noted that the child is adopted. The parents ask the nurse when would be the best time to discuss the child's adoption status with the child. The nurse suggests that: a. to wait until the child asks about his birth status. c. to begin the dialogue at an early age when the time seems right to bring up the subject. Successful adaptation to the stress of transition to parenthood involves two types of family resources. These resources include (Select all that apply.) a. adaptation. c. coping strategies. Children are taught the values of their culture through observation and feedback on their own behavior. A nurse teaching a class on cultural awareness-competence should be aware of which factor(s) that may be culturally determined? (Select all that apply.) a. Social roles a. Social roles Research notes that birth position of children affects their personalities. According to ordinal position, what is a characteristic of the youngest child? a. Able to identify more with their parents than with their peers d. Are more flexible in their thinking A nurse is caring for a dying child whose religion is Islam (Muslim, or Moslem). Which is an important nursing consideration related to the child's impending death and religion? a. There are no special rites. b. There are specific practices to be followed. A nurse observes a parent-child interaction in which the parent acts indifferently to the child's continued efforts to play with a water cooler in the clinic's waiting room resulting in a small amount of flooding in the area of the room. Based on this assessment, the nurse would determine that the parent's childrearing style would be noted as: a. authoritarian. b. permissive. Which term refers to a shared cultural, social, and linguistic heritage? a. Beliefs c. Ethnicity Which is objective information that can be found in a community? a. Individuals from the community who report on the level of food insecurity b. A phone book detailing the community resources The parent of a hospitalized child tells the nurse, "We do not eat meat. We are practicing Buddhists and strict vegetarians." The most appropriate intervention by the nurse is to a. order the child a meatless tray. a. order the child a meatless tray. One of the most pressing problems in the United States is the growing number of the homeless population. Currently the fastest-growing segment of the homeless population is a. "runaway" and "throwaway" adolescents. d. families with children. Studies of families with only one child indicate that only children a. tend to be selfish. b. are similar to firstborn children. In consideration of family systems theory, which components form the triangle relationship? (Select all that apply.) a. Mother a. Mother With regard to the varied definitions of the term, family, which variable would best represent the psychological definition? a. Focus on childbearing attributes c. Interpersonal skill development A nurse is reviewing a family history and notes that the parents are married and living in the same household. This description would be documented as which type of family relationship? a. Consanguineous b. Affinal Which defines a group of people living in a specific geographic area? a. Culture b. Community Which is descriptive of family system theory? a. Family is viewed as the sum of individual members.
d. When the family system is disrupted, change can occur at any point in the system. What is the most overwhelming adverse influence on health? a. Race c. Socioeconomic status A camp nurse is assessing a group of children attending summer camp. Based on the nurse's knowledge of special parenting situations, which group of children is at risk for a sense of belonging? a. Children adopted as infants b. Children recently placed in foster care A nurse is performing a family assessment and determines that the family unit structure is composed of a father, mother, step-father, two children, a boy and a girl, and the maternal grandparents all living in the same residence. Based on this information, the nurse would indicate which family type in the electronic health record? a. Nuclear and extended d. Blended and extended Which is appropriate advice for parents who are preparing to tell their children about their decision to divorce? a. Avoid crying in front of children. c. Give reassurance that the divorce is not the children's fault. The main objective of the nursing role in the community is to focus on a. cost of health care. d. wellness and health promotion. Which statement explains why it can be difficult to assess a child's dietary intake? a. No systematic assessment tool has been developed for this purpose. d. Recall of children's food consumption is frequently unreliable. Superficial palpation of the abdomen is often perceived by the child as tickling. Which measure by the nurse is most likely to minimize this sensation and promote relaxation? a. Palpate another area
simultaneously. d. Have the child "help" with palpation by placing his or her hand over the palpating hand. What is the most accurate method of determining the length of a child younger than 12 months of age? a. Standing height d. Recumbent length measured in the supine position When interviewing a patient, which statement/action indicates that the nurse is displaying empathy? a. The nurse offers the patient
a tissue when the patient is crying after hearing some sad news before giving the patient medication. c. The patient appreciates that the nurse has sat by her bedside and held her hand while they spoke about health concerns. Which observable behaviors would indicate to the nurse that the patient is experiencing information overload? (Select all that apply.) a. Fidgeting constantly while seated in the chair a. Fidgeting constantly while seated in the chair Guidelines for a nurse using an interpreter in developing a care plan for an 8-year-old admitted to rule out epilepsy include a. explaining to the interpreter what information is necessary to obtain from the patient and family. a. explaining to the interpreter what information is necessary to obtain from the patient and family. The most appropriate method for a nurse to use to view the tonsils and oropharynx of a 6-year-old child is to a. ask child to open mouth wide and say "Ahh." a. ask child to open mouth wide and say "Ahh." An expectation of the patient in a health care setting in terms of charting and documentation is that? a. Information will be shared only with physicians in the hospital or clinic setting regardless of whether they are taking care of the
patient. d. Safeguard systems are in place within the hospital or clinic setting to help maintain confidentiality of patient records. The appropriate direction to pull the pinna of an infant during an otoscopic examination is a. down and back. a. down and back. When assessing a preschooler's chest, the nurse would expect a. respiratory movements to be chiefly thoracic. d. movement of the chest wall to be symmetric bilaterally and coordinated with breathing. The nurse needs to take the blood pressure of a small child. Of the cuffs available, one is too large and one is too small. The best nursing action is to a. use the small cuff. d. locate the proper-sized cuff before taking the blood pressure. The nurse is interviewing the parents of a toddler and wants to determine the child's feeding preferences during meal time. Which statement made by the nurse is an example of directed focus? a. "I know we have discussed your son's eating habits but can we now discuss what Sam like to eat for lunch?" a. "I know we have discussed your son's eating habits but can we now discuss what Sam like to eat for lunch?" The nurse is ready to begin a physical examination on an 8-month-old infant. The child is sitting contentedly on the mother's lap, chewing on a toy. What should the nurse do first? a. Elicit reflexes. b. Auscultate the heart and lungs. Which physical assessment findings would be associated with the presence of alopecia? (Select all that apply.) a. Excess vitamin C b. Decreased protein intake For which scenario would the expectation of confidentiality by the nurse not be withheld during an interview format? (Select all that apply.) a. 15-year-old emancipated minor who wants to discuss birth control methods b. 14-year-old patient who denies abuse but who presents with multiple bruises over arms and legs which appear to be "defensive type" in nature A nurse is conducting a health history on an adolescent. Components of the health history include (Select all that apply.) a. sexual history. a. sexual history. Which explains the importance of detecting strabismus in young children? a. Color vision deficit may result. b. Amblyopia, a type of blindness, may result. The nurse is assessing a 3-year-old African-American child who is being seen in the clinic for the first time. The child's height and weight are in the 20th percentile on the commonly used growth chart from the National Center for Health Statistics. When interpreting the data, the nurse recognizes a. child's growth is within normal limits. a. child's growth is within normal limits. The nurse is assessing skin turgor in a child. The nurse grasps the skin on the abdomen between the thumb and index finger, pulls it taut, and quickly releases it. The tissue remains suspended, or tented, for a few seconds, and then slowly falls back on the abdomen. Based on the nurse's knowledge of assessing skin turgor, the assessment finding is that the a. tissue shows normal elasticity. d. child has poor skin turgor. The nurse is interviewing the mother of Adam, age 9 years. Which question would be the most appropriate as the nurse begins to assess Adam's school performance? a. "Did Adam go to preschool?" c. "How is Adam doing in school?" A nursing student is discussing the technique of interviewing with his instructor and conveys that he is somewhat reluctant to talk with potential patients as he fears he may have nothing to say and there would be periods of silence. Which statement represents the best response by the nursing instructor in response to the students' expressed concerns? a. Telling the student that everyone feels like this at first but that the feeling and anxiety will reside during the next interview experience. c. Acknowledge that his reluctance is normal but that the utilization of silence may well eventually represent the ability of a confident interviewer in knowing that sometimes it is equally important to listen rather than to keep talking. Which statement is true concerning the increased use of telephone triage by nurses? a. Telephone triage has led to an increase in health care costs. c. Access to high-quality health care services has increased through telephone triage. A nurse is caring postoperatively for an 8-year-old child with multiple fractures and other trauma resulting from a motor vehicle injury. The child is experiencing severe pain. Which is an important consideration in managing the child's pain? a. Give only an opioid analgesic at this time. c. Plan a preventive schedule of pain medication around the clock. Transdermal fentanyl (Duragesic) is being used for an adolescent with cancer who is in hospice care. The adolescent has been comfortable for several hours but now complains of severe pain. The most appropriate nursing action is to a. administer meperidine (Demerol) intramuscularly. b. administer morphine sulfate immediate release (MSIR) intravenously. Which type of disease presentations are associated with recurrent pain in children? (Select all that apply.) a. Daily headache b. Migraine headache The nurse is caring for a comatose child with multiple injuries. The nurse should recognize that pain a. cannot occur if child is comatose. c. requires astute nursing assessment and management. A nurse is assessing a pediatric patient in the intensive care unit. Which finding on the COMFORT score if noted would not require intervention relative to pain management? a. Score of 8 c. Score of 25 The most consistent indicator of pain in infants is a. increased respirations. d. a facial expression of discomfort. A nurse is starting an intravenous (IV) line for a school-age child with cancer. The child says, "I have had a million IVs. They hurt." The nurse's response should be based on the knowledge that a. children tolerate pain better than adults. d. children often demonstrate increased behavioral signs of discomfort with repeated painful procedures. A child who has been receiving morphine by the intravenous (IV) route will now start receiving it orally. In order for equianalgesia (equal analgesic effect) to be achieved, the oral dose will be a. same as the IV dose. b. greater than the IV dose. Which medication order would require immediate intervention by the nurse in order to prevent potential complications for the pancytopenic cancer pediatric patient? a. Offer fluids to hydrate the patient b. Administer Aleve for relief of joint related pain A child is being seen in the emergency department with multiple facial abrasions and lacerations. The combination agent lidocaine, adrenaline, and tetracaine (LAT) is applied topically to the wounds. The purpose of this combination therapy is to a. cleanse the wound. d. provide anesthesia to the wound. A pediatric patient is brought to the clinic for follow up immunizations and is apprehensive about injections and needles. Which method could the nurse implement to facilitate administration of immunization without causing the child undue anxiety? a. Offer the child an ice cream if
you are allowed to give the injection. c. Encourage the child to talk about the toy he is holding and focus on the conversation to allay the child's fears. A 6-year-old is hospitalized with a fractured femur. Based on the nurse's knowledge of pain assessment tools and child development, which assessment tools are most appropriate for this age child? (Select all that apply.) a. Oucher scale a. Oucher scale The nurses caring for a child are concerned about the child's frequent requests for pain medication. During a team conference, a nurse suggests that they consider administering a placebo instead of the usual pain medication. This decision should be based on knowledge that a. it is unjustified and unethical to administer placebos instead of pain medication. a. it is unjustified and unethical to administer placebos instead of pain medication. The nurse is caring for a 12-year-old child who sustained major burns when putting charcoal lighter on a campfire. The nurse observes that the child is "very brave" and appears to accept pain with little or no response. What is the most appropriate nursing action? a. Request a psychological consultation. a. Request a psychological consultation. Which statement is true regarding the World Health Organization (WHO) principles of pharmacologic management for the pediatric patient? (Select all that apply.) a. Provide a step-ladder approach b.
Provide dosing at regular intervals Nonpharmacologic strategies for pain management a. may reduce pain perception.
a. may reduce pain perception. A child who is terminally ill with bone cancer is in severe pain. Nursing interventions should be based on the knowledge that a. children tend to be overmedicated for pain.
d. large doses of opioids are justified when there are no other treatment options. The nurse is using the C.R.I.E.S. pain assessment tool on a preterm infant in the neonatal intensive care unit (NICU). Which is a component of this tool? a. Color c. Oxygen saturation Which is an important consideration when using the FACES Pain Rating Scale with children? a. Children color the face with the color they choose to best describe their pain. b. The scale can be used with most children as young as 3 years of age. A mother tells the nurse that she will visit her 2-year-old son tomorrow about noon. During the child's bath, he asks for Mommy. What is the nurse's best reply? a. "Mommy will be here after lunch." a. "Mommy will be here after lunch." A toddler is hospitalized for an upcoming surgical procedure. Which method might provide the best way to inform the child about the surgery? a. By using anatomical drawings as illustrations and allowing the child to color them with markers. b. Allowing the child to dress up using surgical gown and mask. The nurse working in an outpatient surgery center for children should understand that a. children's anxiety is minimal in such a center. d. families need to be prepared for what to expect after discharge. In helping a child to adapt to a hospitalization experience, the best approach would be to a. allow the child to bring in all of his favorite toys to the hospital so as to represent a more familiar environment. c. establish a daily routine and schedule with the child and parent to help maintain consistency. The psychosexual conflicts of preschool children make them extremely vulnerable to a. separation anxiety. c. bodily injury and pain. Nurses counseling parents regarding the home care of the child with a cardiac defect before corrective surgery should stress the a. importance of reducing caloric intake to decrease cardiac demands. d. desirability of promoting normalcy within the limits of the child's condition. Prior to returning to school, an individualized home care plan (IHCP) needs to be developed for which child? a. The child recently identified with a penicillin allergy. d. The child recently diagnosed with insulin-dependent diabetes mellitus. Which behavior would most likely be manifested in a young child experiencing the protest phase of separation anxiety? a. Inactivity b. Clinging to the parent A home health nurse is caring for a 2-week-old infant and notes on assessment that the infant has a string tied around the wrist. The nurse checks for adequate circulation. The most appropriate nursing intervention by the nurse is to a. ask the parents to remove the string. d. ask the parents the meaning of the string and leave the string in place. A nurse has been assigned as the home health nurse for a technologically dependent child. The nurse recognizes that the background of this family differs widely from the nurse's own. The nurse views some of their lifestyle choices as less than ideal. What is the most appropriate nursing intervention? a. Assign the nurse a different family to follow. b. Respect the differences A ventilator-dependent child is being discharged home from the hospital. Prior to discharge, the home health care nurse discusses the development of an emergency plan with the family. The most essential component of the plan is a. acquisition of a backup generator. a. acquisition of a backup generator. A 12-year-old child is admitted for an emergency appendectomy and rushed into surgery. The parents tell the nurse that they also have a 4-year-old son at home and wonder if they should tell him about his older brother being in the hospital. The best response by the nurse to this query would be to? a. Tell the parents to refrain from telling the 4-year-old as he will not be able to understand the concepts of
hospitalization and surgery. c. It is important to tell their 4-year-old son about his older brother using words and terms that he can understand at his age. A home health nurse is assigned to an adolescent with recently acquired tetraplegia. The adolescent's mother tells the nurse, "I'm sick of providing all the care while my husband does whatever he wants and whenever he wants." Based on the nurse's knowledge of family-centered care, the most appropriate nursing intervention is to a. listen and reflect the mother's
feelings. a. listen and reflect the mother's feelings. A 4-year-old child is scheduled for cardiac surgery in a week. The child's parents call the hospital to ask how to prepare the child for the upcoming hospitalization and surgical procedure. The nurse's reply should be based on the knowledge that a. preparation at this age will only increase the child's stress. c. children who are prepared experience less fear and stress during hospitalization. A child has a long standing history of abuse which has triggered many emotional problems. Which type of therapy would be indicated to possibly help the child explore these emotional problems? a. Dramatic play c. Play therapy Working with parents in preparation for discharge of a hospitalized child who will need to have wet to dry dressing changes performed at home will require that the nurse include which element in the plan of care? a. Arrange for home health nurse to change dressings as the parents may not understand the complexity of the task. b. Arrange for a step by step training sequence for wet to dry dressing changes with the parents of the child with return demonstration to evaluate understanding. A child with a serious chronic illness will soon be discharged home. The case manager requests that the family provide total care for the child for a couple of days while the child is still hospitalized. Based on the principles of family-centered care, which statement addresses this principle? a. Appropriate because families are usually eager to get involved. b. Appropriate because it can be beneficial to the transition from hospital to home. An adolescent is admitted to the hospital for a fractured femur. The most appropriate nursing
intervention(s) in caring for this adolescent is/are to a. provide written material about the hospital. a. provide written material about the hospital. Prior to accepting an assignment as a home health nurse, the nurse must realize that a. the family is in charge. a. the family is in charge. When the nurse uses a standard nursing care plan as a guide in planning care for a hospitalized child, which should be eliminated? a. Expected outcome or goal c. Problems not pertinent to the child and family With regard to separation anxiety displayed in a child who is hospitalized, which behavior would indicates the stage of despair? a. Child clings to parents for comfort. d. Child demonstrates regressive behavior. A case manager is assigned to coordinate the care of a child with a complex medical condition. The family is told that one of the goals is to control costs. This goal should be recognized as a. unsafe. b. realistic. Which indication if found on a hospitalized child would indicate to the nurse that a potential compromise in skin integrity was occurring? a. No evidence of edema. b. Flushed appearance of child's elbow as it rests on bed. It is time to give a 3-year-old medication. What approach is most likely to receive a positive response from the child? a. "It's time for your medication now. Would you like water or apple juice afterward?" a. "It's time for your medication now. Would you like water or apple juice afterward?" The nurse observes erythema, pain, and edema at a child's intravenous (IV) infusion site with streaking along the vein. The nurse's priority action is to a. immediately stop the infusion. a. immediately stop the infusion. The nurse needs to give an injection to a 4-year-old in the deltoid muscle. Based on the nurse's knowledge of preschool development, the most appropriate approach by the nurse is to a. smile while giving the injection to help the child relax. d. explain with concrete terms such as "putting medicine under the skin." Several types of long-term central venous access devices are used in practice. The benefit of using a long-term central venous access device such as a Port-a-Cath is that a. implanted devices are easy to use for self-administered infusions. c. implanted devices do not require limiting regular physical activity, including swimming. A 10-year-old child requires daily medications for a chronic illness. The mother tells the nurse that she is always nagging the child to take the medicine before school. The most appropriate nursing intervention to promote the child's compliance is to a. establish a contract with the child, including rewards. a. establish a contract with the child, including rewards. The nurse is doing preoperative teaching with a child and the parents. The parents say the child "is dreading the shot for before surgery." On which of the following facts should the nurse's response be based? a. Preanesthetic medication can only be given intramuscularly. d. Preanesthetic medication should be "atraumatic," using oral, existing IV, or rectal routes. A 2 1/2-year-old ventilator-dependent child will be discharged home soon. The family expresses concern that their child might change the ventilator settings by exploring the control knobs and buttons. Based on the nurse's knowledge of child development, the most appropriate intervention by the nurse is to a. teach the child not to touch controls. c. recommend ways to cover the controls to reduce the risk of the child changing the settings. The nurse is caring for an infant with a tracheostomy when accidental decannulation occurs. The nurse is unable to reinsert the tube. What action should the nurse take next? a. Notify the surgeon. d. Try inserting a smaller tracheostomy tube. The nurse needs to start an intravenous (IV) line for an 8-year-old child to begin administering IV antibiotics. The child starts to cry and tells the nurse, "Do it later, OK?" The most appropriate action by the nurse is to a. start the IV because allowing the child to manipulate the nurse is not professional behavior. b. start the IV because unlimited procrastination results in heightened anxiety. Standard precautions for infection control include a. gloves are worn anytime a patient is
touched. c. gloves are worn to change diapers when there are loose or explosive stools. In order to determine if a child's "toy" does not present a choking hazard while in the hospital, which type of process would the nurse utilize? a. Use a toilet paper roll to indicate whether the toy will pass the choke test. a. Use a toilet paper roll to indicate whether the toy will pass the choke test. Informed consent is valid when (Select all that apply) a. universal consent is used. c. a person
is over the age of majority and competent. The parents of a ventilator-dependent child tell the nurse that their insurance company wants the child discharged. The child's parents explain that they do not want the child home "under any circumstances." What should the nurse consider when working with this family? a.
The parents' desire to have the child home is essential to effective home care. a. The parents' desire to have the child home is essential to effective home care. A nurse is preparing to administer a gavage feeding to an infant. Which type of restraining method would be indicated? a. Jacket restraint c. Mummy restraint A child, age 7 years, is being treated at home and has a fever associated with a viral illness. The principal reason for treating the child's fever is a. relief of discomfort. a. relief of discomfort. When should clear liquids be stopped before scheduled surgery? a. 2 hours before surgery c. Varies according to the surgical procedure to be done The nurse needs to take the blood pressure of a preschooler for the first time. What action would be best for gaining the child's cooperation? a. Take the blood pressure when a parent is there to comfort the child. d. Permit the child to handle equipment and see the dial move before putting the cuff in place. A neonate had corrective surgery 3 days ago for esophageal atresia. The nurse notices that after gastrostomy feedings, there is often a backup of feeding into the tube. The most appropriate intervention by the nurse is to a. position the child in a supine position after feedings. c. leave the gastrostomy tube open and suspended after feedings. A physiologic benefit of fever in a child is that it a. indicative of the infectious process being viral in origin. b. increases interferon production. When caring for a child with an intravenous (IV) infusion, the most appropriate nursing interventions are to (Select all that apply) a. use an infusion pump with a microdropper to ensure the prescribed infusion rate. a. use an infusion
pump with a microdropper to ensure the prescribed infusion rate. The nurse is preparing a plan to teach a mother how to administer 11/2 teaspoons of medicine to her 6-month-old child. Based on the nurse's knowledge of administering pediatric medications, the nurse teaches the parent to use a a.
household measuring spoon. d. plastic syringe (without needle) calibrated in milliliters. Which hospitalized children should have their intake and output (I&O) recorded as part of the plan of care? (Select all that apply) a. 14-year-old postoperative for
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When a 10 year old child asks if a procedure is going to hurt as the nurse you know it will hurt for a little bit what is best response?When a 10-year-old child asks if a procedure is going to hurt, as the nurse, you know it will hurt for a little bit. The best response is: A. Be honest and answer, "Yes, for a little bit."
Which approach would the nurse use to assess the pain of a 4 year old?The FLACC scale (i.e., the Face, Legs, Activity, Cry, Consolability scale) is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals who are unable to verbally communicate their pain.
How often should a child who has a continuous intravenous infusion be assessed?Safety considerations: IV systems must be assessed every 1 to 2 hours or more frequently if required.
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