Download Tx Peds FA Davis Ch 3, 6, 9 Questions with complete solution graded A+ and more Exams Nursing in PDF only on Docsity!
Tx Peds FA Davis Ch 3, 6, 9
The nurse is caring for a 5-year-old child who had a minor operation and became agitated after her mother left and she discovered the bandage on her abdomen. Knowing that this age group fears mutilation, what is the most appropriate nursing intervention at this time? A. Storytelling B. Provide her with a doll, tape, and scissors for role-playing C. Stay with her for the remainder of the shift to provide comfort D. Pull off the bandage and allow her to look - โโB. A 9-year-old child arrives at the emergency department with a fever and productive cough. The nurse reviews the client's history and assessment data to prepare the plan of care. Which action by the nurse would be appropriate when obtaining the client's blood pressure? A. Explains the procedure to the parents and uses gentle touch while applying the blood pressure cuff B. Gets down on the child's level and states, "It is time to take your blood pressure." C. Shows the blood pressure cuff to the child and asks, "Do you want to apply the blood pressure cuff on your arm?" D. States, "This is going to give your arm a hug," while showing the blood pressure cuff to the child - โโD. The nursing instructor is preparing a lecture related to nursing theorists and goal attainment. Which nurse theorist identifies three interrelated systems of goal achievement? A. Roy B. King C. Watson
D. Neuman - โโB. A nurse is providing care for a terminally ill child. When communicating with the parents of the child, the nurse recalls her personal sense of helplessness and loss when assisting other families. She also recalls the recent death of her 8 - year-old granddaughter. Which term best defines the nurse's capability to relate to the parents? A. Sympathetic B. Empathic C. Compassionate D. Caring - โโB. The nurse is caring for a 4-month-old infant. What communication strategies are appropriate when caring for this client? Select all that apply. A. Respond to crying in a timely manner. B. Use a firm voice that demonstrates authority. C. Use a soothing tone of voice, smile often, and touch. D. Build a relationship with the primary caregiver/parent. E. Maintain routines - โโA, C, D, E A nurse is preparing to perform an admission assessment on a pediatric client. Prior to beginning the assessment, what important information should the nurse obtain and provide to the client and family? Select all that apply. A. Nurse's name and role B. Detailed information describing the assessment, including duration
A. The client reports consistent punishment after acting out. B. The client says the parents do not give any rewards for household chores. C. The client has bruises on their stomach. D. The client notes that their parents tend to ignore them when they act out. - โโD. When communicating with a hearing-impaired child, it is important that the nurse is aware of using paralanguage. Which best demonstrates effective use of paralanguage? A. Using normal volume, the nurse speaks slowly and is mindful of tone and pauses. B. The nurse raises her volume and faces the child when speaking. C. The nurse includes jargon and words that are inclusive of the child's cultural practices. D. The nurse includes paraprofessionals, such as a language translator, when communicating with the child. - โโA. After teaching a parental session about negative behaviors in adolescence, the nurse determined the parents understood the concept of "the scapegoat role." Which statement would indicate that no further teaching is required? A. The child is blamed for someone's wrongdoing. B. The parent is blamed for the child's wrongdoing. C. The child acts out in school to deflect from family problems. D. The child transfers feelings towards the counselor during the session. - โโC. A nurse observes a mother who is unable to calm her crying 5-year-old child turn to her 10- year-old child who is standing quietly nearby. The mother states in a stern, loud voice, "Children really need to behave, especially in the hospital." What type of communication pattern did the nurse observe? A. Clear and direct
B. Masked and direct C. Clear and indirect D. Masked and indirect - โโC. During a regular health maintenance visit, the nurse asks a 7-year-old child about the names of friends and the types of games he loves to play. What is the nurse assessing when asking these questions? A. Motor development B. Social development C. Language development D. Educational development - โโB. A nurse is caring for an infant experiencing respiratory distress. Prior to entering the infant's hospital room to administer oral medications, which personal protective equipment should be donned? Select all that apply. Client Data History and Assessment08/23/XX 4 - month-old brought into the emergency department with fever and respiratory distress. Symptoms began 1 day ago. Worsening overnight with temperature max at 101.9ยฐF (38.8ยฐC). Older siblings with viral illness in the past week. Breastfeeding. Adequate elimination. Born via vaginal delivery at 41 weeks, no complications. No past medical history. Immunizations up to date. PERRL; moves all extremities well. Mottled. Mucous membranes moist. Wheezing and rhonchi throughout lung fields, moderated substernal and intercostal retractions, nonproductive cough, moderate amount of clear nasal drainage. Bowel sounds present. Laboratory Results08/23/XX08: 45Influenza A - In - โโD, E, F
C. My child may need to stay home from preschool due to the contagiousness of HFMD. D. I will notify the physician if my child does not drink enough fluids. - โโA. Which statement about decreasing the spread of hand, foot, and mouth disease (HFMD) is important for the nurse to include in parent education? A. Children should wear masks in order to prevent the spread of the illness. B. Parents should be advised to clean surfaces and toys with soap and water and disinfect with a solution of 1 tablespoon of bleach to 4 cups of water. C. Once children contract HFMD, they will be immune to it and therefore will not be able to acquire it again. D. HFMD is caused by a bacteria. - โโB. Parents should be advised to clean surfaces and toys with soap and water and disinfect with a solution of 1 tablespoon of bleach to 4 cups of water. The nurse is providing parent education about how to prevent influenza. Which statement made by the parents indicates that the teaching was understood? A. Influenza is a serious disease process caused by bacteria, and my child will need to take antibiotics. B. Influenza is potentially preventable illness if my child receives a vaccine annually. C. If my child receives the influenza vaccine, my child will definitely not contract the flu. D. Influenza is transmitted through direct contact with blood. - โโB. A nurse is administering the vaccine for measles, mumps, and rubella (MMR). The nurse knows that this vaccine is administered in which site? A. Deltoid B. Vastus lateralis C. Gluteus maximus
D. Subcutaneously - โโD. A student nurse asks about the increased incidence of measles in the United States. What is the best response from the nurse regarding the cause of this increase? A. "Vaccines have lost effectiveness due to mutations in the disease itself." B. "There has been a re-emergence of preventable diseases due to decreases in immunization rates." C. "Measles has been eradicated in the United States, but is still present in other countries." D. "Poor hygiene has led to an increase in the spread of this illness." - โโB. A parent asks why they are not supposed to administer aspirin to a child with a fever. Which is the best response by the nurse? A. Aspirin should not be given to children because of the possibility of developing a serious illness called Reye's syndrome. B. Aspirin should not be given to children because it may cause gastroesophageal reflux. C. Aspirin should not be given to children because it may cause dependency on the medication. D. Aspirin should not be given to children because it does not taste good to children. - โโA. A nurse is providing education to a group of parents about the importance of immunizations. Which fact about immunizations should the nurse include in their teaching? A. Vaccines have significantly reduced the incidence of several communicable diseases. B. Vaccines have had no overall impact on the health and wellness of children. C. Vaccines have serious consequences, like increased incidence of autism. D. Since the use of vaccines in the United States, the polio virus has been completely eradicated worldwide. - โโA.
A. Possible side effects B. Possible allergies to vaccines C. Age requirements for vaccines D. The purpose of the vaccine E. Percentages of side effects - โโA, B, D The nurse is caring for a 4-year-old who is prone to temper tantrums when asked to participate in basic care. What is the nurse's best response to this behavior? A. The nurse should leave the room and return once the child is calm. B. Tell the child this behavior is upsetting. C. Medicate the child prior to performing basic care. D. Establish a routine while in the hospital to complete basic care needs at the same time and in the same manner each day. - โโD. Place the developmental tasks in order of development according to age. Go up and down stairs without assistance Walk alone Catch a bounced ball Climb on furniture - โโWalk alone Climb on furniture Go up and down stairs without assistance Catch a bounced ball
The parents of a 4-year-old girl tell the nurse that she eats very little at meals but constantly wants to snack. What course of action should the nurse follow? A. Instruct the parents to encourage the child to clear her plate at meals. B. Encourage the parents to offer multiple nutritious snacks throughout the day. C. Encourage parents to limit snacking so that she is hungrier at mealtime. D. Instruct the parents to substitute whole milk for one of the snacks in order to maintain calcium intake. - โโB. Which technique should the nurse use when assessing a preschooler in order to ensure child comfort and effective nursing care? A. Allow the child to select which finger to put the pulse oximeter on. B. Ask the child to sit on the examination bed. C. Begin with the most invasive procedure first to get it out of the way. D. Make sure the child is fully undressed before the examination begins. - โโA. The mother of twin boys states that they are constantly fighting with each other in her presence since turning 3 years old. She asks the nurse the possible reason for it. The nurse's response should be based upon an understanding of which aspect of normal development? A. Sibling rivalry is often used to gain attention from parents. B. It is unusual for twins to compete with each other, so there may be an underlying issue. C. The twins are reacting negatively to the mother's presence. D. The mother should allow the twins to work out the issues on their own regardless of how they are acting. - โโA. The pediatric nurse is caring for a 4-year-old child. What effective communication strategies will the nurse implement when communicating with this child? Select all that apply. A. Give them choices when possible.
On which topic should the nurse provide parental teaching in order to impact the leading cause of injury deaths in preschoolers and toddlers? A. Firearm and gun safety B. Use of lifejackets and floatation devices C. Secondhand smoke in the home D. Proper use of a bicycle helmet - โโB. The 4-year-old sibling asks the nurse if she caused her brother to be sick because she "wanted him to go away." The nurse should recognize this as what? A. Normal thinking for this age B. A sign of potential abuse in the home C. Concerning signs of emotional distress due to so much sibling anger D. Highly developed language and thoughts for this age - โโA. The mother of an active 3-year-old asks the nurse for some suggestions to prevent an accidental poisoning. Which would the nurse include? Select all that apply. A. Keep the number of poison control posted clearly and assure that all caregivers know where to locate it. B. Place all potentially hazardous chemicals into smaller containers so that the child only has access to smaller quantities. C. Place child-safe locks on all lower cabinets. D. Keep all medications on a high shelf in upper cabinets. E. Buy cleaning products with childproof tops. - โโA, C, D, E
The mother of a toddler asks the nurse when she should begin potty training her son. What is the best response from the nurse? A. "Toilet training should be done between 2 and 3 years of age." B. "Children typically show signs of readiness to potty train between the ages of 2 and 3." C. "Choose a time that is convenient for you." D. "Try some time on the toilet and be persistent if the child shows resistance." - โโB. A nurse has completed a class on safety for parents of preschoolers. Which parent statement requires follow-up from the nurse? A. "I will check the temperature setting on our water heater when we return home." B. "I will ask my partner to check the smoke detectors and change the batteries." C. "I will be getting my sister's old crib so that the baby does not have to sleep with us anymore." D. "I will have my car seat checked at the motor vehicle agency to make sure it is installed correctly." - โโC. The nurse is demonstrating proper teeth-brushing techniques to a group of mothers of 2-year- olds. What principle should be included in the presentation? A. Parents should complete these tasks for their toddler. B. Parents should be taught to encourage the child to participate under parental supervision. C. Parents should allow the toddler to choose a time to brush their teeth in order to encourage control. D. Parents should use only water to brush the child's teeth until the age of 3 in order to prevent the swallowing of toothpaste. - โโB.
D. Ask the mother what the last known weight was to compare it with the current value. - โโB. The mother of a 14-month-old is concerned that her child does not talk as much as other children in the same day care. What should the nurse understand about normal speech development for this age? A. The child should be able to speak in sentences with two to three words by this age. B. The child should be able to use the words, "I" and "me" in a sentence by this age. C. Language is so individual, so speech delays are not diagnosed until school years. D. The child should be able to speak approximately five words by this age. - โโD.
