Specific Considerations of Nursing Care of Children

Term
1 / 19
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? -> Ch 8
Click the card to flip 👆
Terms in this set (19)
A nurse is planning to administer the influenza vaccine to a toddler. Which of the following actions should the nurse take? -> Ch 8
A. Administer subcutaneous in the abdomen
B. Use a 20-gauge needle
C. Divide the medication into two injections
D. (CORRECT) Place the child into a supine position
A nurse is preparing to administer an intramuscular (IM) injection to a child. Which of the following muscle groups are contraindicated? -> Ch 8
A. Deltoid
B. Ventrolateral
C. Vastus Lateralis
D. (CORRECT) Dorsolateral
A nurse is teaching a guardian of an infant about the administration of oral medications. Which of the following should the nurse include in the teaching (select all that apply)? -> Ch 8
A. Use a universal dropper for medication administration
B. (CORRECT)Ask the pharmacy to add flavoring to the medication
C. Add medication to a formula bottle before feeding
D. (CORRECT) Use the nipple of a bottle to administer medication
E.(CORRECT) Hold the infant in a semi-reclining position.
A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take (select all that apply)? -> Ch 8
A. Identify the toddler by asking the caregiver
B. Tell the caregiver to administer the medication
C. (CORRECT) Calculate the safe dosage
D. (CORRECT)Tell the toddler to pick a toy to hold during administration
E. (CORRECT)Offer juice after the medication
A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?
A. Hold the infant in an upright position.
B. (CORRECT) Pull the pinna downward and straight back.
C. Hyperextend the infants neck.
D. Ensure that the medication is cool.
A nurse is completing a pain assessment on an infant. Which of the following pain scales should the nurse use? -> Ch 9
A. FACES
B. (CORRECT) FLACC
C. Oucher
D. Non-communicating children's pain checklist.
A nurse is planning care for a child following a surgical procedure. Which of the following interventions should the nurse include in the plan of care? -> Ch 9
A. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10.
B. Administer intranasal analgesics PRN.
C. Administer IM analgesics for pain.
D. (CORRECT) Administer IV analgesics on a schedule.
A nurse is assessing an infant. Which of the following are findings of pain in an infant (select all that apply)? ->Ch 9
A. Pursed lips
B. (CORRECT)Loud cry
C. (CORRECT)Lowered eyebrows
D. (CORRECT)Rigid body
E. Pushes away stimuli
A nurse is planning care for an infant who is experiencing pain. Which of the following interventions should the nurse include in the plan of care (select all that apply)? -> Ch 9
A. (CORRECT)Offer a pacifier
B. Use guided imagery
C. (CORRECT)Use a swaddle
D. Initiate a behavior contract
E. (CORRECT)Encourage kangaroo care
A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take (select all that apply)? -> Ch 9
A. (CORRECT)Explain the procedure using the child's favorite toy
B. Ask the parents to leave during the procedure
C. Perform the procedure with the child in their bed
D. (CORRECT)Allow the child to make one choice regarding the procedure
E. (CORRECT) Apply lidocaine and prilocaine cream to three potential application sites
A nurse is caring for a preschooler. Which of the following is an expected behavior of a preschool-aged child? -> Ch 10A. Describing manifestations of the illness B. (CORRECT)Relating fears to magical thinking C. Understanding the cause of illness D. Awareness of body functioningA nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect of hospitalization (select all that apply)? -> Ch 10A. Believes the experience is a punishment B. (CORRECT)Experiences separation anxiety C. (CORRECT)Displays intense emotion D. (CORRECT)Enhibits regressive behavior E. Manifests distrubance of body imageA nurse is teaching a guardian about parallel play in children. Which of the following statements should the nurse include in the teachings? -> Ch 10A. "Children should sit and observe others playing" B. "Children should exhibit organized play when in a group" C. "The child plays alone" D. (CORRECT) "The child plays independently when in a group"A nurse is teaching a group of caregivers about separation anxiety. Which of the following information should the nurse include in the teaching? -> Ch 10A. It is often observed is school-aged children B. Detachment is the stage exhibited in the hospital C. It results in prolonged issues of adaptability D. (CORRECT)Kicking a stranger is an exampleA nurse is caring for a patient who is dying. Which of the following are findings of impending death (select all that apply)? -> Ch 11A. Heightened sense of hearing B. Tachycardia C. (CORRECT)Difficulty swallowing D. Sensation of being cold E. (CORRECT)Cheyne-Strokes respirationsA nurse is teaching a guardian about complicated grief. Which of the following statements should the nurse make? -> Ch 11A. "Complicated grief occurs when little time is spent thinking about the loss" B. "Personal activities are rarely affected when experiencing complicated grief" C. "Guardians will expierence complicated grief together" D. (CORRECT)"Counseling can be helpful in resolving complicated grief"A nurse is teaching a caregiver of a preschool child about factors that affect the child's perception of death. Which of the following factors should the nurse include in the teachings? -> Ch 11A. Preschool children have no concept of death B. (CORRECT)Preschool children perceived death as temporary C. Preschool children often regress to an earlier stage of behavior D. Preschool children expierence fear related to the disease process.A nurse often cares for children who are dying. Which of the following are actions for the nurse to take to maintain professional effectiveness (select all that apply)? -> Ch 11A. (CORRECT) Remain in contact with the family after their loss. B. (CORRECT) Develop a professional support system. C. (CORRECT) Take time off from work D. Suggest that a hospital representative attend the funeral E. Demonstrate feelings of sympathy towards the familyA nurse is caring for a child who has a terminal illness and reviews palliative care with assistive personnel (AP). Which of the following statements by the AP indicates an understanding of this review? -> Ch 11A. "I'm sure the family is hopeful that the new medication will stop the illness" B. "I'll miss working with this client now that only nurses will be caring for the child" C. "I will get all of the client's personal objects out of the room" D. (CORRECT) "I will listen and respond as the family talks about their child's life"