Question 1

When determining the stages of separation anxiety,the nurse recognizes that the child in the despair phase is the child who:&#10;A)Plays with toys when his parents are not around.&#10;B)Screams and cries when his parents leave.&#10;C)Appears to be happy and content with staff.&#10;D)Lies quietly in bed.&#10;

Accepted Answer

In the despair phase of separation anxiety, children often withdraw and may appear to be settling into the new environment, but this behavior is actually a sign of resignation and despair, not contentment or comfort. They may lie quietly in bed, showing less active protest than in the initial phase of separation anxiety.

Question 2

The charge nurse is concerned with reducing the stressors of hospitalization.Which nursing intervention is most helpful in decreasing the stressors for toddlers?&#10;A)Assign the same nurse to the toddler as much as possible.&#10;B)Let the child listen to an audiotape of the mother's voice.&#10;C)Place a picture of the family at the bedside.&#10;D)Encourage a parent to stay with the child.&#10;

Accepted Answer

Encouraging a parent to stay with the child is the most helpful nursing intervention in decreasing stressors for toddlers. Toddlers have a strong attachment to their parents and can become distressed when separated from them. Having a parent present can help reduce anxiety, provide comfort, and promote a sense of security for the child. It is important to promote parental involvement in the care of hospitalized toddlers whenever possible. Assigning the same nurse, providing an audiotape of the mother's voice, and placing a picture of the family at the bedside may also be helpful interventions but are not as effective as having a parent present with the child.

Question 3

A 5-year-old is in the playroom when the respiratory therapist arrives on the Pediatric Unit to give the child a scheduled breathing treatment.Which action should the nurse take?&#10;A)Reschedule the treatment for a later time.&#10;B)Show the respiratory therapist to the playroom so that the treatment can be performed.&#10;C)Postpone the treatment until the next scheduled time.&#10;D)Assist the child back to his room for the treatment,but reassure him that he may return when the procedure is completed.&#10;

Accepted Answer

It is important for the child to receive their scheduled breathing treatment, so rescheduling or postponing is not appropriate. Bringing the therapist to the playroom may not be feasible, so it is best to assist the child back to their room for the treatment. Assuring the child they can return to the playroom after the treatment can help ease any anxiety they may have.

Question 4

A 2-year-old child recently diagnosed with a seizure disorder will be discharged home on an anticonvulsant.Which action by the mother best demonstrates understanding of how to give the medication? The mother:

A)Verbalizes how to give the medication.
B)Acknowledges understanding of written instruction.
C)Draws up the medication correctly in an oral syringe and administers it to the child.
D)Observes the nurse draw up the medication and administer it to the child.

Accepted Answer

Drawing up the medication correctly in an oral syringe and administering it to the child shows that the mother understands how to give the medication. Verbalizing or acknowledging written instruction may not necessarily demonstrate competency in administering the medication. Observing the nurse is helpful, but it does not necessarily indicate that the mother can replicate the process correctly.

Question 5

The nurse needs to administer a medication in tablet form to a 4-year-old.Which action is appropriate?&#10;A)Place the tablet on the child's tongue and give the child a drink of water.&#10;B)Break the tablet in small pieces and ask the child to swallow the pieces one by one.&#10;C)Crush the tablet and mix it in a teaspoon of applesauce.&#10;D)Crush the tablet and mix it in a cup of juice.&#10;

Accepted Answer

Crushing the tablet and mixing it with a small amount of applesauce is an appropriate method for administering medication to a young child who may have difficulty swallowing tablets. Mixing it with a favorite food like applesauce can also make it more palatable for the child. It is important to make sure that the medication can be crushed and mixed with food, and to check with the healthcare provider for any specific instructions on how to administer the medication. Option A may cause the child to choke, while option B may be difficult for the child to swallow. Option D may not be appropriate if the medication interacts with certain juices.

Question 6

The nurse is working with a hospitalized preschool-age child.The nurse is planning activities to reduce anxiety in this child.Which is the most appropriate action by the nurse?&#10;A)Provide the child with a doll and safe medical equipment.&#10;B)Read a story to the child.&#10;C)Use an anatomically correct doll to teach the child about the illness.&#10;D)Talk to the child about the hospitalization.&#10;

Accepted Answer

Providing the child with a doll and safe medical equipment can help the child familiarize themselves with medical procedures and alleviate anxiety by allowing them to play out and gain a sense of control over these experiences. Reading a story or using an anatomically correct doll may not be as effective in reducing anxiety in a preschool-age child. Talking to the child about the hospitalization may also increase their anxiety.

Question 7

The nurse is caring for a client in Pediatric Intensive Care.The parents have expressed anger over the nursing care their child is receiving.Which is the most appropriate nursing intervention for these parents?

A)Ask the physician to talk with the family.
B)Explain to the parents that their anger is affecting their child,so they will not be allowed to visit the child until they calm down.
C)Acknowledge the parents' concerns and collaborate with them regarding the care of their child.
D)Call the chaplain to sit with the family.

Accepted Answer

The most appropriate nursing intervention is to acknowledge and validate the parents' concerns and collaborate with them regarding the care of their child. The nurse should listen actively to the parents, ask open-ended questions, and involve them in decision-making about their child's care. This will help to build trust and improve communication between the nurse, parents, and healthcare team. Options A, B, and D do not involve collaboration with the parents and may escalate the situation rather than resolving it.

Question 8

The nurse must perform a procedure on a toddler.Which technique is most appropriate when performing the procedure?&#10;A)Ask the mother to restrain the child during the procedure.&#10;B)Ask the child if it is okay to start the procedure.&#10;C)Perform the procedure in the child's hospital bed.&#10;D)Allow the child to cry or scream.&#10;

Accepted Answer

Allowing the child to cry or scream is appropriate as it is a natural response for toddlers during procedures, and it helps them express their feelings and cope with the situation.

Question 9

A 4-year-old is seen in the clinic for a sore throat.The most likely causative agent in the child's mind is that he:&#10;A)Was exposed to someone else with a sore throat.&#10;B)Did not eat the right foods.&#10;C)Yelled at his brother.&#10;D)Did not take his vitamins.&#10;

Accepted Answer

Young children often attribute illness to recent behaviors or actions, such as yelling, rather than understanding the concept of infectious agents.

Question 10

In planning care for a hospitalized school-age child,which action will promote a sense of industry in this child?&#10;A)Allow the child to assist with her care.&#10;B)Encourage parents to participate in the child's care.&#10;C)Give the child a detailed scientific explanation of the illness.&#10;D)Speak to the child in a high-pitched voice.&#10;

Accepted Answer

Allowing the child to assist with her own care will promote a sense of industry. This will allow the child to feel a sense of accomplishment and competence as they participate in their own care. Encouraging parents to participate in care and providing a detailed explanation of the illness can also be helpful, but they do not directly promote a sense of industry in the child. Speaking to the child in a high-pitched voice is not appropriate and does not promote a sense of industry.

Question 11

The nurse is working with an adolescent who will be admitted to the hospital in 2 days.Which is the most appropriate nursing intervention to prepare the adolescent for hospitalization? Select all that apply.

A)Provide the adolescent with written material about the hospitalization.
B)Provide an opportunity for the adolescent to talk with a peer who has had a similar experience.
C)Teach the parents what to expect,so the information can be shared with the adolescent.
D)Provide an opportunity for the teen to try on surgical attire.
E)Explain the adolescent's upcoming surgery using an anatomically doll.

Accepted Answer

The answer of The nurse is working with an adolescent...

Question 12

The charge nurse on a hospital unit is developing plans of care related to separation anxiety.The charge nurse recognizes that which hospitalized child is at greatest risk to experience separation anxiety when parents cannot stay?

A)6-month-old
B)18-month-old
C)3-year-old
D)4-year-old

Accepted Answer

The answer of The charge nurse on a hospital unit...

Question 13

The parents of a critically injured child wish to stay in the room while the child is receiving emergency care.Which action should the nurse take?&#10;A)Escort the parents to the waiting room and assure them that they can see their child soon.&#10;B)Allow the parents to stay with the child.&#10;C)Ask the physician whether the parents can stay with the child.&#10;D)Tell the parents that they do not need to stay with the child.&#10;

Accepted Answer

The answer of The parents of a critically injured child...

Question 14

An infant has been NPO for surgery for 4 hours,and does not have an intravenous line.The nurse receives a call from the operating room with the information that the surgery has been postponed due to an emergency.Which is the priority action for the nurse?

A)Feed the infant 4 ounces of formula.
B)Reassure the parents that it will not be much longer before surgery.
C)Allow the parents to feed the infant an ounce of oral rehydration solution.
D)Call the physician to see if the infant needs to have an intravenous line started.

Accepted Answer

The answer of An infant has been NPO for surgery...

Question 15

A child is being discharged from the hospital after a 3-week stay following a motor vehicle accident.The mother expresses concern about caring for the child's wounds at home.She has demonstrated appropriate technique with medication administration and wound care.Which is the priority nursing diagnosis?

A)Knowledge deficit of home care
B)Altered family processes related to hospitalization
C)Parental anxiety related to care of the child at home
D)Risk for infection related to presence of healing wounds

Accepted Answer

The answer of A child is being discharged from the...

Deck 41: Nursing Considerations for the Hospitalized Child