Deck 22: Health Care Adaptations for the Child and Family

Question 1

A child who has a continuous intravenous infusion should be assessed every:

A) hour.
B) two hours.
C) three hours.
D) four hours.

Answer 1

hour.

Question 2

A parent tells the nurse,"I'm not sure how to give this medicine to my infant." The nurse would teach the parent to best administer an oral suspension by:

A) pouring the medication into a small cup and allowing the infant to drink it.
B) placing the medication in a nipple and having the infant suck the nipple.
C) using an oral syringe and placing the medication in the side of the infant's mouth.
D) administering the medication with a dropper onto the back of the infant's tongue.

Answer 2

using an oral syringe and placing the medication in the side of the infant's mouth.

Question 3

The emergency action for airway obstruction in the infant is to give:

A) six to 10 midsternal thrusts.
B) five back blows followed by five chest thrusts.
C) five chest thrusts followed by five back blows.
D) abdominal thrusts until the object is expelled.

Answer 3

five back blows followed by five chest thrusts.

Question 4

The nurse selects the best site for giving an IM injection to a 15-month-old child,which is the _____ muscle.

A) ventrogluteal
B) dorsogluteal
C) deltoid
D) vastus lateralis

Question 5

The nurse is caring for a 4-year-old child.When reviewing yesterday's intake and output record,the nurse would expect the child's daily urinary output to be approximately _____ mL.

A) 400 to 500
B) 500 to 600
C) 600 to 700
D) 700 to 1000

Question 6

When the 4-year-old asks tearfully if the IM injection will hurt,the nurse's most effective response is:

A) "No. It is over before you know it. "
B) "Yes. It will sting a little. "
C) "No. Would you like to see the syringe?"
D) "Yes. Your mom and I are going to hold you to help you be still. "

Question 7

The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid.The drug is supplied as a unit dose of 600,000 units in a 5-mL vial.The nurse should give the dose as _____ mL.

A) 1. 25
B) 1. 4
C) 1. 6
D) 1. 8

Question 8

The nurse prepares a 9-year-old child for a lumbar puncture by explaining that the position for this procedure is:

A) "On your stomach with your head turned to the side. "
B) "On your side, keeping the legs bent and the head arched back. "
C) "On your back with your legs extended straight out. "
D) "On your side with the knees bent and the head close to the knees. "

Question 9

The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:

A) mummy.
B) clove hitch.
C) jacket.
D) elbow.

Question 10

When suctioning a tracheostomy,the nurse will:

A) suction for two to three breaths.
B) clear the catheter with water after suctioning for reuse.
C) apply suction for no more than 15 seconds.
D) establish a regular schedule for suctioning.

Question 11

Gentamicin ear drops are prescribed for a 4-year-old child.To administer the ear drops,the nurse would pull the auricle:

A) up and back.
B) down and back.
C) up and out.
D) down and out.

Question 12

The nurse explains that the factor that affects the infant's physiological response to medications is:

A) faster metabolism in the liver.
B) slower intestinal transit.
C) immature kidney function.
D) increased secretion of hydrochloric acid.

Question 13

The nurse instructed an adolescent female about collecting a clean-catch urine specimen.The nurse determined the adolescent understood the instructions when she stated:

A) "I should wash my perineum with soap and water, then begin to urinate. "
B) "I clean the perineum from front to back with an antiseptic wipe before I urinate. "
C) "I'll collect the first stream of urine in a sterile container. "
D) "I will discard the first void and collect a freshly voided specimen 30 minutes later. "

Question 14

After topical administration of hydrocortisone cream to the buttocks and abdomen of an infant,the nurse should:

A) diaper the infant snugly with a disposable diaper.
B) cover the area with a transparent dressing.
C) apply a cloth diaper.
D) place the infant on a plastic pad, undiapered.

Question 15

The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on the child.The nurse should:

A) give the medication after confirming the child's name from the foot of the crib.
B) ask the charge nurse to give the medicine.
C) confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
D) delay the medication until the admissions office can supply a new ID bracelet.

Question 16

The nurse explains that the tympanic thermometer is considered more accurate because:

A) the thermometer probe is blunt and wide.
B) it takes a brief time to register.
C) the tympanic membrane shares circulation with the hypothalamus.
D) the tympanic membrane and the brain have the same temperature.

Question 17

The intervention that would be correct when a nurse is administering a gastrostomy feeding by gravity is to:

A) discard the residual and increase the volume of feeding by the amount of residual.
B) flush the gastrostomy tube with 2 to 4 ounces of water before the feeding.
C) refill the syringe with formula after it has completely emptied.
D) position the child on the right side after a feeding.

Question 18

The strategy the nurse might use when administering oral medications to a young child who is reluctant to take it is to:

A) mix the medication with chocolate milk.
B) tell the child that the medication is candy.
C) give the medication quickly if the child is crying.
D) offer the child fruit juice after the medication is swallowed.

Question 19

The best site for the nurse to use when assessing the pulse rate on a 12-month-old infant is the _____ pulse.

A) brachial
B) apical
C) radial
D) femoral

Question 20

Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?

A) The blanket is not tucked into the mattress.
B) Diapers and wipes are stacked at the foot of the crib.
C) The crib side is locked in the up position.
D) Pillows are stacked on the bedside table.

Question 21

The nurse is searching through several blood pressure cuffs to find a cuff that is the appropriate size for her small patient.The nurse selects a cuff that covers ______ _______ of the patient's upper arm.

Question 22

The nurse instructs the mother of a 2-year-old who is taking iron supplements for anemia that some foods reduce the absorption of iron,such as:

A) red meat.
B) green, leafy vegetables.
C) acidic fruit juices.
D) egg yolks.

Question 23

The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds.The PDR states that 10 mg/kg/day is the maximum daily dose.The safe daily dose of this medication is _____ mg.

Question 24

The nurse is aware that which specific drug(s)should be checked with a second licensed nurse prior to administration? Select all that apply.

A) Insulin
B) Digoxin
C) Vasodilators
D) Calcium salts
E) Anticoagulants

Question 25

After instilling nose drops,the nurse will keep the infant in the head down position for at least _________ seconds.

Question 26

The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM,the start order for NPO should be no earlier than ____________________.

Question 27

The nurse is aware that because of the function of the mist tent that a child is at risk for ________________.

Question 28

An infant's dry diaper weighs 2.5 grams.The wet diaper weighs 47 grams.The nurse would record the infant's urine output as _____ mL.

A) 47
B) 44. 5
C) 43. 5
D) 40. 5

Question 29

Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s)of a procedure? Select all that apply.

A) Purpose of the procedure
B) Associated risks with the procedure
C) That no suit can be brought for damages
D) That the document must be signed and witnessed
E) That information was given

Question 30

The order reads,"Give ampicillin oral suspension 400 mg PO every day." The vial reads,"Ampicillin 125 mg/5 mL." The nurse will give a dose of ______ mL.