Deck 36: Nursing Care of a Family With a Child Who Is Ill

Question 1

The nurse is discussing a pending hospitalization of an 8-month-old infant with the parents. What should the nurse encourage the parents to do when preparing the child for this hospitalization?

A) Pack her favorite toy.
B) Buy a new pair of soft pajamas.
C) Read her a story on hospitalization.
D) Let her watch her suitcase being packed.

Answer 1

Pack her favorite toy.

Question 2

The mother of an infant is unable to visit the child in the hospital for 3 days. At first, the baby cries relentlessly but then becomes quiet and withdrawn. What reaction does the nurse identify as occurring with this child?

A) The infant is fatigued.
B) The infant is developing a sense of denial.
C) The infant is confused about being hospitalized.
D) The infant is ill, which is causing the change in behavior.

Answer 2

The infant is developing a sense of denial.

Question 3

The nurses on a pediatric unit are planning an open house for parents and children to visit the unit in an attempt to reduce the stress when hospitalized. In order to support the 2020 National Health Goals regarding childhood hospitalization and stress, what type of materials should the nurses prepare for the families?

A) Location of the hospital cafeteria
B) Best places to park when visiting the hospital
C) Checklist of preventive services needed by children
D) Suggested times during the day to visit when the child is hospitalized

Answer 3

Checklist of preventive services needed by children

Question 4

The nurse is assessing a preschool-age child who is being hospitalized for the first time for a surgical procedure. The child expresses the desire to go home and is scared. Which nursing diagnosis should the nurse identify as appropriate for the child at this time?

A) Anxiety related to pending hospital admission
B) Risk for social isolation related to hospitalization
C) Fear related to being away from home for first time
D) Health-seeking behaviors related to lack of knowledge regarding illness

Question 5

The mother of an infant is upset to learn that the baby's diarrhea caused the infant to become quite ill. What should the nurse explain about an infant that makes diarrhea an important problem to treat?

A) Infants have shorter intestines than adults.
B) Infants have a high proportion of extracellular fluid.
C) Infants have a higher proportion of fluid than an adult.
D) Infants have a fluid content that is proportionally less than that of an adult.

Question 6

The nurse is caring for a 4-year-old confined to bed. Which play experience should the nurse use as being the most age appropriate for the patient?

A) Helping the patient learn to write
B) Teaching the patient to play checkers
C) Encouraging watching unlimited television
D) Supplying a tray of dry oatmeal for "sand" play

Question 7

A school-age child who is in the playroom is prescribed to receive an injection. What should the nurse do when preparing to administer this medication to the child?

A) Inject it in the playroom.
B) Ask to see the patient outside the playroom for the injection.
C) Ask the patient if the injection can be given in the playroom.
D) Ask the other children if they would mind if you give the injection in the playroom.

Question 8

Which items should the nurse select as the best to support therapeutic play for a child who receives daily injections of medication?

A) A doll with a cast in place
B) A syringe to practice injections
C) A stuffed bear with Band-Aids
D) An anatomically correct puppet

Question 9

The nurse is completing the teaching for parents of a toddler recovering from a fracture. Which outcome should the nurse identify to help determine if teaching has been effective?

A) The child resumes normal activity level at home.
B) The parents encourage the child to be independent.
C) The parents place a locked gate at the top of the stairs.
D) The child waits for the parent to assist before walking down a set of stairs.

Question 10

The nurse is planning care for a school-age child being admitted to the hospital for a chronic illness. Which hazards of hospitalization for children will the nurse use to plan this patient's care? (Select all that apply.)

A) Meeting new people
B) Unsure of acceptable behavior
C) Losing control over the environment
D) Experiencing physical discomfort and pain
E) Being separated from family, school, and friends

Question 11

The nurse is helping the parents explain to a toddler the need to go to the hospital for a tonsillectomy. When explaining the procedure to the child, which phrase should the nurse and parents avoid using?

A) "You will be able to eat popsicles."
B) "Your mommy and daddy will be with you."
C) "The bad tissue will be cut out of your throat."
D) "You will get medicine so that you feel better."

Question 12

A preschool-age child is being admitted to the hospital for treatment of cellulitis. The child's parents appear upset and frightened. Which question should the nurse use to elicit information concerning the parents' understanding of why the child is being admitted to the hospital?

A) "Are you worried? I'll tell you everything you need to know."
B) "Why are you so concerned? We take good care of children here."
C) "Has the doctor told you why your daughter requires hospitalization?"
D) "You seem concerned; do you have questions about your child's admission?"

Question 13

While hospitalized, a school-age child began sleepwalking. The nurse teaches the parents how to handle sleepwalking once the child is discharged. Which statement indicates that this teaching has been effective?

A) "We should not wake up the child."
B) "We should shake the child to wake up immediately."
C) "We should wake the child up gently and return the child to bed."
D) "We should keep the child awake in the living room to play before going to bed."

Question 14

The nurse is planning to meet the spiritual needs of a 6-year-old child who is hospitalized. Which child behavior should the nurse encourage to provide security to the child who is in a strange environment?

A) Saying bedtime prayers
B) Hanging a religious picture over the bed
C) Giving the child a Bible to keep at the bedside
D) Asking the hospital chaplain to visit with the child

Question 15

The nurse is identifying ways to increase the oral fluid intake of a preschool-age child. Which interventions should the nurse use with this patient? (Select all that apply.)

A) Provide fluids ice cold.
B) Offer small full glasses of fluid.
C) Provide the child's favorite fluid.
D) Encourage popsicles if permitted.
E) Provide a straw if not contraindicated.