Deck 52: Nursing Care of a Family When a Child Has an Unintentional Injury

Question 1

A 2-year-old child is diagnosed with lead poisoning caused by eating paint chips from a windowsill. What measure should the nurse instruct the parents to prevent this from occurring in the future?

A) Teaching their daughter that paint is not an edible substance
B) Not allowing their daughter any milk products during daylight hours
C) Covering the windowsills with paneling to prevent her from reaching them
D) Administering ipecac syrup the next time they see her eat a paint chip

Answer 1

Covering the windowsills with paneling to prevent her from reaching them

Question 2

A child with a head injury is demonstrating signs of cognitive deficits. The parents are concerned about how well the child will recover. Which nursing diagnosis should the nurse identify as the most appropriate for the family at this time?

A) Anxiety related to extent of required hospitalization
B) Risk for long-term learning deficits related to head injury
C) Parental fear related to outcome after head injury in child
D) Ineffective coping related to care of a child with a head injury

Answer 2

Parental fear related to outcome after head injury in child

Question 3

An infant is brought to the emergency department with acetaminophen poisoning. Which medication should the nurse expect to administer to this child?

A) Iron
B) Deferoxamine
C) Acetylcysteine
D) Dexamethasone

Answer 3

Acetylcysteine

Question 4

The nurse is completing the health history for the parents of school-age child admitted with a ruptured spleen. For which activity should the nurse assess as the possible cause for this child's injury?

A) Shooting pool
B) Skateboarding
C) Playing baseball
D) Playing basketball

Question 5

Before discharging a school-age child being treated for a snake bite, the nurse instruct ways to prevent additional bites in the future. Which statement indicates that teaching provided to this child has been effective?

A) "I should wear long pants when out of doors."
B) "I should look at rocks before touching them."
C) "I should poke a snake with a stick before touching it."
D) "I should spray a snake with water before picking it up."

Question 6

A school-age child comes into the emergency clinic complaining of knee pain that started while playing soccer. What will the nurse most likely observe when assessing this child's knee?

A) Edema
B) Erythema
C) Contusions
D) Mottled skin

Question 7

A preadolescent child sprains the right ankle while inline skating. What should the nurse instruct the child and parents about the care that the child will need at home? (Select all that apply.)

A) Apply ice pack for 20-minute intervals.
B) Apply ice pack on the ankle for 4 to 7 days.
C) Keep wrapped in an elastic bandage.
D) Remind to use crutches to walk for 3 to 4 days.
E) Apply heat to the ankle beginning the first day after injury.

Question 8

A child with extensive burns is permitted to eat. Which nutrient should the nurse ensure is of a high amount when the child's meals are being prepared?

A) Fats
B) Protein
C) Minerals
D) Carbohydrates

Question 9

The nurse calculates that a child with a burn injury is to receive 3,600 ml of intravenous fluid over the next 24 hours. How much of this fluid should the nurse provide to the patient during the first 8 hours?

A) 900 ml
B) 1,200 ml
C) 1,800 ml
D) 2,700 ml

Question 10

The nurse notes that a child with a burn injury is prescribed daily debridement. What should the nurse instruct the child and parents about the purpose of this treatment?

A) Relieves pain
B) Prevents infection
C) Maintains mobility of extremities
D) Decreases the need for skin grafts

Question 11

The school nurse is planning a presentation to be given during the next parent/teacher conference to include the 2020 National Health Goals to prevent unintentional injuries in children. What should the nurse include in this presentation? (Select all that apply.)

A) Legal aspects of child abuse
B) Recognize signs of self-injury
C) Provide information on home safety
D) Ways to determine intentional injuries
E) Emphasize safety with sports activities

Question 12

The nurse is preparing to administer activated charcoal to a 4-year-old child who accidentally ingested a family member's heart medication. What should the nurse do to reduce the discomfort from this treatment?

A) Insert a nasogastric tube.
B) Mix the charcoal in milk.
C) Obtain an order for an indwelling urinary catheter.
D) Bring an intravenous infusion for fluid replacement.

Question 13

A school-age child is brought to the emergency department after being hit in the mouth with a baseball bat during Little League. The child has lost two deciduous teeth, and one permanent front tooth is loose. What care should the nurse prepare to provide to this patient? (Select all that apply.)

A) Administer prescribed oral antibiotic.
B) Wash the deciduous teeth with saline to be wired into place.
C) Instruct the parents and the child that the jaw will need to be wired shut.
D) Explain that an X-ray may be done to make sure that the jaw was not fractured.
E) Explain that a chest X-ray will be done to make sure that other teeth are not in the lungs.

Question 14

The nurse is caring for a preschool-age child who survived near drowning. Which interventions should the nurse plan to promote optimum respiratory functioning for this patient? (Select all that apply.)

A) Turn and reposition every 2 hours.
B) Administer antibiotics as prescribed.
C) Auscultate lung sounds every 2 to 4 hours.
D) Monitor cardiac rhythm and blood pressure.
E) Encourage deep breathing and incentive spirometry every hour.

Question 15

A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed. What should the nurse explain to the parents regarding the care that the child will need at this time?

A) Activated charcoal so that the child will vomit the batteries
B) Preparation for an emergency endoscopy to remove the batteries
C) Oxygen to ensure that the child's blood is thoroughly oxygenated
D) Emergency intubation to ensure that the child has an adequate airway