Chapter 21: Caring for the Child in the Hospital, the Community, and Across Care Settings Nursing
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Chapter 21: CarŤng for the Search …
ChŤld Ťn the HospŤtal, the
CommunŤty, and Across
Care SettŤngs NursŤng
School Test Banks
Chapter 21: Caring for the Child in the Hospital, the
Community, and Across Care Settings
MULTIPLE CHOICE
1. The pediatric nurse clarifies the history of a child who is
brought to the emergency room with abdominal pain. The
nurse uses the mnemonic OLD CAT to ask the appropriate
questions, including which of the following?
A. Activity
B. Diet
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,C. Output
D. Timing other test bank
ANS: D site
The mnemonic OLD CAT stands for: onset (When did the test bank
child become ill?), location (Where is the pain?), duration A test bank
(How long does the pain last?), character (Can you tell me
on a scale of 1 to 10 how bad it is?), aggravating/alleviating
(What has made the pain better or worse?), and timing
(When does the pain start/stop?).
Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Assessment
Difficulty: Easy
PTS: 1
2. The pediatric nurse takes a comprehensive health
history of a 10-year-old patient and asks the parents
about their use of herbal products or home remedies. What
information does the nurse know regarding herbal
products?
A. Aloe vera can affect clotting time by decreasing
platelets.
B. Bilberry can cause hypersensitivity in patients with
allergies to plants.
C. Echinacea is contraindicated for patients with
autoimmune disorders.
D. Fennel is contraindicated in patients with diabetes,
hypertension, or liver disease.
ANS: C
There are no known side effects for topical application of
aloe vera. Bilberry can affect clotting time by decreasing
platelet aggregation. Echinacea should not be used for
patients with autoimmune disorders, diabetes, AIDS, or HIV.
Fennel may have a laxative effect; licorice is
contraindicated in patients with diabetes, hypertension, or
liver and kidney disease.
3. The pediatric nurse performs a health assessment on a
9-year-old girl who weighs 23 kg and is 132 cm tall. How
does the nurse document the patients BMI?
A. 13.20
B. 13.82
C. 14.25
D. 14.68
ANS: A
The BMI-for-age is calculated by dividing the weight (in
kilograms) by the height squared (in meters). However,
because most health-care providers obtain height in
centimeters, an alternative calculation is to divide the
weight (in kilograms) by the height squared (in
centimeters), then multiply by 10,000.
Cognitive Level: Analysis
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Assessment
Difficulty: Difficult
PTS: 1
4. On physical assessment of the skin of a patient, the
nurse documents cyanosis. What other related assessment
should the nurse perform?
A. Ask the parent about yellow and orange vegetable
intake.
B. Draw blood for hemoglobin, hematocrit, and liver
function studies.
C. Palpate all the childs lymph nodes, assessing for
enlargement.
D. Take the childs vital signs, including blood pressure and
pulse.
ANS: D
Cyanosis may indicate a compromised cardiorespiratory
3/38
, state, and the nurse should assess measures of cardiac
output and respiratory function. Taking vital signs will give
the nurse information about these two systems. Vegetable
intake, laboratory studies (including liver function tests),
and palpating lymph nodes are not related to cyanosis.
Cognitive Level: Analysis/Analyzing
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Assessment
Difficulty: Moderate
PTS: 1
5. A nursing manager is concerned about frequent errors
on the pediatric unit and wants to decrease them. What
action by the manager is best?
A. Have two nurses verify all new orders when they are
written.
B. Institute a standardized handoff format at shift change.
C. Provide remedial education to nurses who make errors.
D. Require charge nurses to verify care plans with staff
nurses.
ANS: B
The Joint Commission has identified handoff
communication as contributing to up to 80% of all serious,
preventable errors. To remedy this situation, a standardized
handoff communication format is suggested. The other
actions might work to some degree, but not to the extent
that improving handoff communication would.
Cognitive Level: Analysis/Analyzing
Content Area: Pediatrics/Maternity
Patient Needs: Safe and Effective Care Environment: Safety
and Infection Control
Integrated Process: Communication and Documentation
Difficulty: Moderate
PTS: 1
6. The pediatric nurse assessing a patient for breath
sounds documents a loud, high-pitched sound heard only
over the trachea. The nurse should document this finding
4/38
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