Exam (elaborations)
Chapter 44 Pediatric Variations of Nursing Interventions
- Course
- Maternal child nursing
- Institution
- Rutgers School Of Nursing
Chapter 44 Pediatric Variations of Nursing Interventions
[Show more]
Content preview
Chapter 44: Pediatric Variations of Nursing InterventionsMULTIPLE CHOICE
1. What should the nurse consider when having consent forms signed for surgery and procedures on
children?
a. Only a parent or legal guardian can
give consent.
b. The person giving consent must be at
least 18 years old.
c. The risks and benefits of a procedure
, are part of the consent process.
d. A mental age of 7 years or older is
required for a consent to be
considered “informed.”
ANS: C
The informed consent must include the nature of the procedure, benefits and risks, and
alternatives to the procedure. In special circumstances such as emancipated minors, consent
can be given by someone younger than 18 years without the parent or legal guardian. A mental
age of 7 years is too young for consent to be informed.
DIF: Cognitive Level: Comprehension REF: p. 1279 OBJ: Nursing
Process: Planning
2. The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures.
Which guideline should be included to prepare this preschooler?
a. Plan for a short teaching session of
about 30 minutes.
b. Tell the child that procedures are
never a form of punishment.
c. Keep equipment out of the child’s
view.
d. Use correct scientific and medical
terminology in explanations.
ANS: B
Preschoolers may view illness and hospitalization as punishment, so it is important to always
state directly that procedures are never a form of punishment. Teaching sessions for this age
group should be 10 to 15 minutes in length. Use of equipment should be demonstrated, and
the child should be allowed to play with miniature or actual equipment. The nurse should
explain the procedure in simple terms as well as how it affects the child.
DIF: Cognitive Level: Application REF: p. 1282 | Box 44-1 OBJ:
Nursing Process: Implementation
3. A 4-year-old is admitted to outpatient surgery for the removal of a cyst on her foot. Her
mother puts the hospital gown on her, but the child is crying because she wants to leave her
underpants on. What is the most appropriate nursing action?
, a. Allow the child to wear her
underpants.
b. Discuss with her mother why this is
important to the child.
c. Ask her mother to explain to her why
she cannot wear them.
d. Explain in a kind, matter-of-fact
manner that removing all clothing is
hospital policy.
ANS: A
In this case, it is appropriate for the child to leave her underpants on. This allows her some
measure of control during the foot surgery. The mother should not be required to make the
child more upset. The child is too young to understand what hospital policy means, so this
explanation would not help her.
DIF: Cognitive Level: Application REF: p. 1282 | Box 44-1 OBJ:
Nursing Process: Implementation
4. From a child development perspective, what is the best approach to prepare a toddler for a
procedure?
a. Avoid asking the child to make
choices.
b. Demonstrate the procedure on a doll.
c. Plan for the teaching session to last
about 20 minutes.
d. Show the necessary equipment
without allowing the child to handle it.
ANS: B
Toddlers are best prepared for procedures by using play. The nurse can demonstrate the
procedure on a doll but should avoid using the child’s favourite doll, because the toddler may
think the doll is really “feeling” the procedure. In preparing a toddler for a procedure, the child
should be allowed to participate in care and help whenever possible. Teaching sessions for
a. Grant her request.
b. Explain why this is not possible.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Angelicer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79978 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now