A 2-year-old toddler has been diagnosed with repeated ear infections, arrives at the
clinic feverish and irritable. To elicit pertinent information related to the child's ears, the
nurse would address the parent with: - ANSWER "Does your child tug at either ear?
A 3-year-old child is admitted to the emergency department for failure to thrive, and the
nurse suspects neglect. What behavior would the nurse look for in the child that may
signify neglect? ANSWER Poor hygiene and weight loss
A nurse working on the pediatric floor is caring for a toddler. Select all of the following
characteristics of toddlers that the nurse should consider in communicating with the
child. ANSWER They are negative.
An RN has been "care-paired" with an LPN during evening shift. Whose care should the
RN delegate to the LPN? ANSWER the 2-year-old child who has started taking soft, solid
foods following a tonsillectomy
The nurse is caring for a child in the early stage of recovery from a burn. The nurse
selects which nursing diagnosis as the priority? ANSWER impaired skin integrity
When caring for a toddler, the nurse should be aware that an infant in this age-group
attempts to master which of the following developmental tasks? - ANWER Autonomy
Which of the following poses the greatest safety risk for a hospitalized 2-year-old child?
- ANWER Side rails in the halfway position
The nurse is gathering data about the physical development of a 33-month-old who is
playing. Which of the following activities would the nurse expect the toddler to be able to
do with only minimal assistance? Select all that apply. - ANSWER washing and drying
hands
, removing his or her jacket
eating with a spoon
A 3-year-old child has had surgery for a Wilm's tumor. The parent asks that the child be
given medication for pain. What is the nurse's first response? ANSWER Assess the
child's pain on a smiley face pain scale.
A pediatric nurse preceptor working on an oncology floor goes to see if the new
graduate nurse caring for a 3-year-old terminally ill child requires assistance. The
preceptor finds the new nurse in the lounge crying. What is the preceptor's best action?
- ANSWER Ask the graduate what has caused the crying.
A 15-month-old child is being discharged after treatment for severe otitis media and
bacterial meningitis. Which statement by the parents indicates effective discharge
teaching? - ANSWER "We'll go to the physician if our child pulls on his ears or won't lie
down."
What nursing diagnosis takes highest priority for a child in the early stages of burn
recovery? - ANSWER Risk for infection
When educating a mother of a 17-month-old toddler about toilet training, which of the
following instructions would be the most appropriate to give first? ANSWER Make
certain the child is ready before initiating toilet training.
A 2-year-old child is brought to the emergency department in respiratory distress,
leaning forward, sitting up, and thrusting the chin forward while drooling with the mouth
open and the tongue protruding. What is the most appropriate nursing intervention?
ANSWER Position the child in an upright position on the parent's lap.
A nurse discussing injury prevention with a group of workers in a daycare center is
focusing on toddlers. This is the age-group during which the nurse should emphasize
that- ANSWER accidents are the leading cause of death among toddlers.
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