Infant care and Pain Management
guide with Q&A
What is the best action for the nurse to take when initiating contact with a toddler for the first time?
-Ask the toddler to point to where it hurts.
-Tell the child your name and that you are the nurse.
-Call the child by name while picking...
What is the best action for the nurse to take when initiating contact with
a toddler for the first time?
-Ask the toddler to point to where it hurts.
-Tell the child your name and that you are the nurse.
-Call the child by name while picking up the toddler.
-Kneel in front of the toddler and speak softly. - ANSWER Kneel in
front of the toddler and speak softly.
The toddler perceives the nurse as a stranger. A more positive
interaction occurs when the toddler perceives the meeting in a
nonthreatening way. Placing oneself at the toddler's eye level and
speaking softly can be less threatening for the child.
A 14-year-old is brought to the emergency department after a biking
accident. How should the nurse interact with the adolescent?
-Furnish rewards for cooperation during procedures.
-Have the parents remain with the adolescent at all times.
-Provide clear explanations while encouraging questions.
-Limit the number of choices to be made by the adolescent. - ANSWER
Provide clear explanations while encouraging questions.
1
,Adolescents are capable of abstract thinking and understand
explanations, so the opportunity to ask questions should be provided.
Since an adolescent's modesty should be respected, the presence of the
parents at the bedside should be a choice made by the adolescent. An
adolescent's ability to think abstractly engages problem-solving,
therefore the 14-year-old should be allowed to verbalize decisions about
their care.
A 4-year-old is brought to the emergency department with a laceration
on the right foot. Which action should the nurse implement to help the
child cope with the emergency department experience?
-Avoid the use of bandages to keep wounds open to air.
-Remind the preschooler how big children should act.
-Give the child some time after explaining procedures.
-Avoid using jargon, such as "shot," when giving care - ANSWER
Avoid using jargon, such as "shot," when giving care
Using positive terms and avoiding words (jargon) that the child may
perceive in a frightening way can assist the child cope with the
emergency department experience.
The nurse is caring for a 9-year-old female child who asks, "What does
it mean when a girl says they started their period?" How should the
nurse respond?
-Ask the child whether she was sexually abused.
The charge nurse is planning the placement of a child for admission
from the emergency department with respiratory compromise of
2
,unknown origin. What is the best bed placement for this child's
admission? - ANSWER Single room close to the nurse's station, and
away from any other children with respiratory issues
This child needs to be isolated until diagnosis of the underlying cause
for the respiratory compromise. Then, the child can share a room with
another child with the same infection. Close to the nurse's station is
preferred since the child will require close observation. While the double
room is available now, there is no guarantee that the bed will not be
needed.
An 18-month-old child returns to the unit following a cardiac
catheterization with a cannulated femoral artery site. Which action will
the nurse include when teaching the parents about immediate post-
procedure care? - ANSWER Show the parents how to hold the child
with the extremity extended.
The extremity should be extended to prevent trauma to the femoral
catheterization site. Options A and D increase the risk for complications
and are contraindicated. Option C is not necessary. Only the extremity
that was catheterized requires immobilization.
A 2-year-old child with trisomy 21 (Down syndrome) is brought to the
clinic for a routine evaluation. Which assessment finding suggests the
presence of a common complication often experienced by those with
Down syndrome? - ANSWER Presence of a systolic murmur
3
, Congenital heart disease occurs in 40% to 50% of children with trisomy
21 (Down syndrome). Defects of the atrial or ventricular septum that
create systolic murmurs are the most common heart defects associated
with this congenital anomaly. Options B, C, and D are not recognized as
common complications of trisomy 21.
When administering a gavage feeding to a school-age child, which
action should the nurse implement?
-Administer feedings over 5 to 10 minutes.
-Position the child on the right side after administering the feeding.
-Check the placement of the tube by inserting 20 mL of sterile water.
-Lubricate the tip of the feeding tube with petroleum jelly to facilitate
passage. - ANSWER Position the child on the right side after
administering the feeding.
The child should be positioned on the right side with the head of the bed
elevated 30 degrees after administering the feeding to facilitate gastric
emptying and prevent gastric reflux. Gavage feedings should be given to
allow slow gastric filling over 15 to 30 minutes.
When caring for a child who is in the paroxysmal stage of pertussis,
which intervention should the nurse implement to support the child's
nutritional needs?
-Provide small, frequent meals.
-Increase protein intake.
-Maintain a liquid diet.
4
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