Exam (elaborations)
Chapter 20. Pediatric Variations of Nursing Interventions
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 20. Pediatric Variations of Nursing Interventions
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Chapter 20. Pediatric Variations of Nursing InterventionsMULTIPLE CHOICE
1. A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse
knows that before this young woman can be examined, consent must be obtained from
which source?
a. Herself
, b. Her mother
c. Court order
d. Legal guardian
ANS: A
Contraceptive advice is one of the conditions that is considered medically emancipated. The
adolescent is able to provide her own informed consent.
DIF: Cognitive Level: Applying REF: dl. 884
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. The nurse needs to take the blood pressure of a preschool boy for the first time. What
action would be best ingaining his cooperation?
a. Tell him that this procedure will help him get well faster.
b. Take his blood pressure when a parent is there to comfort him.
c. Explain to him how the blood flows through the arm and why the blood pressure is important.
Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff
in
d. place.
ANS: D
A preschooler is at the stage of preoperational thought. The nurse needs to explain the procedure
insimple terms and allow the child to see how the equipment works. This will help allay fears of
bodily harm. Blood pressure measurement is used for assessment, not therapy, and will not help
him get well faster. Although the parent will be able to support the child, he may still be
uncooperative. Also, the assessment of blood pressure may be needed before the parent is
available. Explaining to a preschooler how the blood flows through the artery and why the blood
pressure is important is too complex.
DIF: Cognitive Level: Understanding REF: dl. 886
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
, 3. A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her
mother puts the hospital gown on her, but the child is crying because she wants to leave on her
undb.erpants.HW
erhm
atoitshtehre most appropriate nursing action at this time??
a. Allow her 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 ina kind, matter-of-fact manner that this is hospital policy.
ANS: A
It is appropriate for the child to leave her underpants on. If necessary, the underpants can be
removed after she has received the initial medications for anesthesia. This allows her some
measure of control inthis procedure. The mother should not be required to make the child more
upset. The child is too young to understand what hospital policy means.
DIF: Cognitive Level: Applying REF: dl. 887
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. Using knowledge of child development, what approach is best when preparing a toddler for a
procedure?
a. Avoid asking the child to make choices.
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