A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention.
Preschoolers are magical thinkers and imagine bandages keep their insides from...
A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to have it covered. What is the developmental reason for
this intervention.correct answerPreschoolers are magical thinkers and imagine bandages keep their
insides from coming out.
A 7-month old presents to the ED with a complaint of fever. Assessment reveals a patent airway and a
slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5 (101.3), HR
134, RR 32, BP 78/54 mm Hg, and SPO2 of 84%. The nurse notes a healed surgical scar on his
chest.Based on this assessment, what is the nurse's priority?correct answerAs if the SPO2 is normal for
him.
An 11-year-old presents to the ED with a complaint of hitting his head while playing soccer. The nurse
enters the room and performs an across the room assessment. He is starting at the wall. He has no
increased work of breathing and his color is pink. Using the PAT what classification will the nurse assign?
correct answerSicker
The pediatric prioritization process components include the focused assessment, focused history, acuity
rating decision and:correct answerThe pediatric assessment triangle (PAT)
A 2-year-old is brought to the ED by her father when he found her face down in the pool. She remains
unresponsive and is breathing shallowly and slowly. Her color is pale. What is the priority?correct
answerImmobilize the cervical spine
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding
should be placed under which area?correct answerThe shoulders.
Test the Ph of the gastric contents.correct answerThe nurse is preparing to administer a feeding through
an NG tube. The tube position was verified by radiograph after insertion 2 hours ago. What is the best
way to verify placement before feeding?
A 20-ml syringe with a stopcockcorrect answerWhat is the best method to rapidly administer a 20 ml/kg
bolus of 0.9% normal saline to a pediatric patient weighing 8 kg.
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