Hospitalized child
Separation anxiety is most pronounced in what age group?
Toddler
Administration of acetaminophen in amounts more than recommended daily dose can cause damage to what organ?
Liver
Why is the treatment room an important place for unpleasant procedures in pediatric nursing?
To keep their rooms and the play room as safe places.
TPN is given to children who
Cannot get nourishment via GI tract for a prolonged period of time.
The crib slats should be no more than 2 3/8 inches apart or 6 cm.
What are the three stages of separation anxiety?
Denial, Despair, Protest
Name some methods of nonpharmacologic pain management.
Distraction, imagery, relaxation strategies, drawing, backrub/massage.
Give an example of when parental consent for minors may not be necessary.
Treatment of STI, abortion, birth control.
What is the best way to counteract the effects of an unpleasant tasting medication?
Follow it with a chaser like water, juice, or a popsicle.
When caring for a child with a tracheostomy, suctioning should be limited to how long?
no more than 15 seconds, to prevent child from becoming hypoxic
True or false? Addiction occurs quickly in children who take opioids for severe pain.
False
To accurately measure temp in a 4 year old using a tympanic thermometer, the nurse gently pulls the pinna ____ and ____?
up and back
What age group is likely to feel his or her illness is punishment?
Preschoolers
A child, 2 years and weighing 36 lbs, is receiving Amoxicillin 215 mg by mouth three times a day for a bilateral otitis media (ear infection). Suspension comes 250 mg per 5 ml. How many ml do you give for each dose?
Give 4.3 mL po every 8 hours
How often does the nurse assess a child's IV infusion?
Hourly
What advice would you give to a parent who is concerned that her hospitalized toddler was drinking from a cup and now only wants a bottle?
Regression during hospitalization is normal. It should not be punished. Praise appropriate behavior and ignore regression. When the child is free from the stress that caused the regression, praise will motivate the achievement of appropriate behavior.
Which sit would the nurse use to administer an IM injection to a 6 month old infant?
Vastus lateralis bc the site is free of major nerves and blood vessels.
What is the best approach to taking a preschooler's blood pressure?
How should the nurse administer an oral liquid medication to an infant?
Use a syringe and place the medicine in the side of the mouth.
Prior to surgery what is the max time an infant be kept npo and why?
4 to 6 hours bc risk of dehydration.
Upon admission.
What is the max volume that can be injected in one site for infants?
0.5ml
How can the nurse react to a hospitalized child who is acting out?
Provide positive direction and consistency.
Doctor's order: Augmentin oral suspension 280 mg P.O. three times a day. Available as 125mg/5mL. How many mLs will the nurse administer for one dose?
11.2 mL/dose
For a pediatric patient, who all must sign consents?
Doctor, Parent, and Witness