Nutrition
What is the best indicator of readiness to wean in a 9-month-old breastfed infant?
The infant reaches for his sibling’ or parents’ cup or drinking glass
When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents’ forgetfulness?
Increased level of parents’ anxiety
When educating parents regarding accurate intake and output, the education should include information defining what is considered liquid. The patient understands that liquid intake includes:
Jello, Pedialyte, Popsicle, Fruit juice, Soup
The nurse is caring for a pediatric patient who has been ordered a mist tent. The nurse knows that one disadvantage of using a mist tent with a toddler may be________________.
The wet bedding and clothing must be changed frequently
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?
Whenever maltreatment of a child is suspected
The pediatric nurse is explaining safe bottle feeding for the newborn. The nurse explains an infant be placed in what position after a feeding?
On right side
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
“The stress of hospitalization makes children regress a little.”
Using the Wong-Baker FACES pain rating scale of 0-5, which rating is for severe pain and is often noted with crying?
5
For patients with cystic fibrosis, which body system is targeted to prevent the most complications?
Respiratory
When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
Remove it every 2 hours to permit exercise of the body area
What should be done before initiating a gavage feeding?
Aspirate stomach contents
Following a lumbar puncture of a 2-year-old, what should the nurse do?
Allow the child to play quietly at will
Why must the pediatric nurse be cautious about medicating infants and young children?
They are more susceptible to medication effects than adults
A child was admitted through the ER with a respiratory diagnosis. The nurse is reviewing the physician orders and sees an order for a mist tent. The nurse knows the purpose of the mist tent is:
To liquefy respiratory secretions
When communicating with parents suspected of child abuse, what should the nurse be sure to do?
Interact with them in a nonjudgmental manner
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
The growth of bone and muscle
The nurse prepares to give an injection to an infant in the vastus lateralis muscle. Why does the nurse select this site?
No blood vessels or nerves are near the site
What should the nurse do to minimize an unpleasant-tasting drug?
Administer the drug through a straw
The nurse is preparing to suction a pediatric patient. As the nurse is setting up supplies, he knows that the maximum amount of time that a nurse should suction an airway is _________.
5 seconds
When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use?
Mummy/Papoose board
What is the best rationale for advising the parent to withhold whole cow’s milk until the child passes the 12-month mark?
The protein and minerals in whole milk place stress on immature kidneys
Where is the typical IV insertion site in an infant younger than 9 months of age?
Scalp vein
To estimate the needle length for IM injections in the vastus lateralis, the proper method is:
Grasp the muscle between the thumb and index finger, and choose a needle length approximately half the distance between the thumb and index finger
Preparing children for procedures has the following benefits:
Increases the child’s cooperation
Helps the child cope with the event
Promotes a sense of self-esteem and mastery for the childWhat observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?
Inconsistency between the injury and the parents’ explanation of the accident