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Pediatric Nursing Flashcards | StudBud
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Pediatric Nursing
Pediatric Nursing
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First year nursing
Flashcards
25 cards
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Questions
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1
A RN is about to perform a physical assessment on a toddler. Which approach should the RN use?
Always proceed in a head-to-toe direction.
Perform traumatic procedures first.
Demonstrate use of equipment.
Use minimal physical contact initially.
2
A nurse knows that which is descriptive of the preschooler’s understanding of time?
Associates time with events
Can tell time on a clock
Has no understanding of time
Uses terms like “yesterday” appropriately
3
Which approach would be best pain assessment tool on a 3 year old
cries pain assessment scale.”
noncommunicating childs. pain checklist
faces pain scale rating.
numeric pain rating scale.
4
car seat teaching for 6 mo old, which statement by mother identifies understanding
i should secure care seat with tethers, & lower anchers instead of seatbelt
I will pad the carseat with blanket for traveling long distances
position car seat harness 1 in. above baby's shoulder
i will make sure car seat is at 90 degree angle
5
The child is prescribed IM penicillin. mother states last time 3 years ago developed a rash. what action should RN take
withhold the medication
ask provider to change to oral form
administer antihistimine at same time
administer dose as prescribed by doctor
6
When teaching injury prevention during the school-age years, what should the nurse include?
Teach children to fear strangers.
Caution child against engaging in competitive sports.
Avoid letting child cook in microwave ovens.
Teach basic rules of water safety.
7
change of shift on PEDS floor, which should you assess first?
1 yo with hemophilia B admitted because of decreased responsiveness
16 yo with sikle cell c/o acute RLQ abdominal pain
7 yo with ALL who has chemo induced thrombycytopenia
3 yo von willebrand who is scheduled for dose of desmopressin DDAVP
8
Which intervention helps a hospitalized toddler feel a sense of control?
Assign the same nurses to care for the child.
Require parents to stay with the child.
Put a cover over the child’s crib.
Follow the child’s usual routines for feeding and bedtime.
9
During the preschool period, injury prevention efforts should emphasize:
constant vigilance and protection.
education for safety and potential hazards.
limitation of physical activities.
punishment for unsafe behaviors.
10
Which patient should the RN see first after her report
toddler with head injury and forceful vomiting.
school age with brown colored urine admitted for acute glomerulonephritis
adolescent with new halo traction rates pain 6/10
adolescent with infective endocarditis with complaint of headache
11
Which child would have the most difficulty with separation from parents due to hospitalization?
3-month-old child
7-year-old child
4-year-old child
16-month-old child
12
6 yr old receiving chemo is cheerfully eating breakfast when mother arrives, child refuses to eat. what is RN response?
ask the mother to leave until the child finishes breakfast then invite back
allow mother and child time alone to review and control the behavior
explain to mother that the behavior could be a normal expression of anger
remind that food tasted good today and will help body get strong
13
Where is the best site for giving an IM injection to a 15-month-old child?
Deltoid muscle
Vastus lateralis muscle
Ventrogluteal muscle
Dorsogluteal muscle
14
According to Erikson, the psychosocial task of adolescence is developing:
independence
identity.
initiative
intimacy.
15
preschooler with heart failure and is taking digoxin BID; what should RN include in teaching
brush the child's teeth after giving the medication
repeat the dose if child vomits
use kitchen teaspoon to measue the medication
double the next dose if missed the dose
16
A school age child post op for ruptured appendix, which finding is expected
absence of parastalsis
WBC 6000
presence of dark , red stool with mucus
purulent nasogastric drainage
17
RN caring for patient with dehydration, hypovolemic shock. which order should RN question
B/P EVERY 15 MINUTES
OXYGEN 3 LITERS
D5W 250 ML/HR
TWO 18 GUAGE IV LINES
18
A RN is having difficulty communicating with a 6-year-old. What technique might be most helpful
Suggest that the child keep a diary.
Ask the parent if the child is always uncommunicative.
Ask the child to draw a picture.
Suggest that the parent read fairy tales to the child.
19
child experiencing tonic clonic seizure at school, the nurse should do this action first
loosen the childs restrictive clothing
assist the child to side lying position on the floor
apply oxygen mask to the child
clear the immediate area of harardous materials
20
One method of providing atraumatic care when doing a venipuncture on a 6-year-old is to
Use an 18-gauge needle if possible.
Show the child the equipment to be used before the procedure
Have another nurse try if not successful after 4 attempts.
Restrain child only as needed to perform venipuncture safely
21
HGB 10.9, CREATININE 2.9 GLUCOSE 330 K+ 5.2, WHICH REQUIRES IMMEDIATE ACTION
POTASSIUM
HEMOGLOBIN
CREATININE
GLUCOSE
22
toddler has serum iron level at 4 mcg/dl; which action should nurse anticipate
”refer family to child protection services
“prepare toddler for chelation therapy
“schedule toddler for yearly screening
decrease calcium in diet.”
23
How would the nurse position the auricle when administering ear drops to a 4-year-old child?
Up and out
Down and back
Down and out
Up and back
24
10 year old with burn injury, which clinical manisfication indicates early septic shock
heart rate 60 bpm
temperature 39.1.
blood pressure 130/90
urine output 100 ml/hr.
25
adolescent with bacterial meniginitis, how long should be in droplet precautions.
.for 7 days following admission
until they have negative blood culture
for 24 hours after initiation of antimicrobial therapy
until adolescent is afebrile.
