NUR 232 Chapter 39 Questions with Correct
Answers
A 7-year-old female child has a fever associated with a viral illness. She is being cared
for at home. The nurse should recognize that the principal reason for treating fever in
this child is what?
1. Relief of discomfort
2. Reassurance that illness is temporary
3. Prevention of secondary bacterial infection
4. Prevention of life-threatening complications
1. Relief of discomfort
Relief of discomfort is the primary reason for treating a fever with pharmacologic or
environmental interventions. Treatment does not provide reassurance that illness is
temporary. Fever-reducing medications (acetaminophen and ibuprofen) do not have
antibacterial actions and may inhibit the fever-enhancing effects on the immune system.
Fever-reducing medications do not prevent life-threatening complications.
What is the best explanation for why pulse oximetry is used on young children?
1.It is noninvasive.
2. It is better than capnography.
3. It provides intermittent measurements of O2.
4. It is more accurate than arterial blood gases.
1.It is noninvasive.
Pulse oximetry is a noninvasive method to determine oxygen saturation. Capnography
measures carbon dioxide exhalation. It does not reflect oxygen perfusion. Pulse oximetry is
,less invasive and easier to test than arterial blood gases. Pulse oximetry provides continuous
or intermittent measurements of oxygen saturation.
The nurse observes erythema, pain, and edema at a child's intravenous (IV) site with
streaking along the vein. What should the nurse do first?
1. Immediately stop the infusion.
2. Check for a good blood return.
3. Ask another nurse to check the IV site.
4. Increase the IV drip for 1 minute and recheck.
1. Immediately stop the infusion.
This describes an extravasation/infiltration. The IV must be stopped to prevent further
damage to the child. A blood return suggests that the IV catheter is still within the vein, but
the description here is a definition of an infiltrated IV. The site can be checked after the IV is
stopped. The IV drip should not be increased. It will add additional fluid to the child's tissue.
The nurse administers isoflurane (Forane) to a child for pain relief. What complication
does the nurse anticipate in the child?
1. Increased temperature
2. Increased respiratory rate
3. Increased risk of infection
4. Decreased blood pressure
4. Decreased blood pressure
Vasodilating anesthetic agents such as halothane (Fluothane), isoflurane (Forane), or
enflurane (Ethrane) cause a decrease in blood pressure. Increased respiratory rate can be
caused by fluid volume excess, hypothermia, or respiratory distress. Vasodilating anesthetic
, agents decrease the temperature as opposed to increasing it. Anesthetic agents have no effect
on the risk of infection.
The nurse is preparing a plan to teach a mother how to administer 1.5 teaspoons of
medicine to her 6-month-old child. What should the nurse recommend using?
1. A household measuring spoon
2. A regular silverware teaspoon
3. A paper cup measure in 5-mL increments
4 A plastic syringe (without needle) calibrated in milliliters
4 A plastic syringe (without needle) calibrated in milliliters
A plastic syringe offers the most accurate measurement. The nurse should teach the mother to
give the child 7.5 mL of the medication. Household measuring spoons can be used if other
more precise devices are not available. A dinner table utensil is not acceptable because
household teaspoons vary greatly in size. A paper cup does not contain calibration for the
additional 2.5 mL that is needed.
The nurse is charting the amount of food that a child ate at breakfast. The child had 2
oz of orange juice out of 4 oz, and two slices of bread out of the three slices. What is an
appropriate way to record the information?
1. The child's appetite is improving.
2. Likes bread but hates beverages.
3. Had 2 oz orange juice and 2 slices of bread.
4. Ate well. Half glass of orange juice and some bread
3. Had 2 oz orange juice and 2 slices of bread
Descriptions need to be detailed and accurate such as "2 oz of orange juice, 2 slices of bread."
Answers
A 7-year-old female child has a fever associated with a viral illness. She is being cared
for at home. The nurse should recognize that the principal reason for treating fever in
this child is what?
1. Relief of discomfort
2. Reassurance that illness is temporary
3. Prevention of secondary bacterial infection
4. Prevention of life-threatening complications
1. Relief of discomfort
Relief of discomfort is the primary reason for treating a fever with pharmacologic or
environmental interventions. Treatment does not provide reassurance that illness is
temporary. Fever-reducing medications (acetaminophen and ibuprofen) do not have
antibacterial actions and may inhibit the fever-enhancing effects on the immune system.
Fever-reducing medications do not prevent life-threatening complications.
What is the best explanation for why pulse oximetry is used on young children?
1.It is noninvasive.
2. It is better than capnography.
3. It provides intermittent measurements of O2.
4. It is more accurate than arterial blood gases.
1.It is noninvasive.
Pulse oximetry is a noninvasive method to determine oxygen saturation. Capnography
measures carbon dioxide exhalation. It does not reflect oxygen perfusion. Pulse oximetry is
,less invasive and easier to test than arterial blood gases. Pulse oximetry provides continuous
or intermittent measurements of oxygen saturation.
The nurse observes erythema, pain, and edema at a child's intravenous (IV) site with
streaking along the vein. What should the nurse do first?
1. Immediately stop the infusion.
2. Check for a good blood return.
3. Ask another nurse to check the IV site.
4. Increase the IV drip for 1 minute and recheck.
1. Immediately stop the infusion.
This describes an extravasation/infiltration. The IV must be stopped to prevent further
damage to the child. A blood return suggests that the IV catheter is still within the vein, but
the description here is a definition of an infiltrated IV. The site can be checked after the IV is
stopped. The IV drip should not be increased. It will add additional fluid to the child's tissue.
The nurse administers isoflurane (Forane) to a child for pain relief. What complication
does the nurse anticipate in the child?
1. Increased temperature
2. Increased respiratory rate
3. Increased risk of infection
4. Decreased blood pressure
4. Decreased blood pressure
Vasodilating anesthetic agents such as halothane (Fluothane), isoflurane (Forane), or
enflurane (Ethrane) cause a decrease in blood pressure. Increased respiratory rate can be
caused by fluid volume excess, hypothermia, or respiratory distress. Vasodilating anesthetic
, agents decrease the temperature as opposed to increasing it. Anesthetic agents have no effect
on the risk of infection.
The nurse is preparing a plan to teach a mother how to administer 1.5 teaspoons of
medicine to her 6-month-old child. What should the nurse recommend using?
1. A household measuring spoon
2. A regular silverware teaspoon
3. A paper cup measure in 5-mL increments
4 A plastic syringe (without needle) calibrated in milliliters
4 A plastic syringe (without needle) calibrated in milliliters
A plastic syringe offers the most accurate measurement. The nurse should teach the mother to
give the child 7.5 mL of the medication. Household measuring spoons can be used if other
more precise devices are not available. A dinner table utensil is not acceptable because
household teaspoons vary greatly in size. A paper cup does not contain calibration for the
additional 2.5 mL that is needed.
The nurse is charting the amount of food that a child ate at breakfast. The child had 2
oz of orange juice out of 4 oz, and two slices of bread out of the three slices. What is an
appropriate way to record the information?
1. The child's appetite is improving.
2. Likes bread but hates beverages.
3. Had 2 oz orange juice and 2 slices of bread.
4. Ate well. Half glass of orange juice and some bread
3. Had 2 oz orange juice and 2 slices of bread
Descriptions need to be detailed and accurate such as "2 oz of orange juice, 2 slices of bread."
