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Pediatric nursing the critical components of nursing care

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A nurse is completing a care plan for a child and is finishing the assessment phase. Which activity is not part of a nursing assessment? Writing nursing diagnoses Reviewing diagnostic reports Collecting data Setting priorities ANS: D Setting priorities is a part of planning. Writing nursing diagnoses, reviewing diagnostic reports, and collecting data are parts of assessment. DIF: Cognitive Level: Comprehension REF: p. 19 OBJ: Nursing Process Step: Planning MSC: Physiological Integrity Which patient outcome is stated correctly? The child will administer his insulin injection before breakfast on 10/31. The child will accept the diagnosis of type 1 diabetes mellitus before discharge. The parents will understand how to determine the childs daily insulin dosage. The nurse will monitor blood glucose levels before meals and at bedtime. ANS: A The outcome is stated in client terms, with a measurable verb and a time frame for action. The verb accept is difficult to measure. The goal of accepting a diagnosis before hospital discharge is unrealistic. Outcomes should be stated in client terms. Nursing actions are determined after outcomes are developed in the implementation phase of the nursing process. DIF: Cognitive Level: Application REF: p. 20 OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment MULTIPLE RESPONSE A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are collaborative problems? Select all that apply. Risk for injury Potential complication of seizure disorder Altered nutrition: Less than body requirements Fluid volume deficit Potential complication of respiratory acidosis ANS: B, E In addition to nursing diagnoses, which describe problems that respond to independent nursing functions, nurses must also deal with problems that are beyond the scope of independent nursing practice. These are sometimes termed collaborative problemsphysiological complications that usually occur in association with a specific pathological condition or treatment. The potential complications of seizure disorder and respiratory acidosis are physiological complications that will require physician collaboration to treat. Risk for injury, altered nutrition, and fluid volume deficit will respond to independent nursing functions. DIF: Cognitive Level: Application REF: p. 20 OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment Which nursing activities do not meet the standard of care? Select all that apply. Failure to notify a physician about a childs worsening condition Calling the supervisor about staffing concerns Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP) Asking the Unlicensed Assistive Personnel (UAP) to take vital signs Documenting that a physician was unavailable and the nursing supervisor was notified ANS: A, C A nurse who fails to notify a physician about a childs worsening condition and delegating the assessment of a new admit to a UAP do not meet the standard of care. Calling the supervisor about staffing concerns, asking the UAP to take vital signs, and documenting that a physician could not be reached and the nursing supervisor was notified all meet the standard of care. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find?

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NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
Chapter1. Issues and Trends in Pediatric Nursing

MULTIPLE CHOICE
• A nurse is completing a care plan for a child and is finishing the assessment

phase. Which activity is not part of a nursing assessment?

a. Writing nursing diagnoses

b. Reviewing diagnostic reports

c. Collecting data

d. Setting priorities



ANS: D


Setting priorities is a part of planning. Writing nursing diagnoses, reviewing
diagnostic reports, and collecting data are parts of assessment.


DIF: Cognitive Level: Comprehension REF: p. 19


OBJ: Nursing Process Step: Planning MSC: Physiological Integrity


• Which patient outcome is stated correctly?
a. The child will administer his insulin injection before breakfast on 10/31.

b. The child will accept the diagnosis of type 1 diabetes mellitus before discharge.

NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

,NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
c. The parents will understand how to determine the childs daily insulin dosage.

d. The nurse will monitor blood glucose levels before meals and at bedtime.



ANS: A


The outcome is stated in client terms, with a measurable verb and a time frame for
action. The verb accept is difficult to measure. The goal of accepting a diagnosis
before hospital discharge is unrealistic. Outcomes should be stated in client terms.
Nursing actions are determined after outcomes are developed in the
implementation phase of the nursing process.


DIF: Cognitive Level: Application REF: p. 20


OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment


MULTIPLE RESPONSE




NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

,NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
• A nurse is reviewing the nursing care plan for a hospitalized child. Which

statements are collaborative problems? Select all that apply.


a. Risk for injury

b. Potential complication of seizure disorder

c. Altered nutrition: Less than body requirements

d. Fluid volume deficit

e. Potential complication of respiratory acidosis



ANS: B, E


In addition to nursing diagnoses, which describe problems that respond to
independent nursing functions, nurses must also deal with problems that are
beyond the scope of independent nursing practice. These are sometimes termed
collaborative problemsphysiological complications that usually occur in
association with a specific pathological condition or treatment. The potential
complications of seizure disorder and respiratory acidosis are physiological
complications that will require physician collaboration to treat. Risk for injury,
altered nutrition, and fluid volume deficit will respond to independent nursing
functions.


DIF: Cognitive Level: Application REF: p. 20
NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

, NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment


• Which nursing activities do not meet the standard of care? Select all that apply.



a. Failure to notify a physician about a childs worsening condition

b. Calling the supervisor about staffing concerns

c. Delegating assessment of a new admit to the Unlicensed

Assistive Personnel (UAP)

d. Asking the Unlicensed Assistive Personnel (UAP) to take vital signs

e. Documenting that a physician was unavailable and the nursing

supervisor was notified



ANS: A, C
A nurse who fails to notify a physician about a childs worsening condition and
delegating the assessment of a new admit to a UAP do not meet the standard of
care. Calling the supervisor about staffing concerns, asking the UAP to take
vital signs, and documenting that a physician could not be reached and the
nursing supervisor was notified all meet the standard of care.


• A nurse is reviewing changes in healthcare delivery and funding for pediatric

populations. Which current trend in the pediatric setting should the nurse
NURS 6900 PEDIATRIC NURSING CARE TEST BANK
EXAM QUESTIONS AND ANSWERS RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022

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