Nursing Care of Children 1
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
1. A nurse is caring for an 18-year-old adolescent who is B. Meningococcal polysac-
up-to-date on immunizations and is planning to attend charide
college. The nurse should inform the client that he
should receive which of the following immunizations The meningococcal poly-
prior to moving into a campus dormitory? saccharide immunization
is used to prevent in-
A. Pneumococcal polysaccharide- The pneumococcal fection by certain groups
polysaccharide immunization is administered to chil- of meningococcal bacte-
dren between the ages of 2 and 18 years who have ria. Meningococcal infec-
a specific high-risk condition that places them at risk tion can cause life-threat-
for an infection with Streptococcus pneumococci, a ening illnesses, such as
bacterium that causes meningitis, otitis media, and meningococcal meningi-
pneumonia in clients who have chronic illnesses. tis, which affects the
brain, and meningococ-
B. Meningococcal polysaccharide cemia, which affects the
blood. Both of these con-
C. Rotavirus- The final dose of the rotavirus immuniza-
ditions can be fatal. Col-
tion is administered prior to the age of 8 months. An
lege freshmen, particular-
additional booster dose is not recommended.
ly those who live in dor-
mitories, are at an in-
D. Herpes zoster- The herpes zoster immunization is
creased risk for meningo-
recommended for adults over the age of 60 to prevent
coccal disease relative to
an episode of shingles.
other persons their age.
Therefore, the Centers for
Disease Control and Pre-
vention has issued a rec-
ommendation that all in-
coming college students
receive the meningococcal
immunization.
2.
, Nursing Care of Children 1
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
A nurse is assessing a 9-month-old infant during a B. Inability to vocalize vow-
well-child visit. Which of the following findings indi- el sounds
cates that the infant has a developmental delay?
The infant should begin
A. Creeps on hands and knees- The infant should creep vocalizing vowel sounds at
on her hands and knees at the age of 9 months, and the age of 7 months, and
begin to stand while holding onto furniture at the age by the age of 10 months,
of 10 months. be able to say at least one
word.
B. Inability to vocalize vowel sounds
C. Uses crude pincer grasp- Most infants demonstrate
a crude pincer grasp at 9 months of age and the use
of a dominant hand is also evident.
D. Stands by holding onto support - The ability to stand
holding onto support is typically present at 10 months
of age.
3. A nurse is caring for a preschool-age child who is dy- A. The child views death
ing. Which of the following findings is an age-appro- as similar to sleep.
priate reaction to death by the child? (Select all that -Preschool-age children
apply.) might make this compari-
son.
A. The child views death as similar to sleep.
D. The child believes his
B. The child is interested in what happens to his thoughts can cause death.
body after death. - A school-age child is interested in - Preschool-age children
post-death services and what happens to the body believe that their thoughts
after death due to an improved ability to comprehend and wishes can make
what is happening. things happen since they
are egocentric. This is one
C. The child recognizes that death is permanent. -
reason why the death of a
, Nursing Care of Children 1
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
Preschool-age children have difficulty understanding family member can be very
the concept of time and are therefore not likely to difficult for a child at this
believe that death is permanent. They perceive death age.
as reversible.
E. The child thinks
D. The child believes his thoughts can cause death. death is a punishment.
- Preschool-age children
E. The child thinks death is a punishment. sometimes believe that
death is the result of
guilt or punishment due
to something they have
done, said, or thought.
4. A nurse is caring for an adolescent who is receiving D. Reinforce teaching with
pain medication via a PCA pump. When the nurse as- the client about how to
sesses the client's pain at 0800, the client describes the push the button to deliver
pain as a 3 on a scale of 1 to 10. At 1000, the client the medication.
describes the pain as a 5. The nurse discovers the client
has not pushed the button to deliver medication in the The appropriate action at
past 2 hr. Which of the following actions should the this time is to reinforce
nurse take? client teaching about the
PCA. The nurse should re-
A. Ask the provider to discontinue the PCA so the nurse mind the client about the
can administer PRN pain medication. - A PCA device availability of the medica-
allows the adolescent to be in charge of pain manage- tion, verify that the client
ment and is an effective method to control pain. It is knows how to use the
inappropriate for the nurse to suggest discontinuing equipment, and empha-
the PCA. size the importance of us-
ing it regularly to manage
B. Suggest the client's parent push the button for the pain effectively.
client if the parent thinks the adolescent is having pain.
- One of the principles of PCA is that no one other than
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
1. A nurse is caring for an 18-year-old adolescent who is B. Meningococcal polysac-
up-to-date on immunizations and is planning to attend charide
college. The nurse should inform the client that he
should receive which of the following immunizations The meningococcal poly-
prior to moving into a campus dormitory? saccharide immunization
is used to prevent in-
A. Pneumococcal polysaccharide- The pneumococcal fection by certain groups
polysaccharide immunization is administered to chil- of meningococcal bacte-
dren between the ages of 2 and 18 years who have ria. Meningococcal infec-
a specific high-risk condition that places them at risk tion can cause life-threat-
for an infection with Streptococcus pneumococci, a ening illnesses, such as
bacterium that causes meningitis, otitis media, and meningococcal meningi-
pneumonia in clients who have chronic illnesses. tis, which affects the
brain, and meningococ-
B. Meningococcal polysaccharide cemia, which affects the
blood. Both of these con-
C. Rotavirus- The final dose of the rotavirus immuniza-
ditions can be fatal. Col-
tion is administered prior to the age of 8 months. An
lege freshmen, particular-
additional booster dose is not recommended.
ly those who live in dor-
mitories, are at an in-
D. Herpes zoster- The herpes zoster immunization is
creased risk for meningo-
recommended for adults over the age of 60 to prevent
coccal disease relative to
an episode of shingles.
other persons their age.
Therefore, the Centers for
Disease Control and Pre-
vention has issued a rec-
ommendation that all in-
coming college students
receive the meningococcal
immunization.
2.
, Nursing Care of Children 1
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
A nurse is assessing a 9-month-old infant during a B. Inability to vocalize vow-
well-child visit. Which of the following findings indi- el sounds
cates that the infant has a developmental delay?
The infant should begin
A. Creeps on hands and knees- The infant should creep vocalizing vowel sounds at
on her hands and knees at the age of 9 months, and the age of 7 months, and
begin to stand while holding onto furniture at the age by the age of 10 months,
of 10 months. be able to say at least one
word.
B. Inability to vocalize vowel sounds
C. Uses crude pincer grasp- Most infants demonstrate
a crude pincer grasp at 9 months of age and the use
of a dominant hand is also evident.
D. Stands by holding onto support - The ability to stand
holding onto support is typically present at 10 months
of age.
3. A nurse is caring for a preschool-age child who is dy- A. The child views death
ing. Which of the following findings is an age-appro- as similar to sleep.
priate reaction to death by the child? (Select all that -Preschool-age children
apply.) might make this compari-
son.
A. The child views death as similar to sleep.
D. The child believes his
B. The child is interested in what happens to his thoughts can cause death.
body after death. - A school-age child is interested in - Preschool-age children
post-death services and what happens to the body believe that their thoughts
after death due to an improved ability to comprehend and wishes can make
what is happening. things happen since they
are egocentric. This is one
C. The child recognizes that death is permanent. -
reason why the death of a
, Nursing Care of Children 1
Nursing Care of Children 1
Study online at https://quizlet.com/_6ipnh3
Preschool-age children have difficulty understanding family member can be very
the concept of time and are therefore not likely to difficult for a child at this
believe that death is permanent. They perceive death age.
as reversible.
E. The child thinks
D. The child believes his thoughts can cause death. death is a punishment.
- Preschool-age children
E. The child thinks death is a punishment. sometimes believe that
death is the result of
guilt or punishment due
to something they have
done, said, or thought.
4. A nurse is caring for an adolescent who is receiving D. Reinforce teaching with
pain medication via a PCA pump. When the nurse as- the client about how to
sesses the client's pain at 0800, the client describes the push the button to deliver
pain as a 3 on a scale of 1 to 10. At 1000, the client the medication.
describes the pain as a 5. The nurse discovers the client
has not pushed the button to deliver medication in the The appropriate action at
past 2 hr. Which of the following actions should the this time is to reinforce
nurse take? client teaching about the
PCA. The nurse should re-
A. Ask the provider to discontinue the PCA so the nurse mind the client about the
can administer PRN pain medication. - A PCA device availability of the medica-
allows the adolescent to be in charge of pain manage- tion, verify that the client
ment and is an effective method to control pain. It is knows how to use the
inappropriate for the nurse to suggest discontinuing equipment, and empha-
the PCA. size the importance of us-
ing it regularly to manage
B. Suggest the client's parent push the button for the pain effectively.
client if the parent thinks the adolescent is having pain.
- One of the principles of PCA is that no one other than
