Essentials of Pediatric Nursing 3rd Ed - Ch. 1 QUESTIONS WITH 100% CORRECT ANSWERS

Essentials of Pediatric Nursing 3rd Ed - Ch. 1 QUESTIONS WITH 100% CORRECT ANSWERS The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. Which intervention addresses the child's physical health but not his quality of life? a. Helping the child modify trendy clothing to his needs b. Consulting with the school nurse at the child's school c. Assessing the child's daily oxygen supplement needs d. Adapting technologies for use outside of the home - CORRECT ANSWER-C Assessing the child's daily oxygen supplement needs addresses the child's physical health but not the contemporary issue of quality of life. Helping the child modify trendy clothing to his needs, consulting with the school nurse, and adapting technologies for use outside of the home will improve the child's quality of life by building independence and self-esteem. The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which teaching subject least supports the emphasis on preventive care? a. Reminding that child will imitate parents b. Explaining how to toddler proof the house c. Describing self-care for brushing teeth d. Explaining how to teach self-hand washing - CORRECT ANSWER-A Reminding the mother that the child will imitate her parents may prevent the child from imitating dangerous behavior, but this is less likely to be a danger. Explaining how to toddler proof the house helps prevent injury to the child. Explaining how to teach self handwashing helps to prevent infection. Describing self-care for brushing teeth helps prevent dental caries. These interventions help avoid common health problems. The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of the child's condition and care. Which intervention is least important for empowering these health care consumers? a. Teaching the parents how to perform chest physiotherapy b. Educating the parents about the lung transplant list c. Keeping the family apprised of all developments in care d. Locating the best deal on a high-frequency chest compression vest - CORRECT ANSWER-D Helping the family save money on therapy equipment is a consumer assistance activity, but it does not empower these health care consumers. The pediatric nurse is uniquely positioned to empower this family by performing the role of educator regarding therapy, by being an advocate regarding their wishes to get a lung transplant, and by keeping them informed as equal partners in family-centered care. The nurse is updating the records of a 10-year-old girl who had her appendix removed. Which action could jeopardize the privacy of the child's medical records? a. Changing identification and passwords monthly b. Letting another nurse use the nurse's log-in session c. Closing files before stepping away from computer d. Printing out confidential information for transmittal - CORRECT ANSWER-B It is important to log-off whenever leaving the computer. The person that shares the nurse's log-on session may get called away from the computer leaving the nurse responsible for any breech in security. Keeping IDs and passwords confidential is basic computer security. E-mail is not a safe way to transmit confidential information for transmittal. Printing is safer. Closing client files before stepping away from the computer helps ensure privacy. The nurse is assessing a 9-year-old boy during a back-to-school check-up. Which finding is a factor for childhood injury? a. Records show child weighed 2,450 g at birth b. Mother reports she has abused alcohol and drugs c. The parents adopted the boy from Guatemala d. Mother reports the child is hostile to other children - CORRECT ANSWER-B One of the factors associated with childhood injuries is parental drug or alcohol abuse. This is the leading cause for child mortality. Low-birth-weight babies are at higher risk for infant mortality. Foreign-born adoption is a factor for childhood morbidity. The child's hostility toward other children may be an environmental or psychosocial factor for childhood morbidity. The school nurse is caring for several children who witnessed an 8-year-old girl get hit by a car on the way to school. Which intervention is least important to the nursing plan of care for these children? a. Determining that the children were traumatized by what they saw b. Arranging for counseling for the children who saw the accident c. Including friends of the injured child to receive counseling too d. Making phone calls to the parents of the children counseled - CORRECT ANSWERD Making phone calls to the parents of the children who were determined to need counseling is least important to the nursing plan of care. It is, no doubt, mandatory for the nurse to inform and support the parents. However, this intervention is the least important based on the nursing diagnosis of the children's need for counseling, the intervention to arrange for a counselor, and the adaptation of the intervention by providing counseling for the friends of the injured child. A nurse is considering employment in a practice that promotes family-centered care. When considering this position, the nurse recognizes that this philosophy will: a. embrace teaching the parents to manage the health care needs of their child. b. promote the involvement of the child and parents as members of the health care team. c. focus primarily on the use of herbal remedies to manage health concerns. d. consider the wishes of the child as the leading force in planning care. - CORRECT ANSWER-B Family-centered care involves a mutually beneficial partnership between the child, the family, and health care professionals. It applies to the planning, delivery, and evaluation of health care for children of all ages in any setting. The nursery nurse is preparing a consent form for the circumcision of a newborn. The mother of the child is 16 years of age. The baby's father is not participating in the care. When planning to complete the surgical consent, which action by the nurse is most appropriate? a. Ask the grandmother of the newborn to sign the surgical consent b. Determine if the baby's father is older than 18 years, and if so ask for him to sign c. Recommend that the court appoint a guardian for the baby d. Ask the baby's mother to sign the surgical consent - CORRECT ANSWER-D The consent of a parent or guardian is required for completion of a surgical procedure such as a circumcision. The parent in the case is under age. She may, however, consent for health care treatment of her child. The parents of a 12-year-old child preparing to undergo surgery explain to the nurse that their religious beliefs do not allow for blood transfusions. What initial action by the nurse is most appropriate? a. Explain to the parents that the surgeon will make the final decision in the event a blood transfusion is needed by the child b. Ask the child what their preference will be c. Contact the hospital attorney d. Document the parents' requests - CORRECT ANSWER-D Requests of the parents and child must be documented. The surgeon does not have the automatic authority to override the parents' wishes. The child is under age and does not have decision-making authority. The nurse is applying the nursing process to the care of a 5-year-old child who has been diagnosed with asthma. Which action should the nurse perform first? a. Identify the nursing diagnoses that are most commonly associated with childhood asthma