Pediatrics Exam 1-Growth Exam Review {Graded A+}

Pediatrics Exam 1-Growth Exam Review {Graded A+} A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child's sense of autonomy? 1. Allow the child to choose what time to take her oral antibiotics 2. Allow the child to have a doll for medical play 3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe 4. Allow the child to watch age-appropriate videos *Ans* 3. Allowing toddlers to participate in actions of which they are capable is an excellent way to enhance their autonomy. A 16-year-old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he receives IV antibiotics. As the nurse caring for this patient, what action can you take that will most enhance his psychosocial development? 1. Fax the teen's teacher, and have her send in his homework 2. Encourage the teen's friends to visit him in the hospital 3. Encourage the teen's grandparent's to visit frequently 4. Tell the teen he is free to use his phone to call friends *Ans* 2. Teens are most concerned about being like their peers. Having the teen's friends visit will help him feel he is still part of the school and social environment. A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's response is: 1. "At 6 months his weight should be approximately three times his birth weight." 2. "Each child gains weight at his or her own pace." 3. "At 6 months his weight should be approximately twice his birth weight." 4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight." *Ans* 3. Children should double their birth weight by 4 to 6 months of age. The nurse caring for a 4-year-old female in the ER is about to start a peripheral IV. The nurse's best method for explaining the procedure to the child is to: 1. Show the child a pamphlet with pictures showing the IV placement procedure 2. Have the 5-year-old patient next door tell the 4-year-old about her experience with her IV placement 3. Show the child the IV placement equipment, and demonstrate the procedure on a doll 4. Tell the child that if she remains still, the procedure will be over quickly *Ans* 3. A 4- year-old child understands things in very concrete and simple terms. Therefore, medical play is an excellent method for helping her understand the procedure. A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health information, his nurse should: 1. Interview the adolescent using direct questions 2. Gather information during a casual conversation 3. Interview the adolescent only in the presence of his parents 4. Gather information only from the parents *Ans* 2. Frequently adolescents will share more information when it is gathered during a casual conversation. A 7-year-old female is being admitted to the hospital for a diagnosis of acute lymphocytic leukemia. The nurse wants to gather information from the child regarding her feelings about her diagnosis. Which nursing action is most appropriate to gain information about how the child is feeling?