Pediatrics Final Exam 1- Growth Questions and Rationalized Answers 100% Verified

Pediatrics Final Exam 1- Growth Questions and Rationalized Answers
100% Verified


1. A 3-year-w



old female is hospitalized for a femur fracture. As her nurse, what nursing action would
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help foster the child's sense of autonomy?
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1. Allow the child to choose what time to take her oral antibiotics
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2. Allow the child to have a doll for medical play
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3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe
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4. Allow the child to watch age- w w w w w



appropriate videos: 3. Allowing toddlers to participate in actions of which they are capable i
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s an excellent way to enhance their autonomy.
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2. A 16-year-
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old male is hospitalized for cystic fibrosis. He will be an inpatient for 2 weeks while he re
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ceives IV antibiotics. As the nurse caring for this patient, what action can you take that
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will most enhance his psychosocial development?
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1. Fax the teen's teacher, and have her send in his homework
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2. Encourage the teen's friends to visit him in the hospitalw w w w w w w w w



3. Encourage the teen's grandparent's to visit frequently w w w w w w



4. Tell the teen he is free to use his phone to call friends: 2. Teens are most concerned ab
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out being like their peers. Having the teen's friends visit will help him feel he is still part of th
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e school and social environment.
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3. A 6-month-old male is at his well-
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child checkup. The nurse weighs him, and his mother asks if his weight is normal for his
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age. The nurse's response is:
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1. "At 6 months his weight should be approximately three times his birth weight."
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2. "Each child gains weight at his or her own pace."
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3. "At 6 months his weight should be approximately twice his birth weight."
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4. "At 6 months a child should weigh about 10 lb. more than his or her birth weight.": 3.
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Children should double their birth weight by 4 to 6 months of age.
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,4. The nurse caring for a 4-year-
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old female in the ER is about to start a peripheral IV.The nurse's best method for explainin
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g the procedure to the child is to:
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1. Show the child a pamphlet with pictures showing the IV placement proce- dure
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2. Have the 5-year-old patient next door tell the 4-year-
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old about her experience with her IV placement
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3. Show the child the IV placement equipment, and demonstrate the procedure on a doll
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4. Tell the child that if she remains still, the procedure will be over quickly: 3. A 4-year-
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old child understands things in very concrete and simple terms. Therefore, medical play is an
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excellent method for helping her understand the procedure.
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,5. A 17-year-old male is being seen in the E.R. In order to obtain the adoles-
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wcent's health information, his nurse should:
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1. Interview the adolescent using direct questions w w w w w



2. Gather information during a casual conversation
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3. Interview the adolescent only in the presence of his parents
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4. Gather information only from the parents: 2. Frequently adolescents will share more infor
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mation when it is gathered during a casual conversation.
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6. A 7-year- w



old female is being admitted to the hospital for a diagnosis of acute lymphocytic leuke
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mia. The nurse wants to gather information from the child regarding her feelings about he
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r diagnosis.Which nursing action is most appropriate to gain information about how the c
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hild is feeling?w w



1. The nurse should actively attempt to make friends with the child before asking her
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wabout her feelings w w



2. The nurse should ask the child's parents what feelings she has expressed in regard to
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wher diagnosis w



3. The nurse should provide the child with some paper to draw a picture of how she is feelin
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g
4. The nurse should ask the child direct questions about how she is feeling: 3. Often childr
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en will include much more detail of their feelings in drawings. They will often express things i
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n pictures they are unable to verbalize.
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7. How can the nurse best facilitate the trust relationship between infant and parent wh
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ile the infant is hospitalized?
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1. The nurse should encourage the parents to remain at their child's bedside as much a
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s possible
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2. The nurse should keep the parents informed about all aspects of their child's condition
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3. The nurse should encourage the parents to hold their child as much as possible
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4. The nurse should encourage the parents to participate actively in their child's care: 3.
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Having the parents hold their child while in the hospital is an excellent means of building the
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trust relationship. Infants are most secure when they are being held, patted, and spoken to.
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8. The nurse is caring for a 7-year-old female on the school-
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, age unit. Her mother is concerned that she may have some developmental delays. Whi
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ch of the following statements would indicate to the nurse that the child is not develo
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pmentally on track for her age:w w w w w



1. The child is able to follow a four-to-five-step command
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2. The child started wetting the bed on this admission to the hospital
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3. The child has an imaginary friend named Kelly
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