Essentials of Pediatric Nursing
1.
The nurse is caring for a 6-year-old girl who was injured in a bicycle accident.
Which question would be most important for the nurse to ask during the
health history?
A)
"Has she been diagnosed with any chronic disorders?"
B)
"Is your daughter currently taking any medications?"
C)
"Is she allergic to any medications or drugs?"
D)
"Tell me how the bicycle accident happened." - Correct Answer - Ans:
D
Feedback:
The priority inquiry is to determine the nature of the emergency so that
appropriate interventions may be initiated. This will also provide direction for
obtaining more in-depth information as time permits. Information about
,allergic reactions to drugs, medications being taken, and chronic disorders
that may affect treatment will be gathered next.
2.
The nurse is caring for a 7-year-old boy experiencing respiratory distress who
is scheduled to have a chest radiograph. What would be most important for
the nurse to include in the child's plan of care?
A)
Administering a sedative to help calm the child
B)
Assisting the child to lie still during the chest radiograph
C)
Accompanying the child to continue observation
D)
Informing the child that he might hear a loud banging noise - Correct Answer
- Ans:
B
Feedback:
Chest radiographs that disclose alterations in normal anatomy or lung
expansion, or evidence of pneumonia, tumor, or foreign body, are commonly
performed for respiratory emergencies. Therefore, the nurse would need to
assist the child in remaining still during the procedure. A sedative may be
ordered for magnetic resonance imaging (MRI). Accompanying the child to
continue observation would be necessary if the child was to undergo a
computed tomography scan. Telling the child about a loud banging noise
would be appropriate if the child was having an MRI.
, 3.
A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the
emergency department. Which action would be most appropriate?
A)
Ventilating the child with a bag-valve-mask
B)
Estimating the child's weight using a Broselow tape
C)
Providing therapy using automated external defibrillation
D)
Using rescue breathing and chest compressions - Correct Answer - Ans:
A
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation.
Therefore, ventilating the child with a bag-valve-mask and 100% oxygen
would be effective and efficient. Estimating the child's weight with a
Broselow tape is typically done by ambulatory care providers. According to
the American Heart Association, automated external defibrillators are
recommended for use in children who are older than age 1 year who have no
pulse and have suffered a sudden, witnessed collapse outside the hospital
setting. Rescue breathing and chest compressions are implemented for
children who are not breathing and do not have a pulse or when the pulse
rate is less than 60 beats per minute.
4.
1.
The nurse is caring for a 6-year-old girl who was injured in a bicycle accident.
Which question would be most important for the nurse to ask during the
health history?
A)
"Has she been diagnosed with any chronic disorders?"
B)
"Is your daughter currently taking any medications?"
C)
"Is she allergic to any medications or drugs?"
D)
"Tell me how the bicycle accident happened." - Correct Answer - Ans:
D
Feedback:
The priority inquiry is to determine the nature of the emergency so that
appropriate interventions may be initiated. This will also provide direction for
obtaining more in-depth information as time permits. Information about
,allergic reactions to drugs, medications being taken, and chronic disorders
that may affect treatment will be gathered next.
2.
The nurse is caring for a 7-year-old boy experiencing respiratory distress who
is scheduled to have a chest radiograph. What would be most important for
the nurse to include in the child's plan of care?
A)
Administering a sedative to help calm the child
B)
Assisting the child to lie still during the chest radiograph
C)
Accompanying the child to continue observation
D)
Informing the child that he might hear a loud banging noise - Correct Answer
- Ans:
B
Feedback:
Chest radiographs that disclose alterations in normal anatomy or lung
expansion, or evidence of pneumonia, tumor, or foreign body, are commonly
performed for respiratory emergencies. Therefore, the nurse would need to
assist the child in remaining still during the procedure. A sedative may be
ordered for magnetic resonance imaging (MRI). Accompanying the child to
continue observation would be necessary if the child was to undergo a
computed tomography scan. Telling the child about a loud banging noise
would be appropriate if the child was having an MRI.
, 3.
A 5-year-old girl is cyanotic, dusky, and anxious when she arrives in the
emergency department. Which action would be most appropriate?
A)
Ventilating the child with a bag-valve-mask
B)
Estimating the child's weight using a Broselow tape
C)
Providing therapy using automated external defibrillation
D)
Using rescue breathing and chest compressions - Correct Answer - Ans:
A
Feedback:
The child is exhibiting signs of ineffective oxygenation and ventilation.
Therefore, ventilating the child with a bag-valve-mask and 100% oxygen
would be effective and efficient. Estimating the child's weight with a
Broselow tape is typically done by ambulatory care providers. According to
the American Heart Association, automated external defibrillators are
recommended for use in children who are older than age 1 year who have no
pulse and have suffered a sudden, witnessed collapse outside the hospital
setting. Rescue breathing and chest compressions are implemented for
children who are not breathing and do not have a pulse or when the pulse
rate is less than 60 beats per minute.
4.
