Science Medicine Pediatrics
Pediatrics: Pediatric: Preschool -age ?s
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Patient Care Exam 1 EXAM 1: VITALS M/S Midterm
13 terms 26 terms 74 terms 32 terms
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x Correct response:
B. Get the child to agree to stop the thumb sucking.
A mother tells the nurse that she wants her
4-year-old to stop sucking her thumb. Explanation:
When developing the teaching plan, the A 4-year-old is old enough to be able to cooperate and stop the behavior.
nurse should suggest which intervention? Therefore, the first step is to obtain the child's cooperation. When this has occurred,
then the mother makes sure it is okay to remind the child when the behavior is
A. Apply a special medicine that tastes viewed. Using a substance that does not taste good is not effective as the child may
terrible on the thumb. suck it off, and it does not promote health behavior. The mother also should be
B. Get the child to agree to stop the thumb encouraged to praise the child when she sees her not engaging in the behavior;
sucking. "time-out" is considered a punishment and does not promote the desired behavior.
C. Remind the child every time the mother
sees the thumb in her mouth.
D. Put the child in time-out every time the
mother observes thumb sucking.
What is preschool age? 3-5 years old
Explanation:
While assessing a child experiencing
respiratory distress, the nurse notes
Subcostal retractions are retractions seen below the lower costal margin of the rib
subcostal retractions. Which graphic
cage. Option B highlights the area where subcostal retractions are seen. Option A
highlights the area where subcostal
shows the areas where intercostal retractions would be seen. Option C shows the
retractions are seen?
area for suprasternal retraction. Option D shows the areas for clavicular retractions.
,A community nurse is assessing a young Correct response:
child who has had a colostomy stoma for "The stoma looks healthy; continue your present care."
several years. The nurse notices that the
stoma is dark pink and moist. What is the Explanation:
best response to the child's parents about A normal, healthy stoma should be dark pink and moist. This child's parents should
the appearance of the stoma? continue the present care. There is no indication of infection or irritation. There is no
data that support the stoma being "too moist" or that there is skin breakdown.
A. "The stoma looks infected; you need an
antibiotic cream."
B. "The stoma looks healthy; continue your
present care."
C. "The stoma is irritated; change the
appliance more frequently."
D. "The stoma is too moist; we must try to
prevent skin breakdown."
A 4-year-old child is admitted to the Correct response:
hospital for surgery. The nurse applies A. separation from family
interventions to address what major
stressor for a child of this age? Explanation:
For infants through preschoolers, separation from the family is the major stressor
A. separation from family posed by hospitalization. To minimize the effects of separation, the nurse may
B. fear of bodily injury suggest that a family member stay with the child as much as possible. Reducing this
C. loss of control stressor may help a young child withstand other possible stressors of hospitalization,
D. fear of pain such as fear of bodily injury, loss of control, and fear of pain.
The mother of a 4-year-old child asks Correct response:
about dental care for her child. "I help D. "A dental checkup is a good idea even if no problems are noticeable."
brush her teeth every day, and her teeth
look healthy," the mother states. "When Explanation:
should I take her to see a dentist?" Which Routine dental examinations should begin when a child is young, with newer
response would be most appropriate? recommendations suggesting visits begin before a child's first birthday, especially in
at-risk children. Even though the mother helps the child brush her teeth every day,
A. "Because you help brush her teeth, there this does not replace the need for preventative dental visits, which can help reduce
is no need to see a dentist right now." dental disease.
B. Ideally she should have seen a dentist The statement that the child should have been taken to a dentist already is likely to
already, but it's still not too late." be interpreted as a reprimand. This tone is not therapeutic and may alienate the
mother. There is nothing that can be done about decisions already in the past.
C. "Your child doesn't need to see the
dentist until she starts school." Waiting until the child starts school may be too late because dental caries can occur
before the age of 2 years.
D. "A dental checkup is a good idea even if
no problems are noticeable."
See an expert-written answer!
, For a 3-year-old child with Correct response:
tracheobronchitis, the nurse formulates a C. The child exhibits clear breath sounds.
nursing diagnosis of ineffective airway
clearance related to stasis of secretions. Explanation:
After implementing interventions, what The nurse should expect clear breath sounds because this outcome indicates an
does the nurse indicate as the most desired improved respiratory status and airway clearance. A respiratory rate of 36 breaths
outcome? per minute supports a nursing diagnosis of ineffective breathing pattern. An arterial
oxygen saturation of 92% supports a nursing diagnosis of impaired gas exchange,
A. The child exhibits a respiratory rate of 36 and a decrease in anxiety supports the nursing diagnosis of anxiety.
breaths per minute.
B. The child exhibits an arterial oxygen
saturation of 92%.
C. The child exhibits clear breath sounds.
D. The child exhibits decreased anxiety.
See an expert-written answer!
The nurse is caring for a 5-year-old child Correct response:
with a femur fracture. The parent explains B. Keep the child safe, and assess for abuse.
that the fracture occurred from a fall. The
child's recollection of the event conflicts Explanation:
with the parent's explanation. What is the The assessment for risk is the priority nursing action. This would include verbalizing
nurse's immediate responsibility? concerns to the most immediate supervisor and involving hospital social workers and
the medical team. These initial steps need to be implemented, and then the
A. Question the parent about the appropriate authorities must be alerted. Questioning the parent about the
discrepancy in stories. discrepancy is not helpful, and there is no basis for restricting parental visitation at
this time.
B. Keep the child safe, and assess for
abuse.
C. Call the police department to report
abuse.
D. Restrict parental visitation until abuse is
ruled out.
Correct response:
A. gentle pressure
A parent of a child with hemophilia states Explanation:
that she worries whenever the child has a
bump or cut. The nurse should explain that In children with hemophilia (an inherited bleeding disorder), a bump or cut can cause
after the area is cleansed, the wound serious bleeding. After the injured area is cleansed, gentle pressure should be
should be treated by applying which applied to allow clot formation, which will help stop the bleeding. In addition, the
measure? area should be immobilized and elevated.
A. gentle pressure Cold applications, instead of warm moist compresses, are commonly used to
B. warm, moist compresses l promote vasoconstriction and help control the bleeding.
C. a tourniquet above the injured area
D. a wet-to-dry dressing A tourniquet should not be used because of the high risk of tissue hypoxia and
resulting necrosis.
Wet-to-dry dressings should be avoided because they could be irritating to the area.
See an expert-written answer!
Pediatrics: Pediatric: Preschool -age ?s
Save
Students also studied
Flashcard sets Study guides Practice tests
Patient Care Exam 1 EXAM 1: VITALS M/S Midterm
13 terms 26 terms 74 terms 32 terms
evhooper Preview ellaapking5667 Preview xjcjcyxg5b Preview Dot
x Correct response:
B. Get the child to agree to stop the thumb sucking.
A mother tells the nurse that she wants her
4-year-old to stop sucking her thumb. Explanation:
When developing the teaching plan, the A 4-year-old is old enough to be able to cooperate and stop the behavior.
nurse should suggest which intervention? Therefore, the first step is to obtain the child's cooperation. When this has occurred,
then the mother makes sure it is okay to remind the child when the behavior is
A. Apply a special medicine that tastes viewed. Using a substance that does not taste good is not effective as the child may
terrible on the thumb. suck it off, and it does not promote health behavior. The mother also should be
B. Get the child to agree to stop the thumb encouraged to praise the child when she sees her not engaging in the behavior;
sucking. "time-out" is considered a punishment and does not promote the desired behavior.
C. Remind the child every time the mother
sees the thumb in her mouth.
D. Put the child in time-out every time the
mother observes thumb sucking.
What is preschool age? 3-5 years old
Explanation:
While assessing a child experiencing
respiratory distress, the nurse notes
Subcostal retractions are retractions seen below the lower costal margin of the rib
subcostal retractions. Which graphic
cage. Option B highlights the area where subcostal retractions are seen. Option A
highlights the area where subcostal
shows the areas where intercostal retractions would be seen. Option C shows the
retractions are seen?
area for suprasternal retraction. Option D shows the areas for clavicular retractions.
,A community nurse is assessing a young Correct response:
child who has had a colostomy stoma for "The stoma looks healthy; continue your present care."
several years. The nurse notices that the
stoma is dark pink and moist. What is the Explanation:
best response to the child's parents about A normal, healthy stoma should be dark pink and moist. This child's parents should
the appearance of the stoma? continue the present care. There is no indication of infection or irritation. There is no
data that support the stoma being "too moist" or that there is skin breakdown.
A. "The stoma looks infected; you need an
antibiotic cream."
B. "The stoma looks healthy; continue your
present care."
C. "The stoma is irritated; change the
appliance more frequently."
D. "The stoma is too moist; we must try to
prevent skin breakdown."
A 4-year-old child is admitted to the Correct response:
hospital for surgery. The nurse applies A. separation from family
interventions to address what major
stressor for a child of this age? Explanation:
For infants through preschoolers, separation from the family is the major stressor
A. separation from family posed by hospitalization. To minimize the effects of separation, the nurse may
B. fear of bodily injury suggest that a family member stay with the child as much as possible. Reducing this
C. loss of control stressor may help a young child withstand other possible stressors of hospitalization,
D. fear of pain such as fear of bodily injury, loss of control, and fear of pain.
The mother of a 4-year-old child asks Correct response:
about dental care for her child. "I help D. "A dental checkup is a good idea even if no problems are noticeable."
brush her teeth every day, and her teeth
look healthy," the mother states. "When Explanation:
should I take her to see a dentist?" Which Routine dental examinations should begin when a child is young, with newer
response would be most appropriate? recommendations suggesting visits begin before a child's first birthday, especially in
at-risk children. Even though the mother helps the child brush her teeth every day,
A. "Because you help brush her teeth, there this does not replace the need for preventative dental visits, which can help reduce
is no need to see a dentist right now." dental disease.
B. Ideally she should have seen a dentist The statement that the child should have been taken to a dentist already is likely to
already, but it's still not too late." be interpreted as a reprimand. This tone is not therapeutic and may alienate the
mother. There is nothing that can be done about decisions already in the past.
C. "Your child doesn't need to see the
dentist until she starts school." Waiting until the child starts school may be too late because dental caries can occur
before the age of 2 years.
D. "A dental checkup is a good idea even if
no problems are noticeable."
See an expert-written answer!
, For a 3-year-old child with Correct response:
tracheobronchitis, the nurse formulates a C. The child exhibits clear breath sounds.
nursing diagnosis of ineffective airway
clearance related to stasis of secretions. Explanation:
After implementing interventions, what The nurse should expect clear breath sounds because this outcome indicates an
does the nurse indicate as the most desired improved respiratory status and airway clearance. A respiratory rate of 36 breaths
outcome? per minute supports a nursing diagnosis of ineffective breathing pattern. An arterial
oxygen saturation of 92% supports a nursing diagnosis of impaired gas exchange,
A. The child exhibits a respiratory rate of 36 and a decrease in anxiety supports the nursing diagnosis of anxiety.
breaths per minute.
B. The child exhibits an arterial oxygen
saturation of 92%.
C. The child exhibits clear breath sounds.
D. The child exhibits decreased anxiety.
See an expert-written answer!
The nurse is caring for a 5-year-old child Correct response:
with a femur fracture. The parent explains B. Keep the child safe, and assess for abuse.
that the fracture occurred from a fall. The
child's recollection of the event conflicts Explanation:
with the parent's explanation. What is the The assessment for risk is the priority nursing action. This would include verbalizing
nurse's immediate responsibility? concerns to the most immediate supervisor and involving hospital social workers and
the medical team. These initial steps need to be implemented, and then the
A. Question the parent about the appropriate authorities must be alerted. Questioning the parent about the
discrepancy in stories. discrepancy is not helpful, and there is no basis for restricting parental visitation at
this time.
B. Keep the child safe, and assess for
abuse.
C. Call the police department to report
abuse.
D. Restrict parental visitation until abuse is
ruled out.
Correct response:
A. gentle pressure
A parent of a child with hemophilia states Explanation:
that she worries whenever the child has a
bump or cut. The nurse should explain that In children with hemophilia (an inherited bleeding disorder), a bump or cut can cause
after the area is cleansed, the wound serious bleeding. After the injured area is cleansed, gentle pressure should be
should be treated by applying which applied to allow clot formation, which will help stop the bleeding. In addition, the
measure? area should be immobilized and elevated.
A. gentle pressure Cold applications, instead of warm moist compresses, are commonly used to
B. warm, moist compresses l promote vasoconstriction and help control the bleeding.
C. a tourniquet above the injured area
D. a wet-to-dry dressing A tourniquet should not be used because of the high risk of tissue hypoxia and
resulting necrosis.
Wet-to-dry dressings should be avoided because they could be irritating to the area.
See an expert-written answer!
