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WVU NSG 320 EXAM 1 CONTENT QUESTIONS WITH CORRECT ANSWERS

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WVU NSG 320 EXAM 1 CONTENT QUESTIONS WITH CORRECT ANSWERS

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A nurse is preparing to administer medication to a toddler. Which of the following
actions should the nurse take (select all that apply)?
A. identify the toddler by asking the caregiver
B. tell the caregiver to administer the medication
C. calculate the safe dosage
D. ask the toddler to pick a toy to hold during the administration
E. offer juice after the medication


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, C: for safe administration, you should always calculate the safe dosage
D: offering choices to the toddler is a practice of atraumatic care
E: offering OJ is an example of offering atraumatic care

Explanation of Other Answers
A: confirm two identifiers
B: assess the involvement of the caregiver




A nurse is completing a pain assessment of an infant. Which of the following pain
scales should the nurse use?
A. FACES
B. FLACC
C. Oucher
D. Non-community children's pain checklist


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B: used between 2 months and 7 years of age

Explanation of Other Answers
A: 3 years or older
C: used between 3 and 13 years
D: used between 3 and 18 years for non-communicating children




When performing family assessment, which of the following should the nurse include
(select all that apply)?
A. medical hx
B. parent's education level
C. child's physical growth
D. support systems
E. stressors


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, A: include a medical hx on the parents, siblings, and grand parents when
performing a family assessment
B. include the family structure, which includes family members, family size,
roles/position within the family, and occupation and education of the family
D: include support systems to determine the availability of extended family
work and peer relationships, and social systems and community resources
to assist the family in meeting needs when performing the assessment
E: include stressors, both expected and unexpected, when performing the
assessment




What are assessment findings of emotional neglect/abuse?


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-FTT (failure to thrive)
-enuresis
-sleep disturbances
-self stimulating
-delayed development




When do we start assessing visual acuity in children?


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-typically older than the age of 3, because it is hard to assess children
younger than 3
-visual acuity in infants can be assessed by holding an object in front of the
eyes and checking to see whether the infant is able to see the object and
follow it
-older children should be tested using a Snellen chart or symbol chart
-corneal light reflex: symmetrical by 4-6 months of age
-permanent color manifests by 1 year of age

, What are recommendations to help parents with the distinction between discipline
and punishment?


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-clear, consistent expectations
^if you as the parent say it, you must up keep it
^ex. If you tell the child, "If you keep acting like this, we aren't going to the
party," then you have to keep your word
-avoid spanking
-model desired behavior
-GIVE ATTENTION and praise desired behavior
-provide action of (positive or negative) behavior immediately




How do we minimize the loss of control overall?


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Maintain Routine
-gain an understanding of normal routine
-use charts in room
-nurse-to-nurse communication
Promote Freedom of Movement
-ex. thumbsucker: avoid placing IV in preferred arm
SAFETY
-in room and in play room
-use treatment room for painful procedures
Encourage Independence
-limit restrictions if possible
-take walks, go to the play room, outside
Verbal Communication
-speak in terms that children will understand and not fear
-very concrete: avoid things like "a little stick", "feels like a bee sting",
"coughing your head off"
-instead say "I'm going to give to medicine under your skin" and "I can feel
how warm you are."

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