Hospitalized Child 2 Study Guide Exam.

Hospitalized Child 2 Study Guide Exam. Which of the following information during a health history should the nurse correlate as consistent with the diagnosis of failure to thrive in an infant? 1. Fussiness during feedings. 2. Fear of strangers. 3. Being quiet when held. 4. Needing to be awakened for feedings. - CORRECT ANSWER 1. When talking with grandparents of a toddler, which of the following toys should the nurse recommend as the most appropriate? 1. Tricycle. 2. Wheelbarrow. 3. Sled. 4. Blocks. - CORRECT ANSWER 4. As toddlers begin imaginative play, blocks are an excellent toy choice. The father of a 3-year old child expresses a concern about the child's fear of the dark. Using Piaget's concepts of cognitive development which of the following would be the most appropriate explanation as the basis for the child's fear of darkness? 1. Reversibility. 2. Animism. 3. Conservation of matter. 4. Object permanence. - CORRECT ANSWER 2. The child attributes the quality of conscious thought to inanimate objects. It is a peculiarity of preconceptual thought, part of the preoperational stage, lasting from age 2 to 4 years. A young child who has undergone a tonsillectomy refuses to let the nurse look at the tonsillar beds to check for bleeding. To assess whether the child is bleeding from the tonsillar beds, which of the following would be most appropriate? 1. Assess capillary refill. 2. Force open the mouth with a tongue blade. 3. Monitor for decreased blood pressure. 4. Observe for frequent swallowing. - CORRECT ANSWER 4. Blood will go down the back of the throat causing the child to swallow frequently. After receiving report, the nurse is making out assignments. Which of the following clients would be appropriate to assign to unlicensed assistive personnel? 1. A 6-year-old with a femur fracture and a fever. 2. a 13-year-old adolescent with fluctuating vital signs and a new central line. 3. A 7-year-old transferred from the cardiac intensive care unit. 4. An 8-month-old with pneumonia who will be discharged today. - CORRECT ANSWER 4. Unlicensed assistive personnel can care for a client with pneumonia who will be discharged. When administering an I.M. injection to a neonate, which of the following muscles should the nurse consider as the best injection site? 1. Deltoid. 2. Dorsogluteal. 3. Ventrogluteal. 4. Vastus Lateralis. - CORRECT ANSWER 4. There is less danger of injuring nerves, blood vessels, or bony structures at this site. After teaching the parents of a 15-month-old child who has undergone cleft palate repair how to use elbow restraints, which of the following statements by the parents indicates effective teaching? 1. We'll keep the restraints in place continuously until the doctor says it's okay to remove them. 2. We can take off the restraints while our child is playing but we'll make sure to put them back on at night. 3. The restraints should be taped directly to our child's arms so that they will stay in one place. 4. We'll remove the restraints temporarily at least three times a day to check his skin then put them right back on. - CORRECT ANSWER 4. Elbow restraints help to keep the child from placing fingers or any other object in the mouth that would cause injury to the operative site.