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Examen

Peds exam 3 (testbank) 84Questions and Answers latest 2025 RATED A+

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Peds exam 3 (testbank) 84Questions and Answers latest 2025 RATED A+

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Peds exam 3 (testbank) 84Questions and
Answers latest 2025 RATED A+

(Chapter 11) The parents of a critically injured child wish to stay in the room while
the child is receiving emergency care. Which action by the nurse is the most
appropriate?


1. Escort the parents to the waiting room and assure them that they can see their
child soon.


2. Allow the parents to stay with the child.


3. Ask the physician if the parents can stay with the child.


4. Tell the parents that they do not need to stay with the child. - CORRECT
ANSWERS 2


Parents should be allowed to stay with their child if they wish to do so. This position
is supported by the Emergency Nurses Association and is a key aspect of family-
centered care


(Chapter 11) The charge nurse on a hospital unit is developing plans of care related
to separation anxiety. The charge nurse recognizes that which hospitalized child at
highest risk to experience separation anxiety when parents cannot stay?


1. 6-month-old


2. 18-month-old


3. 3-year-old


4. 4-year-old - CORRECT ANSWERS 2

,Peds exam 3 (testbank) 84Questions and
Answers latest 2025 RATED A+

While all of these children can experience separation anxiety, the young toddler is
at highest risk. Toddlers are the group most at risk for a stressful experience when
hospitalized. Separation from parents increases this risk greatly.


(Chapter 11) A group of children on one hospital unit are all suffering separation
anxiety. Which child is experiencing the despair stage of separation anxiety?


1. Does not cry if parents return and leave again


2. Screams and cries when parents leave


3. Appears to be happy and content with staff


4. Lies quietly in bed - CORRECT ANSWERS 4


Children in the despair stage appear sad, depressed, or withdrawn. A child who is
lying in bed might be exhibiting any of these. Screaming and crying are components
of the protest stage. The young child who appears to be happy and content with
everyone is in the denial stage, as is the child who does not cry if parents return
and leave again.


(Chapter 11) A preschool-age client is seen in the clinic for a sore throat. In this
childs mind, what is the most likely causative agent for the sore throat?


1. Was exposed to someone else with a sore throat.


2. Did not eat the right foods.


3. Yelled at his brother.

,Peds exam 3 (testbank) 84Questions and
Answers latest 2025 RATED A+

4. Did not take his vitamins. - CORRECT ANSWERS 3


Preschoolers understand some concepts of being sick but not the cause of illness.
They are likely to think that they are sick as a result of something that they have
done. They will frequently view illness as punishment. A child of this age does not
yet understand that he can become sick from exposure to someone else who is sick.
The other two answers, while not causes of sore throat, can be factors in some
illnesses but are beyond the thinking of a 4-year-old.


(Chapter 11) The charge nurse is concerned with reducing the stressors of
hospitalization. Which nursing intervention is most helpful in decreasing the
stressors for the toddler-age client?


1. Assign the same nurse to the toddler as much as possible.


2. Let the child listen to an audiotape of the mothers voice.


3. Place a picture of the family at the bedside.


4. Encourage a parent to stay with the child. - CORRECT ANSWERS 4


While all of the interventions are appropriate for the hospitalized toddler, presence
of a parent is most important. Separation from parents is the major stressor for the
hospitalized toddler.


(Chapter 11) The nurse is working with a school-age child who is hospitalized. Which
action by the nurse will promote a sense of industry in this child?


1. Allow the child to assist with her care.


2. Encourage parents to participate in the childs care.

, Peds exam 3 (testbank) 84Questions and
Answers latest 2025 RATED A+


3. Give the child a detailed scientific explanation of the illness.


4. Speak to the child in a high-pitched voice. - CORRECT ANSWERS 1


Allowing the child to participate in her care will decrease the sense of loss of control
and increase a sense of industry. While parents can certainly participate in their
childs care, it does not increase the childs sense of control. School-age children in
general will not understand detailed scientific explanations. Change in voice tone is
appropriate when talking to very young children.


(Chapter 11) The nurse is caring for a client in the pediatric intensive-care unit
(PICU). The parents have expressed anger over the nursing care their child is
receiving. Which nursing intervention is most appropriate based on the situation?


1. Ask the physician to talk with the family.


2. Explain to the parents that their anger is affecting their child so they will not be
allowed to visit the child until they calm down.


3. Acknowledge the parents concerns and collaborate with them regarding the care
of their child.


4. Call the chaplain to sit with the family. - CORRECT ANSWERS 3


Hospitalization of the child in a pediatric intensive-care unit is a great stressor for
parents. If the parents feel that they are not informed or involved in the care of their
child, they may become angry and upset. Calling the physician or chaplain may be
appropriate at some point, but the nurse must assume the role of supporter in this
situation to promote a sense of trust. Telling the parents that they cannot visit their
child will only increase their anger.

Información del documento

Subido en
25 de octubre de 2024
Número de páginas
49
Escrito en
2024/2025
Tipo
Examen
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