Children's health Flashcards

1
Q

When a 4-year old child refuses to take a medication in pill form because it is “too big and it hurts when I swallow,” the nurse demonstrates critical thinking by:

a) Allowing the child to skip a dose this one time and documenting the reason why

b) Asking the nurse-manager what to do

c) Asking the mother how she gets him to cooperate

d) Checking with the pharmacy to see if the medication can be dispensed in liquid form

A

d) Checking with the pharmacy to see if the medication can be dispensed in liquid form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What statement by a nurse to a new nurse, orienting to the unit, is correct regarding seizure precautions?

a) Administering an anticonvulsant drug is not beneficial.

b) Do not force a tongue depressor between the teeth.

c) Any seizure can lead to status epilepticus.

d) Apply oxygen if the client turns cyanotic.

A

b) Do not force a tongue depressor between the teeth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Parents of a 2½-year-old child report that the child has began to have temper tantrums, and ask the nurse what they should do. Strategies that the nurse could suggest include:

a) Throwing cold water on the child during the tantrum to help the child “snap out of it”

b) Giving the child what is wanted to avoid the tantrums

c) Attempting to reason with the child during the tantrum

d) Determining the child’s safety and then leaving the room when the child has a tantrum

A

d) Determining the child’s safety and then leaving the room when the child has a tantrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The nurse is developing a teaching plan for a 9-year-old female client who is diabetic. Which actions would be appropriate?

a) Using hypothetical problem situations to teach potential problem solving

b) Teaching size of food portions and importance of timing snacks and meals

c) Using hand puppets to teach proper nutrition

d) Discussing future hazards of pregnancy for diabetic mothers

A

b) Teaching size of food portions and importance of timing snacks and meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The nurse discusses the eating habits of school-aged children with their parents, explaining that these habits are most influenced by which of the following?

a) Examples provided by parents at mealtimes

b) Smell and appearance of foods offered.

c) Parental encouragement to eat nutritious foods.

d) Food preferences of their peers.

A

a) Examples provided by parents at mealtimes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following?

a) Ability to see at 20 feet what she should see at 60 feet.

b) Visual acuity three times better than average.

c) A loss of approximately one third of her visual acuity

d) Ability to see at 60 feet what she should see at 20 feet.

A

a) Ability to see at 20 feet what she should see at 60 feet.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A family with five children experiences a stillbirth. While intervening with the family, one member expresses a view that causes special concern for the nurse. This person is:

a) A 13-year-old who assumes blame as punishment for shoplifting

b) A 5-year-old who cries, believing the death occurred because the child drew with magic markers on one of the baby blankets

c) A 15-year-old who says, “I still can’t believe it is true.”

d) A 3-year-old who wonders if the baby will come home after it gets better

A

a) A 13-year-old who assumes blame as punishment for shoplifting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A mother is frustrated because her 2½-year-old is not toilet trained and will not use the potty when placed on it. What suggestion by the nurse is most appropriate?

a) Make up a game to encourage the child to want to use the potty.

b) Do not try to toilet-train the child, as it is too early.

c) Do not let the child off the potty until stool or urine is evacuated.

d) Give the child a laxative and place on the potty in 30 minutes.

A

a) Make up a game to encourage the child to want to use the potty.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A Parent asks, “Can I get head lice too?” The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?

a) The skin of adults is more capable of resisting the invasion of lice.

b) School-aged children tend to me more neglectful of frequent handwashing

c) An immunity to pediculosis usually is established by adulthood

d) Pediculosis usually is spread by close contact with infested children

A

d) Pediculosis usually is spread by close contact with infested children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A 6-month-old infant is brought to the clinic by an aunt who says the infant’s parents are out of the country on business.

The nurse notes that the infant seems healthy but withdrawn, and is below the fifth percentile for weight and height on the standard growth chart.

The aunt states the infant has had a succession of undependable baby-sitters since she was born, and that the parents work extremely long hours.

Based on the assessment data, the nurse forms a preliminary diagnosis of:

a) Failure to thrive related to inorganic causes

b) Weight loss related to infant colic

c) Child abuse: shaken-baby syndrome

d) Failure to thrive related to organic causes

A

a) Failure to thrive related to inorganic causes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which technique is best for assessing the respirations of a 3-year-old?

a) Tell the child you will check his breathing.

b) Place one hand against the chest when counting.

c) Use a stethoscope and auscultate the lungs.

d) Observe the rise and fall of the abdomen.

A

d) Observe the rise and fall of the abdomen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the preferred site for measuring body temperature in very young children?

a) Rectal

b) Temporal

c) Oral

d) Axillary

A

d) Axillary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A nurse feels vulnerable after a child dies following a lengthy resuscitation effort. A positive coping strategy for the nurse is to:

a) Take a sedative when getting home

b) Meet with others who participated in the resuscitation to grieve together

c) Review the resuscitation until mistakes are found to explain the child’s death

d) Accept it as part of a day’s work with vulnerable children

A

b) Meet with others who participated in the resuscitation to grieve together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

After teaching a group of mothers about temper tantrums, the nurse knows the teaching has been effective when one of the mothers states which of the following?

a) “I’ll talk to my daughter during the tantrum.”

b) “I should put my child in time out.”

c) “I will ignore the temper tantrum.”

d) “I should pick up the child during the tantrum.”

A

c) “I will ignore the temper tantrum.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which client is most at risk for developing an upper respiratory infection?

a) A 12-year-old with a family history of asthma

b) A 3-year-old in preschool

c) A 10-year-old with a broken leg

d) An 18-year-old smoker

A

b) A 3-year-old in preschool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Using Snellen’s E chart, the nurse assesses the visual acuity of a 5-year-old as approximately 20/60. The nurse determines that the findings at this age indicate:

a) Hyperopic vision

b) Emmetropic vision

c) Normal vision

d) Myopic vision

A

d) Myopic vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The paediatric nurse practitioner is working with a group developing school playgrounds. The playground designers must identify the major causes of potential injury for the school-aged child. The nurse explains that the most frequent accidents in school-age children involve:

a) Aspiration of food, plastic bags, and stairways.

b) Bicycles, skateboards, and in-line skates.

c) Motor vehicles, diving, and drugs and alcohol.

d) Swing sets, drowning, and poisonings.

A

b) Bicycles, skateboards, and in-line skates.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A mother expresses concern to the nurse regarding her 5-year-old child’s development. She says: “I read Erikson and Piaget, and my child does not seem to be on target. Also, my neighbour’s child seems more advanced. My doctor says not to worry, but I do.” The best nursing response is:

a) “Tell me exactly what your child is or is not doing that causes you concern.”

b) “Your child will probably catch up with more age.”

c) “I wouldn’t worry. All children progress at their own rate.”

d) “You are right to be concerned. Your child should meet all the guidelines for the age.”

A

a) “Tell me exactly what your child is or is not doing that causes you concern.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A mother of a 2-year-old asks the nurse in the paediatric clinic what types of foods she should prepare for the child. After family teaching, the nurse asks the mother to choose the most appropriate menu for a nutritious dinner. The nurse has successfully taught the mother when the mother chooses:

a) 2-percent milk, chicken, mashed potatoes, carrots, apple slices.

b) Fruit punch, one-half of a peanut butter sandwich, celery sticks, ice cream.

c) Skim milk, beef, fried potatoes, peas, pudding.

d) Whole milk, taco, rice, orange slices.

A

a) 2-percent milk, chicken, mashed potatoes, carrots, apple slices.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

A mother of a 4-year-old tells the nurse that her son is a “picky eater.” The nurse should inform the mother that she should:

a) Administer vitamins twice a day to her child.

b) Be more concerned with the quantity of food than the quality of food.

c) Increase the amount of carbohydrates in the daily menu plan.

d) Recognize this is common for pre schoolers as their caloric requirements have decreased slightly.

A

d) Recognize this is common for pre schoolers as their caloric requirements have decreased slightly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Whenever the parents of a 10-month-old leave their hospitalized child for short periods, he begins to cry and scream. The nurse explains that this behaviour demonstrates that the child

a) Needs to remain with his parents all the time

b) Is experiencing discomfort

c) Is quite spoiled

d) Is experiencing separation anxiety

A

d) Is experiencing separation anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The mother of a 12-month-old infant who is hospitalized is upset that she must leave her baby to go home for a short time. What should the nurse suggest to this concerned parent?

a) Call a family relative to stay at all times with the child when the mother leaves.

b) Return as soon as possible to attend to her daughter’s needs.

c) Leave a personal article with the child and reassure her that she will return.

d) Ask a nurse to sit at the child’s bedside in her absence.

A

c) Leave a personal article with the child and reassure her that she will return.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The charge nurse is developing plans to reduce the stress of hospitalized, chronically ill children. Coping for these children will be improved if:

a) They are assigned a primary nurse.

b) They avoid making all decisions while hospitalized.

c) All tutoring is postponed until discharge.

d) They are allowed 24-hour open visitation with their peers.

A

a) They are assigned a primary nurse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A recently-hospitalized 2-year-old client screams and shouts that he wants a “bottle”. His parents are puzzled and state that he has drank from a cup for the past year. The nurse understands that

a) Temper tantrums often represent the child’s need for parental attention

b) Various forms of punishment are necessary when such behaviours occur

c) Irritability is exhibited in all age groups

d) Regression to an earlier behaviour often helps the child cope with stress or anxiety.

A

d) Regression to an earlier behaviour often helps the child cope with stress or anxiety.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The nurse conducts a new parent support group for her community. Two mothers ask how their 8-month-old children can be so different in height and weight. What is the appropriate response?

a) The sequence of growth and development is unpredictable for each child.

b) This is an abnormality that should be referred to the physician.

c) One of the children is displaying a “growth spurt.”

d) Rates of growth vary and individual differences occur for each child.

A

d) Rates of growth vary and individual differences occur for each child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The 9-year old child is at the 98th percentile for weight and at the 40th percentile for height. The school nurse will interpret that this child is:

a) Overweight or large in stature.

b) Normal for size

c) Underweight or small in stature

d) Experiencing a prepubescent growth spurt

A

a) Overweight or large in stature.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A father brings his 5-year-old to the doctor’s office for a well-child visit. The father is embarrassed by his child’s behaviour during the visit. The father states that every time the child comes for an immunization she begins to cry and scream. An appropriate response to this father is:

a) “Your child most likely had a traumatic experience at an early age.”

b) “Next time the mother should accompany the child for an immunization.”

c) “It is best to ignore this type of behaviour as the child is seeking attention.”

d) “All children have a fear of needles; pre schoolers often believe pain is a punishment.”

A

d) “All children have a fear of needles; pre schoolers often believe pain is a punishment.”

28
Q

In providing her 8-month-old child’s medical history, the mother states the child has received one MMR vaccine. The nurse taking the history should

a) Ask the mother if the child has received the MMR booster

b) Plan to administer another MMR vaccine after the child is one year old.

c) Plan to administer the MMR booster

d) Explain that one MMR vaccine is sufficient

A

b) Plan to administer another MMR vaccine after the child is one year old.

29
Q

A 6-month-old child returns from surgery. PRN orders are available for pain management. The nurse would administer the pain medication when the baby is observed:

a) Crying loudly, grimacing, restlessness.

b) Demonstrating shortness of breath, lack of responsiveness.

c) Sleeping more, refusing to eat.

d) Displaying a change of colour, decreased temperature.

A

a) Crying loudly, grimacing, restlessness.

30
Q

The nurse is preparing an 8-year-old child for a potentially painful procedure. What is the most appropriate nursing intervention?

a) Discourage any emotional outbursts to help the child feel in control.

b) Provide visual aids such as dolls or diagrams in the procedure.

c) Request the parents to wait outside while the nurse talks to the child.

d) Provide a written story for the child to review prior to the procedure.

A

b) Provide visual aids such as dolls or diagrams in the procedure.

31
Q

What factor is most likely to help parents accept long-term illness in their child?

a) The parents are isolated so cannot compare their child with others

b) The parents are wealthy so have few worries other than the child

c) Parents believe in alternative therapies so feel they have many options

d) The parents have good relationships with their own parents

A

d) The parents have good relationships with their own parents

32
Q

Young children are more at risk for dehydration with vomiting than are adults. This is because:

a) They maintain more fluid inside body cells than adults do.

b) They have proportionally more extracellular water than adults do.

c) Children metabolize fluid more slowly than adults do.

d) They have a smaller stomach and intestines than adults do.

A

b) They have proportionally more extracellular water than adults do.

33
Q

You want to encourage Rebecca to drink water to replace lost fluids. Which action would do this best?

a) Remind her frequently to co-operate so that she will get well again.

b) Alert her if she does not drink enough fluid she will have to have an IV drip.

c) Offer her small glasses of fluid so she can drink these frequently.

d) Offer her large glasses of fluid so she does not have to drink so often.

A

c) Offer her small glasses of fluid so she can drink these frequently.

34
Q

When Betty was initially diagnosed with Type one diabetes, she experienced a ‘honeymoon’ period. This means

a) She became lightheaded or ‘giddy’ every afternoon.

b) She developed an unnatural craving for sweets.

c) Puberty occurred because of glucose stimulation.

d) Her need for injectable insulin drastically reduced.

A

d) Her need for injectable insulin drastically reduced.

35
Q

What is the transmission method by which most children acquire HIV infection?

a) Being breastfed by an HIV positive mother

b) Placental transfer

c) Droplet or aerosol infection

d) Blood transfusion

A

b) Placental transfer

36
Q

Eva’s parents are starting to grieve because they fear she will not survive the recurrence of her illness. During which stage of grief do parents usually feel saddest?

a) The fourth stage, as they realize death is happening.

b) The stage at which the child talks about death.

c) The last stage, because they fully accept the death.

d) The first stage, because everything is such a shock.

A

a) The fourth stage, as they realize death is happening.

37
Q

Becky has had to remain on the paediatric ward without her family. The first stage of separation anxiety is marked by:

a) Silent, sullen protest.

b) Loud, demanding crying

c) Inability to respond verbally.

d) Quiet introspective thought.

A

b) Loud, demanding crying

38
Q

If a child is abused as a baby, he or she may have experienced ‘shaken baby’ syndrome. Which of the following is a usual finding with this syndrome?

a) A major bone such as a femur, is broken.

b) Retinal haemorrhages develop

c) A baby who develops unexplained tremors

d) A baby who is fearful of strangers

A

b) Retinal haemorrhages develop

39
Q

If you are working with children who may have allergic reactions to medication or immunizations, what is the drug of choice which you would have available to treat anaphylactic reactions?

a) Hydrocortisone

b) Prednisolone

c) Penicillin

d) Adrenaline

A

d) Adrenaline

40
Q

You need to teach CPR to a five year old child’s parents before discharging the family from care.

What is the ratio of ventilation to compressions used for resuscitating an infant (single person resuscitating) in the community?

a) 1:10

b) 3:15

c) 2:30

d) 2:15

A

c) 2:30

41
Q

You are reviewing safety with a mother during her baby’s five-month immunizations. What are two of the most common types of accidents in infants under one year?

a) Drowning and homicide.

b) Falls and car accidents.

c) Aspiration and falls.

d) Poisoning and burns.

A

c) Aspiration and falls.

42
Q

The home health nurse has been assigned to an elderly woman who is cohabitating with her daughter and her son in a one bedroom apartment on the edge of town. The grandson is the primary caregiver at the age of fourteen since his mother is an alcoholic and often absent from caring for her mother. The home health nurse completes a health history of the client but realizes:

a) The focus of client teaching should be with the grandson

b) The nurse should report the daughter to Child Welfare Agency as an abusive mother

c) The nurse should congratulate the grandson on his impeccable care of his grandmother

d) The nurse should create a plan of care that includes all members of the family

A

d) The nurse should create a plan of care that includes all members of the family

43
Q

Riley answers every request of his mother by saying “No!” How would you suggest she minimize this?

a) Reduce the number of questions she asks Riley.

b) Answer all Riley’s questions by saying ‘no!’

c) Explain he is not using good communication skills.

d) Tell Riley she does not want him to say ‘no’ anymore.

A

a) Reduce the number of questions she asks Riley.

44
Q

The mother of a five-year-old expresses concern about her child who believes that “Grandma is still alive” 3 months after the grandmother’s death. The nurse explains that

a) The child is in denial regarding Grandma’s death.

b) This is a form of regression exhibited by the pre schooler.

c) Magical thinking often accounts for a pre schooler who believes that dead people will come back.

d) There is a need for psychological counselling for this child and family.

A

c) Magical thinking often accounts for a pre schooler who believes that dead people will come back.

45
Q

The school health nurse is doing vision testing. Visual acuity is assessed using:

a) An ophthalmoscope.

b) The cover-uncover test.

c) The Snellen eye chart.

d) The Weber test

A

c) The Snellen eye chart.

46
Q

Children are usually brought to the General Practitioner clinic for care by a parent. At what age would it be appropriate for the nurse to question the child about presenting symptoms?

a) 7 years

b) 9 years

c) 3 years

d) 5 years

A

a) 7 years

47
Q

When recording the health history of a child, what information that is uniquely pertinent to children is important for the nurse to obtain?

a) Immunization status

b) Past accidents

c) Past hospitalizations

d) Coping strategies

A

a) Immunization status

48
Q

A mother overhears a nurse state that the nurse is going to complete a genogram and asks the nurse what that means. The nurse’s reply would be based on knowledge that a genogram is useful for visually showing what information?

a) Family history

b) Past history

c) Immunization status

d) Treatment protocols

A

a) Family history

49
Q

What should the nurse do first when preparing to do a physical assessment on a sleeping 8-month-old baby?

a) Wake the baby

b) Measure the occipital-frontal head circumference

c) Check the eyes for the red reflex

d) Auscultate the heart and lungs

A

c) Check the eyes for the red reflex

50
Q

When plotting a child’s height and weight on a growth grid, the nurse understands that which range represents the normal percentile range for children?

a) 50th to 100th percentile

b) 10th to 90th percentile

c) 25th to 75th percentile

d) 5th to 95th percentile

A

d) 5th to 95th percentile

51
Q

When preparing to examine a preschool child, the nurse should

a) Suggest that the child act like ‘a big kid’ when he or she is examined

b) Say that the shirt is the only clothing that must be removed

c) Give detailed explanations to alleviate the child’s anxiety

d) Give reassurance and feedback to the child during the examinations

A

d) Give reassurance and feedback to the child during the examinations

52
Q

To assess the height of an eighteen-month-old child who is brought to the clinic for their WellChild check, the nurse will:

a) Use a horizontal measuring board

b) Have the child stand on an upright scale and use the measuring arm

c) Use a tape measure

d) Measure arm span to estimate adult height

A

a) Use a horizontal measuring board

53
Q

Regardless of the child’s age, which assessment technique is always used first?

a) Auscultation

b) Inspection

c) Palpation

d) Percussion

A

b) Inspection

54
Q

A five year old girl has been diagnosed with otitis media. The nurse should place highest priority on teaching the parent

a) About myringotomy and tympanostomy tube insertion

b) The importance of completing the full course of antibiotic therapy

c) How to administer ear drops

d) About eliminating environmental allergens

A

b) The importance of completing the full course of antibiotic therapy

55
Q

The nurse is obtaining a health history on a child. A sign alerting the nurse to possible hearing impairment in the child is

a) Temper tantrums

b) Turning up the volume on the family television set

c) Distractibility and short attention span

d) Disinterest in reading story books

A

b) Turning up the volume on the family television set

56
Q

The nurse is caring for a one-month-old baby who is blind following retinopathy of prematurity. The nurse is teaching the parents about activities to promote their infant’s development. Which of the following statements by the nurse is correct?

a) “Position the baby side-lying in the crib at all times, and avoid loud noises which could startle the infant.”

b) “Talking, holding, and singing to your baby are appropriate activities at this age.”

c) “Infants with visual impairment respond to tactile stimuli rather than auditory stimuli.”

d) “You should expect your baby to smile in response to your voice by 4 months of age.”

A

b) “Talking, holding, and singing to your baby are appropriate activities at this age.”

57
Q

When assessing a 4-year-old child with a persistent cough, the nurse would assess respirations by observing which muscle group?

a) Intercostal

b) Abdominal

c) Thoracic

d) Accessory

A

b) Abdominal

58
Q

The nurse counsels the parents of an infant with chronic otitis media. Which of the following should the nurse recommend to prevent future infections?

a) The parents should routinely administer nasal decongestant drops to their infant.

b) The parents should apply warm compresses to the ear daily.

c) The parents should avoid exposing their infant to tobacco smoke.

d) The parents should position the child supine for all feedings

A

c) The parents should avoid exposing their infant to tobacco smoke.

59
Q

It is recommended that a child with streptococcal pharyngitis (“strep throat”) can return to school or day care:

a) After being treated with antibiotics for 24 hours.

b) After the fever has been absent 48 hours.

c) When the complaints of sore throat diminish.

d) If rheumatic fever does not occur.

A

a) After being treated with antibiotics for 24 hours.

60
Q

Which of the following is recommended to stop an episode of epistaxis in an otherwise healthy child?

a) Position the child supine with head hyperextended.

b) Apply ice on the upper lip.

c) Position upright with head tilted forward.

A

c) Position upright with head tilted forward.

61
Q

Nursing assessments to detect visual impairment in the paediatric population should begin:

a) At birth.

b) During the kindergarten year.

c) In the preschool years.

d) At onset of puberty.

A

a) At birth.

62
Q

A common cause of conductive hearing loss in children is:

a) Congenital rubella syndrome.

b) Chronic otitis media.

c) Damage to the acoustic nerve (cranial nerve VIII).

d) Damage to hearing as a result of ototoxic drug ingestions.

A

b) Chronic otitis media.

63
Q

The nurse is assessing the ears of a paediatric client. Upon examination, the tympanic membrane is mobile and is pearly grey in colour. The nurse concludes which of the following from this assessment?

a) The greatest incidence of this finding occurs in adolescents.

b) This is the appearance of a normal tympanic membrane.

c) There will be permanent hearing loss for the affected child

d) The condition of the tympanic membrane will resolve spontaneously in 4 to 5 days.

A

b) This is the appearance of a normal tympanic membrane.

64
Q

The nurse teaches the family of a toddler with streptococcal pharyngitis the importance of finishing the full course of oral antibiotic therapy. The nurse explains that a potential complication of untreated streptococcal infection is:

a) Otitis media.

b) Nephrotic syndrome.

c) Diabetes insipidus.

d) Acute rheumatic fever.

A

d) Acute rheumatic fever.

65
Q

During a day-surgery hospitalization experience for tonsillectomy, a 3-year-old child will most likely be fearful of:

a) Intrusive procedures.

b) Perceived abandonment.

c) Unfamiliar caregivers.

d) Premature death.

A

a) Intrusive procedures.

66
Q

The nurse is beginning an otoscopic examination of the ear of a 2-year-old child. The child cries, kicks, and pulls away from the nurse. How should the nurse proceed?

a) Get assistance to restrain the child to proceed with the exam

b) State, “I thought you were going to be grown up for me today.”

c) Explain to the child why the ear must be examined.

d) Postpone the examination until the next clinic visit in one year.

A

a) Get assistance to restrain the child to proceed with the exam

67
Q

The nurse is planning postoperative care for a paediatric client following tonsillectomy. Nursing considerations include which of the following?

a) A child’s behavioural response to pain is affected by age and developmental level.

b) Opioid analgesic use in children is dangerous because of increased risk of addiction and respiratory depression.

c) The immaturity of the nervous system in young children provides them with an increased pain threshold.

d) Recovery from a painful procedure occurs at a faster rate in children as compared to adults.

A

a) A child’s behavioural response to pain is affected by age and developmental level.