Nokea
The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. What response by the nurse is the most appropriate?
- A. Although the actual reports are not shared, I can tell you the blood sugar is 200 mg.
- B. I'll write them down for you and bring them to your room.
- C. Come to the conference room where we can have privacy while you look at them.
- D. I'll notify the health care provider that you wish to see the reports.
Correct Answer: C
Rationale: With a family-centered care approach, hospitals welcome parents, and parents have access to information 24 hours a day.
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When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use?
- A. Mummy
- B. Clove hitch
- C. Jacket device
- D. Elbow device
Correct Answer: A
Rationale: The mummy restraint controls the arms and the body of the infant.
What is the preferred IM injection site for a 2-year-old?
- A. Deltoid muscle
- B. Upper thigh
- C. Vastus lateralis
- D. Gluteus
Correct Answer: C
Rationale: The preferred site for an IM injection for a 2-year-old is the vastus lateralis.
What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
- A. The opioid is likely to cause significant respiratory depression.
- B. The medicine is prescribed with the knowledge that addiction may occur.
- C. The opioid is very effective as a pain control method.
- D. The opioid is only to be given in cases of severe pain.
Correct Answer: C
Rationale: It is an effective type of analgesia. When administered to children, opioid analgesics do not have any greater respiratory depression than when given to an adult, and the risk of addiction is virtually nonexistent in children.
When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
What observation in an emergency department should lead a nurse to suspect child abuse in a child with a fractured arm?
- A. Lack of parental concern for the severity of the injury
- B. The child not answering questions concerning the injury
- C. Parents not asking about the child's condition
- D. Inconsistency between the injury and the parents' explanation of it
Correct Answer: D
Rationale: Special attention must be paid to injuries that are inconsistent with the parents' explanation.