RN Nursing Care of Children 2019 With NGN

RN Nursing Care of Children 2019 With NGN Related

Review RN Nursing Care of Children 2019 With NGN related questions and content

The nurse is educating a new nurse on the identification of pain in children. What does the nurse teach about physiologic measurements in children's pain assessment?

  • A. Not useful as the only indicator for pain
  • B. Best indicator of pain in children of all ages
  • C. Most valuable when children also report having pain
  • D. Essential to determine whether a child is telling the truth about pain
Correct Answer: A

Rationale: Physiologic manifestations of pain may vary considerably, so they do not provide a consistent measure of pain. Heart rate may increase or decrease. The same signs that may suggest fear, anxiety, or anger also indicate pain. In chronic pain, the body adapts, and these signs decrease or stabilize. Physiologic measurements are of limited value and must be viewed in the context of a pain rating scale, behavioral assessment, and parental report. When the child reports pain on an appropriate pain scale, the appropriate interventions should be used. Therefore, physiologic measurements are not considered a reliable standalone indicator for pain in children, making choice A the correct answer. Choice B is incorrect because physiologic measurements alone do not serve as the best indicator of pain. Choice C is incorrect as physiologic measurements are still limited even when children report pain. Choice D is incorrect as physiologic measurements are not primarily used to determine the truthfulness of a child's pain report.

You may also like to solve these questions

The nurse is caring for an infant after a cleft lip repair. Which of these measures should be included in the plan of care?

  • A. Position prone
  • B. Provide fluids from a cup
  • C. Position supine
  • D. Avoid elbow restraints
Correct Answer: C

Rationale: The correct measure that should be included in the plan of care for an infant after a cleft lip repair is to position the infant supine. Placing the infant in a supine position helps protect the surgical site from injury and promotes proper healing. Choice A, 'Position prone,' is incorrect as placing the infant prone can put pressure on the surgical site and hinder healing. Choice B, 'Provide fluids from a cup,' is not directly related to the surgical care of a cleft lip repair. Choice D, 'Avoid elbow restraints,' is not specific to the postoperative care of a cleft lip repair.

What recommendation should the nurse make to prevent urinary tract infections (UTIs) in young girls?

  • A. Avoid public toilet facilities
  • B. Limit long baths as much as possible
  • C. Cleanse the perineum with water after voiding
  • D. Ensure clear liquid intake of 2 L/day
Correct Answer: C

Rationale: Proper perineal hygiene, including cleansing with water after voiding, is crucial in preventing UTIs in young girls. Avoiding public toilets and limiting baths are less effective than proper hygiene practices.

The nurse is planning an educational session with a group of school-age children. Which primary task from Erikson's theory of psychosocial development should be addressed?

  • A. Establishing trust in others
  • B. Developing a sense of autonomy
  • C. Developing a sense of industry
  • D. Establishing a sense of identity
Correct Answer: C

Rationale: In Erikson's theory of psychosocial development, school-age children typically focus on developing a sense of industry. This stage, occurring during middle childhood, involves the desire to feel competent and productive in their skills and abilities. Choices A, B, and D are incorrect because establishing trust in others (A) is related to the first stage of Erikson's theory (trust vs. mistrust) which occurs in infancy, developing a sense of autonomy (B) is linked to the second stage (autonomy vs. shame and doubt) which occurs in early childhood, and establishing a sense of identity (D) is associated with the fifth stage (identity vs. role confusion) which occurs in adolescence.

The nurse is preparing to admit a child to the hospital with a diagnosis of acute poststreptococcal glomerulonephritis. The nurse understands that the peak age at onset for this disease is what?

  • A. 2 to 4 years
  • B. 5 to 7 years
  • C. 8 to 10 years
  • D. 11 to 13 years
Correct Answer: B

Rationale: The peak age for the onset of acute poststreptococcal glomerulonephritis is typically between 5 and 7 years old. This age group is most affected due to the higher incidence of streptococcal infections in school-aged children, which can lead to this renal complication.

Which teaching point should the nurse include when providing education to an adolescent client who participates in soccer regarding the plan of care for diabetes mellitus?

  • A. Decreased food intake
  • B. Increased doses of insulin
  • C. Increased food intake
  • D. Decreased doses of insulin
Correct Answer: C

Rationale: The correct teaching point the nurse should include is to advise the adolescent client who participates in soccer to increase food intake. Physical activity increases glucose utilization, so adolescents with diabetes need to consume additional carbohydrates to prevent hypoglycemia during and after exercise. Choice A (Decreased food intake) is incorrect because the adolescent needs extra carbohydrates to support the increased physical activity. Choice B (Increased doses of insulin) is incorrect as the focus should be on adjusting food intake rather than insulin doses. Choice D (Decreased doses of insulin) is also incorrect as the insulin doses should be adjusted based on the increased food intake and physical activity level.

Copyright © 2025 Nokea. All rights reserved.