Nokea
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission?
- A. A week prior
- B. 2 weeks prior
- C. The day of admission
- D. Only 2 or 3 days before
Correct Answer: D
Rationale: The nurse should suggest the toddler be told only days before. School-age children can be given more time to prepare. Adolescents should be told as far in advance as possible.
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Where is the typical IV insertion site in an infant younger than 9 months of age?
- A. Radial vein
- B. Scalp vein
- C. Femoral vein
- D. Brachial vein
Correct Answer: B
Rationale: A superficial scalp vein is the injection site for administering IV medication to infants younger than 9 months of age.
What activity by an infant would cause a false elevation of the tympanic temperature?
- A. Having a bowel movement
- B. Crying vigorously
- C. Having just eaten
- D. Having been in a cold room
Correct Answer: B
Rationale: Crying increases the temperature; eating and bowel movements do not. A cold room would lower the temperature.
After observing parental behavior that leads the nurse to suspect child abuse, when should the nurse report the abuse?
- A. If the parent confesses to child abuse
- B. If the child admits to being abused
- C. Whenever maltreatment of a child is suspected
- D. When the type of abuse can be determined
Correct Answer: C
Rationale: Mandatory reporting of child abuse is required when the health care provider has reason to suspect the child has been abused.
When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
- A. Don't be concerned. Accidents happen.
- B. Let's put a diaper on your child until this gets better.
- C. The stress of hospitalization makes children regress a little.
- D. Your child will relearn 'potty-training' if you are patient.
Correct Answer: C
Rationale: It is not unusual for children to regress when hospitalized. Explaining that regression is normal during hospitalization will help allay the mother's anxiety.
What is one way to enhance the nutrition of the hospitalized toddler?
- A. Reward with sweets for eating meals.
- B. Discourage participation in noneating activities.
- C. Offer nutritious fluids frequently.
- D. Leave nutritious finger foods out for the child to eat.
Correct Answer: C
Rationale: Using nutritious liquids may satisfy the nutritional needs when a toddler is 'too busy' to eat. Toddlers should not be left to eat unsupervised because of the danger of aspiration. Junk food should not be used as rewards. Activities are important and should not be discouraged.