Nokea
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.
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What is the purpose of a mist tent?
- A. To provide a constant oxygen supply
- B. To liquefy respiratory secretions
- C. To aid in lowering temperature
- D. To improve the infant's hydration
Correct Answer: B
Rationale: The purpose of the mist tent is to liquefy respiratory secretions. A constant oxygen supply can be given by methods other than a mist tent. A mist tent does not lower temperature or improve hydration.
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.
The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child?
- A. Separation
- B. Lack of love
- C. Fear of pain
- D. Unfamiliar food
- E. Loss of control
Correct Answer: A,C,E
Rationale: Parents lend stability and comfort for the child and restore his or her sense of control.
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
- A. Stimulation of the child to reach expected norms
- B. Age-centered care plans
- C. Strengths and abilities of the child
- D. Characteristics for the particular age
Correct Answer: C
Rationale: A developmental approach emphasizes the child's strengths and abilities and considers individuality. It builds on what the child can do instead of focusing on what the child cannot do.
When attempting to provide information to the parents of a child undergoing surgery, the nurse notes that the parents appear confused and do not seem to remember what they are being told. What is the most probable cause of the parents' forgetfulness?
- A. Noisy environment
- B. Serious nature of surgery
- C. Increased level of parents' anxiety
- D. Developmental age of the child
Correct Answer: C
Rationale: Anxiety of the parents may result in confusion and forgetfulness. It is not known if the environment is noisy, if the surgery is serious in nature, or what is the developmental age of the child.