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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.
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Why does obtaining the respirations of an infant require a modified approach from that of an adult?
- A. Infants breathe through their noses.
- B. Infants have very rapid respirations.
- C. Infants' respirations are thoracic in nature.
- D. Infants' respiratory movements are abdominal.
Correct Answer: D
Rationale: In children under 6 or 7 years of age, respiratory movements are abdominal or diaphragmatic. Abdominal movements must be observed when counting respirations.
The nurse clarifies that the family-centered care approach terminates which policies?
- A. Rigid visiting hours
- B. Freedom to choose which medications to take
- C. Exclusion of family during procedures
- D. Discouraging family to stay overnight
- E. Restricting parents from reading the chart
Correct Answer: A,C,D,E
Rationale: Family-centered care terminates all the restrictive policies of traditional hospitals. Medication orders should still be followed.
A disfiguring facial wound would have the most significant developmental impact on which child?
- A. 4-year-old
- B. 6-year-old
- C. 10-year-old
- D. 14-year-old
Correct Answer: D
Rationale: The adolescent fears a change in body image associated with surgery.
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.
What should the nurse do to minimize an unpleasant-tasting drug?
- A. Pour the drug over ice.
- B. Squirt the drug in the mouth with a syringe.
- C. Administer the drug through a straw.
- D. Enlist the parent's assistance.
Correct Answer: C
Rationale: Administering the drug through a straw will diminish an unpleasant taste. Having the child hold the nose is helpful, as bad taste is associated with the smell of the drug. Pouring the drug over ice may result in the child not getting the entire amount of the drug. Squirting the drug into the mouth with a syringe will still allow the child to taste the medication. The parent's assistance should be enlisted, but will not minimize the taste of the drug.