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What should be done before initiating a gavage feeding?
- A. Hold the feeding tube under water to check for bubbling.
- B. Check for gastric distention.
- C. Aspirate stomach contents.
- D. Ensure the sterility of feeding equipment.
Correct Answer: C
Rationale: Aspirating stomach contents and aspirating a small amount of air while listening for stomach gurgling are the best ways to ensure correct tube placement. Holding the feeding tube under water to check for bubbling is not an effective method to check tube placement. Gastric distention would be important following the feeding. A gavage feeding is not a sterile procedure.
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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.
Why must the pediatric nurse be cautious about medicating infants and young children?
- A. They are less susceptible to medication effects than adults.
- B. They are more susceptible to medication effects than adults.
- C. They are equally susceptible to medication effects as adults.
- D. They are more susceptible to drug interactions than adults.
Correct Answer: B
Rationale: Newborns and young children are more susceptible to the toxic effects of certain medications than adults.
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.
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 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.