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.
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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.
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.
What was founded by Lillian Wald?
- A. National Commission on Children
- B. Henry Street Settlement
- C. White House Conference
- D. US Children's Bureau
Correct Answer: B
Rationale: Lillian Wald, regarded as the founder of public health, founded Henry Street Settlement, which provided nursing services and social assistance.
The nurse is aware that visual acuity evaluation in a child is best assessed after the age of years.
Correct Answer: 6 or six
Rationale: A child's refraction does not reach 20/20 until about the age of 6.
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.
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