Nokea
When the nurse is inserting a feeding tube in an 8-month-old, what safety reminder device (SRD) should the nurse most likely use?
- A. Mummy
- B. Clove hitch
- C. Jacket device
- D. Elbow device
Correct Answer: A
Rationale: The mummy restraint controls the arms and the body of the infant.
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When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
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.
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.
When communicating with parents suspected of child abuse, what should the nurse be sure to do?
- A. Tell them the law requires reporting of the incident.
- B. Be sympathetic to their needs.
- C. Interact with them in a nonjudgmental manner.
- D. Suggest psychiatric counseling.
Correct Answer: C
Rationale: The nurse should maintain a nonjudgmental attitude toward the parents. The nurse does not have to tell the parents that she is reporting them. The nurse does not have to be sympathetic, she only has to be professional at all times. It is not the place of the nurse to suggest counseling.
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.