CARMAN ESSENTIALS OF PEDIATRIC NURSING 3RD ED - CH. 1 INTRODUCTION TO CHILD HEALTH AND PEDIATRIC NURSING

The nurse is caring for a 14-year-old boy with a debilitating illness who wants to attend school. Which intervention addresses the child's physical health but not his quality of life? a. Helping the child modify trendy clothing to his needs b. Consulting with the school nurse at the child's school c. Assessing the child's daily oxygen supplement needs d. Adapting technologies for use outside of the home CORRECT ANSWER C Assessing the child's daily oxygen supplement needs addresses the child's physical health but not the contemporary issue of quality of life. Helping the child modify trendy clothing to his needs, consulting with the school nurse, and adapting technologies for use outside of the home will improve the child's quality of life by building independence and self-esteem. The nurse is talking with the mother of a 2-year-old girl during a scheduled visit. Which teaching subject least supports the emphasis on preventive care? a. Reminding that child will imitate parents b. Explaining how to toddler proof the house c. Describing self-care for brushing teeth d. Explaining how to teach self-hand washing CORRECT ANSWER A Reminding the mother that the child will imitate her parents may prevent the child from imitating dangerous behavior, but this is less likely to be a danger. Explaining how to toddler proof the house helps prevent injury to the child. Explaining how to teach self-handwashing helps to prevent infection. Describing self-care for brushing teeth helps prevent dental caries. These interventions help avoid common health problems. The nurse is caring for a 7-year-old boy with cystic fibrosis whose parents are intensely interested in all aspects of the child's condition and care. Which intervention is least important for empowering these health care consumers? a. Teaching the parents how to perform chest physiotherapy b. Educating the parents about the lung transplant list c. Keeping the family apprised of all developments in care d. Locating the best deal on a high-frequency chest compression vest CORRECT ANSWER D Helping the family save money on therapy equipment is a consumer assistance activity, but it does not empower these health care consumers. The pediatric nurse is uniquely positioned to empower this family by performing the role of educator regarding therapy, by being an advocate regarding their wishes to get a lung transplant, and by keeping them informed as equal partners in family-centered care. The nurse is updating the records of a 10-year-old girl who had her appendix removed. Which action could jeopardize the privacy of the child's medical records? a. Changing identification and passwor