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NURSING 203 EXAM 1 QUESTIONS AND ANSWERS

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The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply. -Avoid or reduce painful procedures -Avoid or reduce physical distress -Use core primary nursing A nurse is providing care for a child hospitalized with a diagnosis of aplasticanemia. In planning the child's care, which intervention(s) will assist the child inadapting to being hospitalized? Select all that apply. -Provide opportunities for the parents to participate in the child's care. -Encourage the parents to bring personal items to make the child feel more at home. -Make the child's room off limits to invasive procedures. The nurse is consulting with a child life specialist (CLS) to help minimize the stressof hospitalization for a child. Which services would the CLS provide? Select all thatapply. -Activities to support normal growth and development -Grief and bereavement support -Emergency room interventions for children and families The nurse is preparing to perform a dressing change on a 13-year-old client whois being treated for burns he received 2 weeks ago. The client prefers not to take painmedication before the dressing change because it causes drowsiness. What nursinginterventions would provide atraumatic care? Select all that apply. -The nurse asks the client if he would like the television on during the dressing change. -The nurse encourages the client to wear headphones to listen to music during the dressing change. The nurse is preparing a child and his family for a lumbar puncture. Which would bea primary intervention instituted to keep the child safe? Therapeutic hugging A nurse is assisting the health care provider with suturing a laceration on apreschooler's leg. What distraction methods can the nurse perform to promoteatraumatic care? Select all that apply. -Ask the child to squeeze the nurse's hand. -Sing a song and have the child sing along. -Have the child blow bubbles.

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NURSING 203 EXAM 1 QUESTIONS AND ANSWERS
The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.
-Avoid or reduce painful procedures
-Avoid or reduce physical distress
-Use core primary nursing
A nurse is providing care for a child hospitalized with a diagnosis of aplasticanemia. In planning the child's care, which intervention(s) will assist the child inadapting to being hospitalized? Select all that apply.
-Provide opportunities for the parents to participate in the child's care.
-Encourage the parents to bring personal items to make the child feel more at home.
-Make the child's room off limits to invasive procedures.
The nurse is consulting with a child life specialist (CLS) to help minimize the stressof hospitalization for a child. Which services would the CLS provide? Select all thatapply.
-Activities to support normal growth and development
-Grief and bereavement support
-Emergency room interventions for children and families
The nurse is preparing to perform a dressing change on a 13-year-old client whois being treated for burns he received 2 weeks ago. The client prefers not to take painmedication before the dressing change because it causes drowsiness. What nursinginterventions would provide atraumatic care? Select all that apply.
-The nurse asks the client if he would like the television on during the dressing change.
-The nurse encourages the client to wear headphones to listen to music during the dressing change.
The nurse is preparing a child and his family for a lumbar puncture. Which would bea primary intervention instituted to keep the child safe?
Therapeutic hugging
A nurse is assisting the health care provider with suturing a laceration on apreschooler's
leg. What distraction methods can the nurse perform to promoteatraumatic care? Select
all that apply.
-Ask the child to squeeze the nurse's hand.
-Sing a song and have the child sing along.
-Have the child blow bubbles.
A nurse is assisting the health care provider with suturing a laceration on a preschool-
age child's leg. What distraction methods can the nurse perform to promote atraumatic care? Select all that apply. Ask the child to squeeze the nurse's hand.Sing a song and have the child sing along.Have the child blow bubbles.
A 10-year-old child with sickle-cell anemia is frequently in the pediatric center of a hospital. What intervention can the nurse provide that will allow the child the sense of control that meets the goals promotes atraumatic care?
Maintain the child's home routine related to activities of daily living.
The nurse is admitting a 7-year-old child to the medical-surgical unit. The child answers questions with very short answers, makes little eye contact with the nurse, and looks to the parent to answer most questions. Which interventions would be appropriate during this admission assessment? Select all that apply.
-When asking questions, look at the child as well as the parent.
-Sit at the child's eye level during the admission questioning process.
The nurse is educating the parents of a 7-year-old girl who has just been diagnosed with epilepsy. Which teaching technique would be most appropriate?
Giving the parents information in small amounts at a time
Three children in a family, ages 7 months, 4 years, and 9 years have been tested for lead poisoning. The two younger children's tests reflect elevated lead levels and they will be undergoing treatment. The children's mother questions why her younger children were not "spared" as their older sibling was. What response by the nurse is most correct?
Younger children are often impacted because of their play behaviors place them on the floors and they often put things into their mouths
A 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which is the best action for the nurse to take?
Immediately schedule the infant for a newborn hearing screening.
A 3-year-old child is scheduled for a hearing screening. The nurse would prepare the child for screening by which method?
Conditioned play audiometry
The nurse is caring for an infant who had hyperbilirubinemia requiring exchangetransfusion. Based on this information, this infant is at risk for what type of disorder?
Hearing loss
When assessing the vision of a 2-month-old, what would the nurse use?
Black-and-white checkerboard

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