Test Bank for Wong’s Essentials of Pediatric Nursing, 11th
Edition, Marilyn J. Hockenberry, Cheryl C Rodger
The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting
to know how this happened to the child, saying, "I never give my children aspirin!"
What could the nurse say to begin educating the parent? - ANSWER "Sometimes it
is hard to tell what products may contain aspirin."
Explanation:
Salicylates are in a wide variety of products, so consumers must read the small print
very carefully or they will miss the warning. Two common medications containing
salicylates are bismuth subsalicylate and effervescent heartburn relief anti-acid. The
parent needs to be receptive to further education, and raising the possibility the child
was responsible does not accomplish that goal. The nurse should not state the
obvious, but also should not minimize the situation. Encouraging the parent to ask
for information and offering explanations in terms the parent will understand are
important, but this response does not address the parent's assertion. Telling the
parent not to worry is offering platitudes and false reassurance. Giving the
description of what complications that could happen with the disease would be
inappropriate. This would only exacerbate the parent's concern, and it does not
address how the child ingested salicylates.
A 1-year-old infant has just undergone surgery to correct craniosynostosis. Which
comment is the best psychosocial intervention for the parents? - ANSWER "The
surgery was successful. Do you have any questions?"
Explanation:
Often what parents need most is someone to listen to their concerns. Although this is
a good time for education, the parents are more concerned about the success of the
surgery than their infant's appearance. Watching the hemoglobin, hematocrit and
swelling are important nursing functions but they do not address the parents
psychosocial needs. The parents do not need to to be taught statistics about their
infant's condition. They more than likely know this from health care provider visits,
the internet and parent support groups. Following surgery this knowledge is not what
parents are concerned about. Parents want to know their infant is safe and well.
The nurse is educating the family of a 7-year-old with epilepsy about care and safety
for this child. What comment will be most valuable in helping the parent and the child
cope? - ANSWER "Use this information to teach family and friends."
Explanation:
Families need and want information they can share with relatives, childcare
providers, and teachers. Wearing a helmet and having a monitor in the room are
precautions that may need to be modified as the child matures. The boy may be able
to bike ride and swim with proper precautions.
, The nurse is educating parents of a male infant with Chiari type II malformation.
Which statement about their child's condition is most accurate? - ANSWER "Take
your time feeding your baby."
Explanation:
One of the problems associated with Chiari type II malformation is poor gag and
swallowing reflexes, so the infant must be fed slowly. There is a great risk of
aspiration, requiring that the child be placed in an upright position after feeding. The
goal of surgery is to prevent further symptoms, rather than to relieve existing ones.
Infrequent urination is a problem associated with type I malformations.
A child has been diagnosed with a basilar skull fracture. The nurse identifies
ecchymosis behind the child's ear. This would be documented as: - ANSWER
Battle sign.
Explanation:
Two signs of basilar skull fracture include Battle sign (bruising or ecchymosis behind
the ear) and "raccoon eyes" (blood leaking into the frontal sinuses causing an
edematous and bruised periorbital area). Rhinorrhea is CSF leakage from the nose.
Otorrhea is CSF leaking from the ear.
The nurse is discussing with a parent the difference between a breath-holding spell
and a seizure. The nurse would be correct in telling the parent what information in
regard to seizures? - ANSWER Convulsive activity occurs.
Explanation:
During seizures convulsive activity is typically noted. During a breath-holding spell,
the child is bradycardiac, cyanosis occurs at the onset, and the EEG is normal.
A child is diagnosed with bacterial meningitis. The nurse would suspect which
abnormality of cerebrospinal fluid (CSF)? - ANSWER Cloudy appearance
Explanation:
In the CSF of clients diagnosed with bacterial meningitis, the pressure is elevated,
the appearance is cloudy, and the leukocytes are elevated. A decreased sugar
content is noted.
What information is most correct regarding the nervous system of the child? -
ANSWER As the child grows, the gross and fine motor skills increase.
Explanation:
As the child grows, the quality of the nerve impulses sent through the nervous
system develops and matures. As these nerve impulses become more mature, the
child's gross and fine motor skills increase in complexity. The child becomes more
coordinated and able to develop motor skills.
During the physical assessment of a 2½-month-old infant, the nurse suspects the
child may have hydrocephalus. Which sign or symptom was observed? - ANSWER
Dramatic increase in head circumference
Edition, Marilyn J. Hockenberry, Cheryl C Rodger
The parent of a 12-year-old child with Reye syndrome approaches the nurse wanting
to know how this happened to the child, saying, "I never give my children aspirin!"
What could the nurse say to begin educating the parent? - ANSWER "Sometimes it
is hard to tell what products may contain aspirin."
Explanation:
Salicylates are in a wide variety of products, so consumers must read the small print
very carefully or they will miss the warning. Two common medications containing
salicylates are bismuth subsalicylate and effervescent heartburn relief anti-acid. The
parent needs to be receptive to further education, and raising the possibility the child
was responsible does not accomplish that goal. The nurse should not state the
obvious, but also should not minimize the situation. Encouraging the parent to ask
for information and offering explanations in terms the parent will understand are
important, but this response does not address the parent's assertion. Telling the
parent not to worry is offering platitudes and false reassurance. Giving the
description of what complications that could happen with the disease would be
inappropriate. This would only exacerbate the parent's concern, and it does not
address how the child ingested salicylates.
A 1-year-old infant has just undergone surgery to correct craniosynostosis. Which
comment is the best psychosocial intervention for the parents? - ANSWER "The
surgery was successful. Do you have any questions?"
Explanation:
Often what parents need most is someone to listen to their concerns. Although this is
a good time for education, the parents are more concerned about the success of the
surgery than their infant's appearance. Watching the hemoglobin, hematocrit and
swelling are important nursing functions but they do not address the parents
psychosocial needs. The parents do not need to to be taught statistics about their
infant's condition. They more than likely know this from health care provider visits,
the internet and parent support groups. Following surgery this knowledge is not what
parents are concerned about. Parents want to know their infant is safe and well.
The nurse is educating the family of a 7-year-old with epilepsy about care and safety
for this child. What comment will be most valuable in helping the parent and the child
cope? - ANSWER "Use this information to teach family and friends."
Explanation:
Families need and want information they can share with relatives, childcare
providers, and teachers. Wearing a helmet and having a monitor in the room are
precautions that may need to be modified as the child matures. The boy may be able
to bike ride and swim with proper precautions.
, The nurse is educating parents of a male infant with Chiari type II malformation.
Which statement about their child's condition is most accurate? - ANSWER "Take
your time feeding your baby."
Explanation:
One of the problems associated with Chiari type II malformation is poor gag and
swallowing reflexes, so the infant must be fed slowly. There is a great risk of
aspiration, requiring that the child be placed in an upright position after feeding. The
goal of surgery is to prevent further symptoms, rather than to relieve existing ones.
Infrequent urination is a problem associated with type I malformations.
A child has been diagnosed with a basilar skull fracture. The nurse identifies
ecchymosis behind the child's ear. This would be documented as: - ANSWER
Battle sign.
Explanation:
Two signs of basilar skull fracture include Battle sign (bruising or ecchymosis behind
the ear) and "raccoon eyes" (blood leaking into the frontal sinuses causing an
edematous and bruised periorbital area). Rhinorrhea is CSF leakage from the nose.
Otorrhea is CSF leaking from the ear.
The nurse is discussing with a parent the difference between a breath-holding spell
and a seizure. The nurse would be correct in telling the parent what information in
regard to seizures? - ANSWER Convulsive activity occurs.
Explanation:
During seizures convulsive activity is typically noted. During a breath-holding spell,
the child is bradycardiac, cyanosis occurs at the onset, and the EEG is normal.
A child is diagnosed with bacterial meningitis. The nurse would suspect which
abnormality of cerebrospinal fluid (CSF)? - ANSWER Cloudy appearance
Explanation:
In the CSF of clients diagnosed with bacterial meningitis, the pressure is elevated,
the appearance is cloudy, and the leukocytes are elevated. A decreased sugar
content is noted.
What information is most correct regarding the nervous system of the child? -
ANSWER As the child grows, the gross and fine motor skills increase.
Explanation:
As the child grows, the quality of the nerve impulses sent through the nervous
system develops and matures. As these nerve impulses become more mature, the
child's gross and fine motor skills increase in complexity. The child becomes more
coordinated and able to develop motor skills.
During the physical assessment of a 2½-month-old infant, the nurse suspects the
child may have hydrocephalus. Which sign or symptom was observed? - ANSWER
Dramatic increase in head circumference
