The nurse is administering a tube feeding to a child. The nurse aspirates
the stomach contents as part of the process of checking the placement
of the tube. Which action is correct for the nurse to do with the aspirated
stomach contents? - ANSWER The nurse should measure and replace
the residual stomach contents.
A 7-year-old boy has been admitted to the hospital with a diagnosis of
fever of unknown origin. He has numerous tests ordered for diagnosis.
When preparing him for the blood tests ordered, the best explanation
would be, - ANSWER "The doctor needs to look at your blood to see
why you are sick; it will hurt for a second."
A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has
skin breakdown and irritation at the insertion site. Which would be the
most appropriate method to clean and secure the gastrostomy tube? -
ANSWER If any drainage is present, use a presplit 2 × 2 and place it
loosely around the site.
A young preschooler who has been playing in the hospital playroom
needs transportation to the imaging department. What conveyance will
the nurse choose? - ANSWER Wagon
The nurse should consider which stool sample collected from a child as
contaminated and not acceptable for analysis? - ANSWER Stool
removed from surrounding urine
The nurse will apply which type of restraint for the infant recovering from
cleft lip repair? - ANSWER Elbow
After a gavage feeding has been completed for a young infant, the nurse
will encourage the parent to take what action? - ANSWER Burp the
infant
The nurse finds an elevated temperature in a blanket-wrapped infant a
mother is holding and rocking. What first temperature reduction measure
, will the nurse take? - ANSWER Unwrap the infant and place the child in
the crib
After inserting a nasogastric tube (NG) into a young child, how will the
nurse tape the tube in place? - ANSWER Below nose and to cheek
An adolescent is scheduled to have the present gastrostomy tube
replaced with a gastrostomy button. What advantage of the button over
the tube will the nurse emphasize? - ANSWER The button will be
smaller and less visible when not in use.
An older school-age child is taught to apply warm nonsterile compresses
to an inflamed area on one leg. Which suggestion by the nurse will
increase the effectiveness and safety of the child's self-care? -
ANSWER Set a timer for not longer than 20 minutes as a removal
reminder.
A nurse is caring for a hospitalized infant being treated for dehydration.
What does the nurse need to do to measure the output when the child is
wearing a diaper? - ANSWER Weigh the wet diaper and subtract the
weight of a dry diaper; the difference is the amount to record
A nurse is administering a bolus nasogastric (NG) feeding to a child who
begins gasping, coughing, and developing cyanosis. What is the first
action that the nurse should take after this observation? - ANSWER
Stop the feeding and withdraw the tube.
A 6 year old has just returned to his room after a spinal tap. What could
the nurse do to make this unpleasant procedure less memorable for the
child? - ANSWER Give him a little toy that he has been wanting.
Which of the following are situations that might warrant a restraint of a
pediatric patient? (Select all that apply.) - ANSWER to protect the child
from injury during a procedure or examination
to ensure the child's safety
the stomach contents as part of the process of checking the placement
of the tube. Which action is correct for the nurse to do with the aspirated
stomach contents? - ANSWER The nurse should measure and replace
the residual stomach contents.
A 7-year-old boy has been admitted to the hospital with a diagnosis of
fever of unknown origin. He has numerous tests ordered for diagnosis.
When preparing him for the blood tests ordered, the best explanation
would be, - ANSWER "The doctor needs to look at your blood to see
why you are sick; it will hurt for a second."
A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has
skin breakdown and irritation at the insertion site. Which would be the
most appropriate method to clean and secure the gastrostomy tube? -
ANSWER If any drainage is present, use a presplit 2 × 2 and place it
loosely around the site.
A young preschooler who has been playing in the hospital playroom
needs transportation to the imaging department. What conveyance will
the nurse choose? - ANSWER Wagon
The nurse should consider which stool sample collected from a child as
contaminated and not acceptable for analysis? - ANSWER Stool
removed from surrounding urine
The nurse will apply which type of restraint for the infant recovering from
cleft lip repair? - ANSWER Elbow
After a gavage feeding has been completed for a young infant, the nurse
will encourage the parent to take what action? - ANSWER Burp the
infant
The nurse finds an elevated temperature in a blanket-wrapped infant a
mother is holding and rocking. What first temperature reduction measure
, will the nurse take? - ANSWER Unwrap the infant and place the child in
the crib
After inserting a nasogastric tube (NG) into a young child, how will the
nurse tape the tube in place? - ANSWER Below nose and to cheek
An adolescent is scheduled to have the present gastrostomy tube
replaced with a gastrostomy button. What advantage of the button over
the tube will the nurse emphasize? - ANSWER The button will be
smaller and less visible when not in use.
An older school-age child is taught to apply warm nonsterile compresses
to an inflamed area on one leg. Which suggestion by the nurse will
increase the effectiveness and safety of the child's self-care? -
ANSWER Set a timer for not longer than 20 minutes as a removal
reminder.
A nurse is caring for a hospitalized infant being treated for dehydration.
What does the nurse need to do to measure the output when the child is
wearing a diaper? - ANSWER Weigh the wet diaper and subtract the
weight of a dry diaper; the difference is the amount to record
A nurse is administering a bolus nasogastric (NG) feeding to a child who
begins gasping, coughing, and developing cyanosis. What is the first
action that the nurse should take after this observation? - ANSWER
Stop the feeding and withdraw the tube.
A 6 year old has just returned to his room after a spinal tap. What could
the nurse do to make this unpleasant procedure less memorable for the
child? - ANSWER Give him a little toy that he has been wanting.
Which of the following are situations that might warrant a restraint of a
pediatric patient? (Select all that apply.) - ANSWER to protect the child
from injury during a procedure or examination
to ensure the child's safety
