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Chapter 01: Introduction to Nursing Care of Children
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MULTIPLEmCHOICE
1.mAmnursemismreviewingmchangesminmhealthcaremdeliverymandmfundingmformpediatricmpopulatio
ns.mWhichmcurrentmtrendminmthempediatricmsettingmshouldmthemnursemexpectmtomfind?
• Increasedmhospitalizationmofmchildren
• Decreasedmnumbermofmuninsuredmchildren
• Anmincreaseminmambulatorymcare
• Decreasedmusemofmmanagedmcare
2.mAmnursemismreferringmamlow-incomemfamilymwithmthreemchildrenmundermthemagemofm5m yearsmtoma
programmthatmassistsmwithmsupplementalmfoodmsupplies.mWhichmprogrammshouldmthemnursemrefermt
hismfamilymto?
• Medicaid
• Medicare
• EarlymandmPeriodicmScreening,mDiagnostic,mandmTreatmentm(EPSDT)mprogram
• Women,mInfants,mandmChildrenm(WIC)mprogram
3.mInmmostmstates,madolescentsmwhomaremnotmemancipatedmminorsmmustmhavemparen
talmpermissionmbefore:
• treatmentmformdrugmabuse.
• treatmentmformsexuallymtransmittedmdiseasesm(STDs).
• obtainingmbirthmcontrol.
• surgery.
4.mAmnursemismcompletingmamclinicalmpathwaymformamchildmadmittedmtomthemhospitalmwithmpneumo
nia.mWhichmcharacteristicmofmamclinicalmpathwaymismcorrect?
• Developedmandmimplementedmbymnurses
• Usedmprimarilyminmthempediatricmsetting
• Specificmtimemlinesmformsequencingminterventions
• Onemofmthemstepsminmthemnursingmprocess
,5.mWhenmplanningmamparentingmclass,mthemnursemshouldmexplainmthatmthemleadingmca
usemofmdeathminmchildrenm1mtom4myearsmofmageminmthemUnitedmStatesmis:
• prematurembirth.
• congenitalmanomalies.
• accidentalmdeath.
• respiratorymtractmillness.
6.mWhichmstatementmismtruemregardingmthem“qualitymassurance”morm“incident”mreport?
• Themreportmassuresmthemlegalmdepartmentmthatmtheremismnomproblem.
• Reportsmaremampermanentmpartmofmthemclient’smchart.
• Themnurse’smnotesmshouldmcontainmthemfollowing:m“Incidentmreportmfiledmandmcopymplaced
chart.”
minm
• Thismreportmismamformmofmdocumentationmofmanmeventmthatmmaymresultminmlegalmaction.
7.mWhichmclientmsituationmfailsmtommeetmthemfirstmrequirementmofminformedmconsent?
• Themparentmdoesmnotmunderstandmthemphysician’smexplanations.
• Them physicianm givesm them parentm onlym am partialm listm ofm possiblem sidem effectsm and
complications.
• Nomparentmismavailablemandmthemphysicianmasksmthemadolescentmtomsignmthemconsentmform.
• Theminfant’smteenagemmothermsignsmamconsentmformmbecausemhermparentmtellsmhermto.
8.mAmnursemassignedmtomamchildmdoesmnotmknowmhowmtomperformmamtreatmentmthatmhasmb
eenmprescribedmformthemchild.mWhatmshouldmthemnurse’smfirstmactionmbe?
4 Delaymthemtreatmentmuntilmanothermnursemcanmdomit.
5 Makemthemchild’smparentsmawaremofmthemsituation.
6 Informmthemnursingmsupervisormofmthemproblem.
7 Arrangemtomhavemthemchildmtransferredmtomanothermunit.
9.mAmnursemismcompletingmamcaremplanmformamchildmandmismfinishingmthemassessmentmph
ase.mWhichmactivitymismnotmpartmofmamnursingmassessment?
4 Writingmnursingmdiagnoses
5 Reviewingmdiagnosticmreports
6 Collectingmdata
7 Settingmpriorities
, 10.mWhichmpatientmoutcomemismstatedmcorrectly?
4 Themchildmwillmadministermhisminsulinminjectionmbeforembreakfastmonm10/31.
4 Themchildmwillmacceptmthemdiagnosismofmtypem1mdiabetesmmellitusmbeforemdischarge.
5 Themparentsmwillmunderstandmhowmtomdeterminemthemchild’smdailyminsulinmdosage.
6 Themnursemwillmmonitormbloodmglucosemlevelsmbeforemmealsmandmatmbedtime.
MULTIPLEmRESPONSE
1.mAmnursemismreviewingmthemnursingmcaremplanmformamhospitalizedmchild.mWhichmstatementsm
aremcollaborativemproblems?mSelectmallmthatmapply.
4 Riskmforminjury
5 Potentialmcomplicationmofmseizuremdisorder
6 Alteredmnutrition:mLessmthanmbodymrequirements
7 Fluidmvolumemdeficit
8 Potentialmcomplicationmofmrespiratorymacidosis
2.mWhichmnursingmactivitiesmdomnotmmeetmthemstandardmofmcare?mSelectmallmthatmapply.
4 Failuremtomnotifymamphysicianmaboutmamchild’smworseningmcondition
5 Callingmthemsupervisormaboutmstaffingmconcerns
6 DelegatingmassessmentmofmamnewmadmitmtomthemUnlicensedmAssistivemPersonnelm(UAP)
7 AskingmthemUnlicensedmAssistivemPersonnelm(UAP)mtomtakemvitalmsigns