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PEDIATRIC EAQS WITH COMPLETE SOLUTIONS 100% VERIFIED
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Terms in this set (161)
Correct 1
Assessing the infant's status
2
Giving the infant a mild sedative
3
After surgery a 2-month-old infant is
Connecting the nasogastric tube to wall suction
returned to the pediatric unit with
4
an intravenous infusion running
Placing the intravenous tubing through an infusion pump
and a
Assessment, the first step of the nursing process, is the priority because it
nasogastric tube in place. What is the initial
influences all future interventions. The infant's respiratory status and vital signs
nursing action?
should be
assessed before a sedative is administered. Although it is important to attach the
nasogastric tube to a suction device, this may be done after the infant's status has
been assessed. Although it is important to connect the intravenous line to a pump,
this may also be done after the infant's status has been assessed.
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1
Returning the aspirate and withholding the feeding
2
Discarding the aspirate and administering the full
feeding Correct 3
Returning the aspirate and subtracting the amount of the aspirate from the
feeding 4
Discarding the aspirate and adding an equal amount of normal saline solution to the
feeding
Before administering a nasogastric feeding
The aspirate should be returned to ensure that the gastric enzymes and acid-base
to a preterm infant, the nurse aspirates
balance are maintained. The amount of the aspirate returned should be subtracted
a
from the volume to be administered in the next feeding. Withholding the feeding
small amount of residual fluid from the
will compromise the infant's fluid and electrolyte balance, as will discarding the
stomach. What is the nurse's next action?
aspirate from the full feeding. Discarding the aspirate and adding an equal amount
of normal saline solution to the feeding will compromise the infant's fluid and
electrolyte
balance.
STUDY TIP: Enhance your organizational skills by developing a checklist and
creating ways to improve your ability to retain information, such as using index
cards with
essential data, which are easy to carry and review whenever you have a spare
moment.
3. 3
If a healthcare provider detects hearing loss before the child is three months old and
If hearing loss is detected early, proper an intervention is initiated within six months, the child can achieve normal language
intervention can help a child achieve development.
normal language development. What is the
latest age that hearing loss should be
detected to ensure that a child
achieves normal language
development? Record your answer
using a whole number.
__________months
1
At 4 to 10 months
2
At 8 to 12 months
Correct 3
At 12 to 18 months
4. 4
When does the anterior fontanel of an At 18 to 26 months
infant close? The anterior fontanel usually closes between 12 and 18 months.
Test-Taking Tip: Multiple-choice questions can be challenging because students
think that they will recognize the right answer when they see it or that the right
answer will somehow stand out from the other choices. This is a dangerous
misconception. The more carefully the question is constructed, the more each of
the choices will seem like the correct response.
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1
Faith and
optimism 2
Devotion and fidelity
5.
Correct 3
Which result does the nurse anticipate
Direction and
when providing care to a preschool-age
purpose 4
child who successfully completes tasks
Self-control and willpower
associated with this stage of Erikson's
Successful resolution of initiative versus guilt, which happens between the ages of 3
theory of psychosocial development?
and 6 according to Erikson, results in direction and purpose. Resolution of trust
versus mistrust (birth to 1 year) results in faith and optimism. The resolution of identify
versus role confusion (puberty) results in devotion and fidelity. The resolution of
autonomy versus shame and doubt (1 to 3 years) leads to self-control and willpower.
1
"You must avoid placing the infant in bright sunlight."
Correct 2
"Breast-feeding will provide protection against bacteria."
3
"Use soy-based infant formulas to help prevent infection."
6. Incorrect 4
What should the nurse teach the parent of "The infant will be less susceptible to infections later in life."
an infant who is at risk for infections? Breast milk contains immunoglobulin G (IgG) that protects the infant against many
bacteria, such as Escherichia coli. The nurse instructs the parent to avoid placing
the infant in bright sunlight for a long period of time to prevent burns, but not to
prevent infections. Soy-based infant formulas are used only if the infant is allergic
to lactose in the breast milk and is not used to prevent the risk for infections. Later,
susceptibility would be dependent on multiple factors, including nutrition and
exposure to infections.
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7.
At the age of 3 weeks an infant undergoes
surgery to repair a cleft lip. What should
postoperative nursing care include?
1
Using a spoon to administer oral feedings
Correct 2
Cleansing the suture line to prevent
infection
3
Offering a pacifier for sucking to prevent
crying
4
Using wrist restraints to keep the infant's
hands away from the face
Meticulous care of the suture line is
necessary to prevent infection and to help
ensure the best cosmetic effect. Using a
spoon is contraindicated, because it could
disrupt the suture line; the infant may be
fed with a device that is designed
especially for this purpose. Offering a
pacifier is contraindicated, because sucking
will put tension on the suture line and may
result in disruption of the sutures. Elbow
restraints are used; this allows the infant to
move the arms without bending the elbows
and thus prevents the infant from touching
the face
1
"He's a little overweight."
Correct 2
"Let's talk about his nutrition."
3
"Is he getting an iron supplement?"
8. 4
A mother who is visiting the pediatric clinic "Why is he only drinking orange juice?"
with her 10-month-old son tells the nurse The nurse must determine whether the infant is eating solid foods and receiving
how pleased she is with her chubby infant. vitamin and mineral supplements. Although orange juice contains vitamin C, it is too
She exclaims, "Look how much weight he's high in simple sugars and contains insufficient amounts of iron, calcium, and other
gained even though he drinks only orange essential vitamins and minerals. It is inappropriate to comment on the infant's weight;
juice! He won't drink any milk!" What is best it is also insufficient to comment on just one aspect of the infant's dietary history.
response by the nurse? Asking why the infant is only drinking orange juice is a judgmental and accusatory
question; again, it is insufficient to comment on just one aspect of the infant's diet
history.
Test-Taking Tip: Get a good night's sleep before an exam. Staying up all night to
study before an exam rarely helps anyone. It usually interferes with the ability to
concentrate.
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