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15 Cards in this Set

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Which of the following should the nurse consider when having informed consent forms signed for surgery and procedures on children?
a) Only a parent or legal guardian can give consent
b) The person giving consent must be at least 18 years old
c) The risks and benefits of a procedure are part of the consent process
d) A mental age of 7 years or older is required for a consent to be considered "informed"
The risks and benefits of a procedure are part of the consent process
The nurse is planning how to prepare a 4 year old child for some diagnostic procedures. Guidelines for preparing this preschooler should include which of the following?
a) Keep equipment out of the child's view
b) Plan for a short teaching session of about 30 minutes
c) Tell the child procedures are never a form of punishment
d) Use correct scientific and medical terminology in explanations
Tell the child procedures are never a form of punishment
The nurse is preparing a 12 year old girl for a bone marrow aspiration. She tells the nurse she wants her mother with her "like before." The most appropriate nursing action is to:
a) Grant her request
b) Explain why this is not possible
c) Identify an appropriate substitute for her mother
d) Offer to provide support to her during the procedure
Grant her request
Which of the following would be helpful word(s) to substitute for the word "shot" when working with working with a 4 year old?
a) Stick
b) Bee sting
c) Injection
d) Medication under the skin
Medication under the skin
When should clear liquids be stopped before scheduled surgery?
a) Two hours before surgery
b) Six hours before surgery
c) The night before surgery, at 8pm
d) The night before surgery, at midnight
Two hours before surgery
Which of the following is a potential cause of a postoperative decrease in blood pressure?
a) Shock (early sign)
b) Carbon dioxide retention
c) Vasodilating anesthetic agents
d) Increased intracranial pressure
Vasodilating anesthetic agents
The nurse is caring for an unconscious 10 year old child. Skin care should include which of the following?
a) Avoid use of pressure-reduction device on bed
b) Massage reddened bony prominences to prevent deep tissue damage
c) Use draw sheet to move child in bed to reduce friction and shearing injuries
d) Avoid rinsing skin after cleansing with mild antibacterial soap to provide a protective barrier
Use draw sheet to move child in bed to reduce friction and shearing injuries
An appropriate intervention to encourage food and fluid intake in a hospitalized child is which of the following?
a) Force child to eat to combat caloric losses
b) Administer large quantities of flavored fluids at frequent intervals
c) Give high-quality foods and snacks whenever child expresses hunger
d) Discourage participation in noneating activities until caloric intake is sufficient
Give high-quality foods and snacks whenever child expresses hunger
A child, age 3 years, has a fever. Her mother calls the nurse reporting a fever of 38.8 degree C (102 F) even though the child had acetaminophen 2 hours ago. The nurse's action should be based on which of the following?
a) Fevers such as this are common with viral illnesses
b) Temperatures this high indicate greater severity of illness
c) Fever over 102 F indicates a probable bacterial infection
d) Seizures are common in children when antipyretics are ineffective
Fevers such as this are common with viral illnesses
The nurse wears gloves during a dressing change. When the gloves are removed, the nurse should do which of the following?
a) Wash hands thoroughly
b) Check the gloves for leaks
c) Rinse gloves in disinfectant solution
d) Apply new gloves before touching next patient
Wash hands thoroughly
a 2 year old child is being admitted to the hospital for possible bacterial meningitis. When preparing for a lumbar puncture, the nurse should do which of the following?
a) Place child in a side-lying position
b) Set up a tray with equipment the same size as for adults
c) Apply EMLA to puncture site 15 minutes before procedure
d) Reassure the parents that the test is simple, painless, and risk free
Place child in a side-lying position
Which of the following is an important nursing intervention when performing a bladder catheterization on a young boy?
a) Insert 2% lidocaine lubricant into the urethra
b) Clean technique, not Standard precautions, is needed
c) Lubricate catheter with water-soluble lubricant such as K-Y jelly
d) Delay catheterization for 20 minutes while anesthetic lubricant is absorbed
Insert 2% lidocaine lubricant into the urethra
The nurse needs to do a heel stick on an ill neonate to obtain a blood sample. Which of the following is recommended to facilitate this?
a) Elevate foot for 5 minutes
b) Apply a tourniquet to ankle
c) Apply cool, moist compresses
d) Wrap foot in a warm washcloth
Wrap foot in a warm washcloth
When giving liquid medication to a crying 10 month old infant, which approach minimizes the possibility of aspiration?
a) Keep the child upright with the nasal passages blocked for 1 minute after administration
b) Mix the medication with the infant's regular formula or juice and administer by bottle
c) Administer the medication with a cup as rapidly as possible with the infant securely restrained
d) Administer the medication with a syringe (without needle) placed along the side of the infants tongue
Administer the medication with a syringe (without needle) placed along the side of the infants tongue
When administering a gavage feeding to a school-age child, the nurse should do which of the following?
a) Administer feedings over 5 to 10 minutes
b) Position child on right side after administering feeding
c) Check the placement of the tube by inserting 20ml of sterile water
d) Lubricate the tip of the feeding tube with Vaseline to facilitate passage
Position child on right side after administering feeding