Chapter 13: Principles and Procedures for Nursing Care of Children

Chapter 13: Principles and Procedures for Nursing Care of Children

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following is the most appropriate statement for the nurse to make to a 5-year-old child who is to have a venipuncture?

a.	“You must hold still or I’ll have someone hold you down. This is not going to hurt.”
b.	“This will hurt like a pinch. I’ll get someone to help hold your arm still so it will be over fast and hurt less.”
c.	“Be a big boy and hold still. This will be over in just a second.”
d.	“I’m sending your mother out so she won’t be scared. You are big, so hold still and this will be over soon.

 

 

ANS:   B

 

	Feedback
A	Honesty is always best and a venipuncture may hurt.
B	Honesty is the best approach. Children should be told what sensation they will feel during a procedure. A 5-year-old child should not be expected to hold still, and assistance ensures safety to everyone.
C	This statement is not supportive or honest.
D	Parents should be encouraged to remain with the child unless they are extremely uncomfortable doing so.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pgs 333-334

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

2. In which of the following situations is informed consent required?

a.	For any procedure that will be performed on a child
b.	For any invasive procedure involving risk to a child
c.	Only if the child is not able to give consent
d.	Only if the parents are not present

 

 

ANS:   B

 

	Feedback
A	Informed consent is not required for procedures that are covered under the general consent to treat that is signed at admission by a parent or a guardian.
B	Informed consent is required for invasive procedures that involve risk to a child, such as lumbar puncture, chest tube insertion, and bone marrow aspirations.
C	Agreement with the procedure is obtained from children older than 7 years of age but does not preclude the need for informed consent from a parent.
D	If a parent is not present and an emergency procedure requiring informed consent is needed, administrative consent must be obtained.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 335

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Safe Effective Care Environment

 

3. Which of the following nursing diagnoses is appropriate for a 5-year-old child in isolation because of immunosuppression?

a.	Spiritual distress
b.	Social isolation
c.	Diversional activity deficit
d.	Sleep disturbance

 

 

ANS:   C

 

	Feedback
A	A 5-year-old child is not developmentally advanced enough to feel spiritual distress.
B	The main social system for a 5-year-old child is the family, who should be allowed liberal visitation.
C	Children in isolation need extra attention to avoid boredom.
D	Sleep disturbances may occur during hospitalization but are not specific to isolation.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 338

OBJ:    Nursing Process Step: Nursing Diagnosis

MSC:   NCLEX: Safe Effective Care Environment

 

4. Which nursing action is most appropriate when giving a child a sponge bath to decrease fever?

a.	Use alcohol in the bath water to lower the child’s temperature rapidly.
b.	Use cold water to hasten the procedure.
c.	Stop the sponge bath immediately if the child starts to shiver.
d.	Bathe the child for 45 to 60 minutes.

 

 

ANS:   C

 

	Feedback
A	Alcohol is contraindicated because of skin irritation, the risk of neurologic depression from the fumes or absorption through the skin, and shivering, which results from rapid cooling.
B	Cold water can lead to rapid cooling. Tepid water should be used for a sponge bath to reduce fever.
C	The procedure should be stopped immediately if the child begins to shiver. Shivering will increase the child’s temperature.
D	A sponge or tub bath should continue for 20 to 30 minutes, after which the child is dried and dressed in lightweight clothing.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 347

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity