Chapter 03: Pediatric Procedures

Chapter 03: Pediatric Procedures

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. As part of the preparation for obtaining a throat swab from a toddler, the nurse will:

a.	Bring all equipment to the bedside prior to explaining the procedure to the child
b.	Tell the toddler several hours in advance
c.	Have the parent restrain the child
d.	Give a brief simple explanation to the child

 

 

ANS:   D

The toddler should receive a simple explanation just before the procedure. The equipment should not be brought to the bedside until explanations have been given to the child and the parent. The parents can hold the child but should not be seen as the restrainer.

 

DIF:    Cognitive Level: Application             REF:    p. 33                OBJ:    2

TOP:    Preparation for Procedures                KEY:   Nursing Process Step: Intervention

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. The nurse is aware that the most effective form of comfort for an 11-year-old school-age child after a painful procedure is:

a.	Therapeutic holding by the parent
b.	Praise for cooperation
c.	A Mickey Mouse sticker
d.	A lollipop

 

 

ANS:   B

The older school-age child responds well to praise. Therapeutic holding, candy, and colorful stickers are childish.

 

DIF:    Cognitive Level: Application             REF:    p. 33                OBJ:    2

TOP:    Preparation for Procedures                KEY:   Nursing Process Step: Intervention

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

3. In demonstrating technique for bathing an infant, the home health nurse stresses to the parents considerations such as:

a.	Always run hot water first to prevent chilling
b.	Wrap the circumcised penis in waterproof plastic
c.	Apply lotions, not powder, after the bath
d.	Mild bubble bath will lubricate the skin

 

 

ANS:   C

Use lotions rather than powder due to the risk of aspiration. Cold water should be run in the tub first. Circumcised infants should be sponged until circumcision is healed. Bubble baths may cause vaginitis in infants.

 

DIF:    Cognitive Level: Application             REF:    pp. 34-35         OBJ:    3

TOP:    Bathing an Infant or Small Child       KEY:   Nursing Process Step: Intervention

MSC:   NCLEX: Health Promotion and Maintenance: Basic Care and Comfort

 

4. Prior to obtaining a clean-catch specimen from a 4-year-old, the nurse could best get the child to comply by:

a.	Telling the child to void in the cup
b.	Using the term the child uses for urination in explanations
c.	Gently washing the perineum, holding the cup in place, and asking the child to void
d.	Catheterizing the child

 

 

ANS:   B

The child will not understand what a clean-catch urine specimen is, so the nurse should explain to the child what is needed. The nurse should discover what term the child uses for urination, because the other terms may also be meaningless. Catheterization is unnecessary.

 

DIF:    Cognitive Level: Application             REF:    pp. 36-37         OBJ:    4

TOP:    Collection of Specimens                    KEY:   Nursing Process Step: Intervention

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

5. A child with spina bifida requires home catheterization. The child is now old enough to learn how to perform this procedure himself. The child is taught:

a.	Clean the tip of the penis with soap and water or Betadine
b.	Insert the catheter 3 inches
c.	Do not lubricate the catheter if reusing
d.	Never reuse the catheter

 

 

ANS:   A

The tip of the penis should be cleaned with soap and water or Betadine. The catheter should be inserted until urine is returned. Always lubricate the catheter before insertion. The catheter can be cleaned, dried, and reused for 1 week without increasing the risk of infection.

 

DIF:    Cognitive Level: Application             REF:    p. 39                OBJ:    4

TOP:    Specimen Collection                          KEY:   Nursing Process Step: Intervention

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort