Chapter 10: Emergency Care of Children

Chapter 10: Emergency Care of Children

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which nursing action would facilitate care being provided to a child in an emergency situation?

a.	Encourage the family to remain in the waiting room.
b.	Assist parents in distracting the child during a procedure.
c.	Always reassure the child and family.
d.	Give explanations using professional terminology.

 

 

ANS:   B

 

	Feedback
A	Allowing the parents to remain with the child may help calm the child.
B	include parents as partners in the child’s treatments. Parents may need direct guidance in concrete terms to help distract the child.
C	Telling the truth is the most important thing. False reassurance does not facilitate a trusting relationship.
D	Professional terminology may not be understood. Speak to the child and family in language that they will understand.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 251

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

2. The father of a child in the emergency department is yelling at the physician and nurses. Which of the following actions would be contraindicated in this situation?

a.	Provide a nondefensive response.
b.	Encourage the father to talk about his feelings.
c.	Speak in simple, short sentences.
d.	Tell the father he must wait in the waiting room.

 

 

ANS:   D

 

	Feedback
A	When dealing with parents who are upset, it is important not to be defensive or attempt to justify anyone’s actions.
B	Encouraging the father to talk about his feelings may assist him to acknowledge his emotions and may defuse his angry reaction.
C	People who are upset need to be spoken to with simple words (no longer than five letters) and short sentences (no more than five words).
D	Because a parent who is upset may be aggravated by observers, he should be directed to a quiet area.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 252

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

3. Which of the following would be an appropriate nursing intervention for a 6-month-old infant in the emergency department?

a.	Distract the infant with noise or bright lights.
b.	Avoid warming the infant.
c.	Remove any pacifiers from the baby.
d.	Encourage the parent to hold the infant.

 

 

ANS:   D

 

	Feedback
A	Distraction with noise or bright lights would be most appropriate for a preschool-age child.
B	In an emergency health care facility, it is important to keep infants warm.
C	Infants use pacifiers to comfort themselves; therefore, the pacifier should not be taken away.
D	Parents should be encouraged to hold the infant as much as possible while in the emergency department. Having the parent hold the infant may help to calm the child.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pgs 251, 253

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

4. Which of the following actions would the nurse working in the emergency department initiate to decrease fear in a 2-year-old child?

a.	Keep the child physically restrained during nursing care.
b.	Allow the child to hold a favorite toy or blanket.
c.	Direct the parents to remain outside the treatment room.
d.	Let the child decide whether to sit up or lie down for procedures.

 

 

ANS:   B

 

	Feedback
A	It may be necessary to restrain the toddler for some nursing care or procedures. Because toddlers need autonomy and do not respond well to restrictions, the nurse should remove any restriction or restraint as soon as safety permits.
B	Allowing a child to hold a favorite toy or blanket is comforting.
C	Parents should remain with the child as much as possible to calm and reassure her.
D	The toddler should not be given the overwhelming choice of deciding which position she prefers.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 254

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity