Chapter 27: Acutely Ill Children and Their Needs

Chapter 27: Acutely Ill Children and Their Needs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which is a responsibility of the nurse when implementing safety precautions for pediatric patients each shift?

1)	Checking that the bedside equipment is functional and the right size
2)	Verifying a dose of insulin with another nurse prior to administration
3)	Using the 10 rights of medication administration with each drug given
4)	Verifying the patient prior to administering a prescribed treatment

 

 

____     2.   Which nursing action exemplifies safe practice when providing care to pediatric patients?

1)	Using therapeutic play for teaching
2)	Allowing the parents to remain at the bedside as long as they wish
3)	Implementing the rapid response team for a child who is experiencing complications
4)	Scheduling a child life specialist for a patient who is on contact precautions

 

 

____     3.   Which action by the nurse is appropriate when using the “S” of the SBAR system?

1)	Identifying the reason for the phone call
2)	Giving the patient’s presenting complaint
3)	Providing the most recent vital signs
4)	Asking if the provider will be coming to assess the patient

 

 

____     4.   Which action by the nurse is appropriate when using the “A” of the SBAR system?

1)	Identifying the reason for the phone call
2)	Giving the patient’s presenting complaint
3)	Providing the most recent vital signs
4)	Asking if the provider will be coming to assess the patient

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  1

Chapter number and title: 27: Acutely Ill Children and Their Needs

Chapter learning objective: Discuss safety concerns when an acutely ill child is hospitalized and include every shift safety checks for emergency equipment and safety precautions all pediatric nurses should perform.

Chapter page reference: 427

Heading: Conceptual Cornerstone: Safety

Integrated processes: Clinical Problem-Solving Process

Client need: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

 

	Feedback
1	Safety precautions is the term used to describe multiple safety measures implemented by the pediatric health-care team to keep a child safe. Checking that emergency equipment is present, is the right size for the child, and functions is a responsibility for each nurse at the beginning of the shift.
2	Although verifying a dose of insulin prior to administration is safe practice, this is not included in the safety precautions at the beginning of each shift.
3	Although using the 10 rights of medication administration with each drug given is safe practice, this is not included in the safety precautions at the beginning of each shift.
4	Although verifying the patient prior to administering a prescribed treatment is safe practice, this is not included in the safety precautions at the beginning of each shift.

 

 

PTS:   1                    CON:  Safety

 

2. ANS:  3

Chapter number and title: 27: Acutely Ill Children and Their Needs

Chapter learning objective: Discuss safety concerns when an acutely ill child is hospitalized and include every shift safety checks for emergency equipment and safety precautions all pediatric nurses should perform.

Chapter page reference: 427

Heading: Conceptual Cornerstone – Safety

Integrated processes: Clinical Problem-Solving Process

Client need: Safety and Infection Control

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

 

	Feedback
1	Although the use of therapeutic play for teaching is an appropriate intervention when providing care for a pediatric patient, this action does not exemplify safe practice.
2	Although allowing parents to stay at the bedside is an appropriate intervention when providing care for a pediatric patient, this action does not exemplify safe practice.
3	Safe practice means using a rapid response team (RRT) or a code blue team and then communicating clearly the child’s status and recent assessments.
4	Although scheduling a child life specialist to see a child on contact precautions is an appropriate intervention when providing care for a pediatric patient, this action does not exemplify safe practice.

 

 

PTS:   1                    CON:  Safety

 

3. ANS:  1

Chapter number and title: 27: Acutely Ill Children and Their Needs

Chapter learning objective: Apply the principles of professional interdisciplinary communication through the use of the SBAR system.

Chapter page reference: 428-429

Heading: Team Works – SBAR Communication Tool

Integrated processes: Clinical Problem-Solving Process

Client need: Communication and Documentation

Cognitive level: Analysis [Analyzing]

Concept: Communication; Safety

Difficulty: Difficult

 

	Feedback
1	The S in the SBAR system stands for the situation. Identifying the reason for a phone call to the provider is appropriate when implementing the S.
2	The B in the SBAR system stands for the background. Giving the patient’s presenting complaint is appropriate when implementing the B.
3	The A in the SBAR system stands for the assessment. Providing the most recent set of vital signs is an appropriate action when implementing the A.
4	The R in SBAR stands for the recommendation. Asking if the provider will be coming to assess the patient is an appropriate action when implementing the R.

 

 

PTS:   1                    CON:  Communication | Safety

 

4. ANS:  3

Chapter number and title: 27: Acutely Ill Children and Their Needs

Chapter learning objective: Apply the principles of professional interdisciplinary communication through the use of the SBAR system.

Chapter page reference: 428-429

Heading: Team Works – SBAR Communication Tool

Integrated processes: Clinical Problem-Solving Process

Client need: Communication and Documentation

Cognitive level: Analysis [Analyzing]

Concept: Communication; Safety

Difficulty: Difficult

 

	Feedback
1	The S in the SBAR system stands for the situation. Identifying the reason for a phone call to the provider is appropriate when implementing the S.
2	The B in the SBAR system stands for the background. Giving the patient’s presenting complaint is appropriate when implementing the B.
3	The A in the SBAR system stands for the assessment. Providing the most recent set of vital signs is an appropriate action when implementing the A.
4	The R in SBAR stands for the recommendation. Asking if the provider will be coming to assess the patient is an appropriate action when implementing the R.

 

 

PTS:   1                    CON:  Communication | Safety