Chapter 27: Pediatric Variations of Nursing Interventions

Chapter 27: Pediatric Variations of Nursing Interventions

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 16-year-old girl comes to the pediatric clinic for information on birth control. The nurse knows that before this young woman can be examined, consent must be obtained from:

a.	herself.
b.	her mother.
c.	court order.
d.	legal guardian.

 

 

ANS:  A

Contraceptive advice is one of the conditions that are considered “medically emancipated.” The adolescent is able to provide her own informed consent.

 

DIF:    Cognitive Level: Application           REF:   p. 1000

TOP:   Nursing Process: Assessment

MSC:  Client Needs: Physiological Integrity: Reduction of Risk Potential

 

2. The nurse needs to take the blood pressure of a preschool boy for the first time. Which action would be best in gaining his cooperation?

a.	Tell him that this procedure will help him get well faster.
b.	Take his blood pressure when a parent is there to comfort him.
c.	Explain to him how the blood flows through the arm and why the blood pressure is important.
d.	Permit him to handle equipment and see the cuff inflate and deflate before putting the cuff in place.

 

 

ANS:  D

A preschooler is at the stage of preoperational thought. The nurse needs to explain the procedure in simple terms and allow the child to see how the equipment works. This will help allay fears of bodily harm. Blood pressure measurement is used for assessment, not therapy, and will not help him get well faster. Although the parent will be able to support the child, he may still be uncooperative. Also, the assessment of blood pressure may be needed before the parent is available. Explaining to a preschooler how the blood flows through the artery and why the blood pressure is important is too complex.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 1002

TOP:   Nursing Process: Implementation     MSC:  Client Needs: Health Promotion and Maintenance

 

3. A 4-year-old is admitted to outpatient surgery for removal of a cyst on her back. Her mother puts the hospital gown on her, but the child is crying because she wants to leave on her underpants. The most appropriate nursing action is which of the following?

a.	Allow her to wear her underpants.
b.	Discuss with her mother why this is important to the child.
c.	Ask her mother to explain to her why she cannot wear them.
d.	Explain in a kind, matter-of-fact manner that this is hospital policy.

 

 

ANS:  A

It is appropriate for the child to leave her underpants on. If necessary, the underpants can be removed after she has received the initial medications for anesthesia. This allows her some measure of control in this procedure. The mother should not be required to make the child more upset. The child is too young to understand what hospital policy means.

 

DIF:    Cognitive Level: Application           REF:   p. 1002

TOP:   Nursing Process: Implementation     MSC:  Client Needs: Health Promotion and Maintenance

 

4. Using knowledge of child development, which of the following is the best approach when preparing a toddler for a procedure?

a.	Avoid asking the child to make choices.
b.	Plan for teaching session to last about 20 minutes.
c.	Demonstrate on a doll how the procedure will be done.
d.	Show the necessary equipment without allowing child to handle it.

 

 

ANS:  C

Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child’s favorite doll, since the toddler may think the doll is really “feeling” the procedure. In preparing a toddler for a procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for toddlers should be about 5 to 10 minutes. Use a small replica of the equipment, and allow the child to handle it.

 

DIF:    Cognitive Level: Application           REF:   p. 1002           TOP:   Nursing Process: Planning

MSC:  Client Needs: Health Promotion and Maintenance