Term
| Is consent necessary to perform lifesaving surgery on a 10 year old if parents are not present? |
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Definition
| No. Consent is not required. |
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Term
| Which Parenting style requries the least education? |
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Definition
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Term
| When admitting an adolescent client, the nurse should |
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Definition
| Let them know the purpose of everything. They are old enough to understand procedures and capable of some abstract thinking. |
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Term
| Which communication techniques would be best when dealing with a frightened 10 month old? |
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Definition
| Speak in a high-pitched, soft tone of voice. |
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Term
| What is one proper way to tell a 4-year old he is about to get a shot? |
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Definition
| "We need to give you some medicine in your leg." right before you give it. |
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Term
| Drawing pictures is a good way to communicate for which age? (2,6,12) |
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Definition
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Term
| For a 6 year old, is a heartrate of 55 normal or abnormal? |
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Definition
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Term
| For a 6 year old, is a BP of 116/80 normal or abnormal? |
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Definition
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Term
| When taking the blood pressure of a school aged child, which percentage of the upper arm should the cuff cover? |
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Definition
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Term
| If a child is way past the milestone for talking and walking, how should the nurse handle this? |
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Definition
| Make a referral to the pediatrician about motor abilities. |
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Term
Put the following nursing assesments of a toddler in the best order:
Palpate the abdomen, auscultate the chest, examine the ears and throat, developmental assessment |
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Definition
| Developmental assessment, auscultation of chest, palpate the abdomen, examine the ears and throat. |
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Term
| If a 6 month old is crying like crazy, how would one auscultate breath sounds? |
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Definition
| Listen after each cry when a deep breath is taken. |
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Term
| Durin the assessment of a 6 year old child, the nurse notes 0.5cm tonsil lymph nodes and tonsil size of +2. The nurse interprets this as _______. |
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Definition
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Term
| If the nurse looks in the childs oral cavity and notices that the tongue is large relative to the small oral cavity passages, what is the appropriate action? |
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Definition
| Nothing. This is a normal finding for infants/children. |
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Term
| A mother asks what it means for her child's head circumference to be in the 80th percentile? |
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Definition
| This means that out of 10 children his age, 2 would have a larger head. |
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Term
| When does a child begin to pull up? |
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Definition
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Term
| The nurse is preparing an education session for recently hired teachers at a community center. If they can only be taught one thing, what would that one thing be? |
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Definition
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Term
| The telephone triage nurse receives a call from a parent who states that her 18 month old is making a crowin sound when he breathes and is very hard to wake up. What should the nurse do? |
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Definition
| Tell the parent to call 911! |
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Term
| A 5 year old who has had a trach for several years is scheduled to begin kindergarten in the fall. The teacher has just learned that the child will be in class and consults the school nurse. The nurse should... |
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Definition
| Tell the teacher how to care for the child in the classroom. |
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Term
| The school aged child has been displaced by a hurricane and is showing decreased interest in hobbies and school. The nurse should explain to the parent |
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Definition
| This is a normal response to a disaster by this age group. |
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Term
| Which is most likely to be seen in a pediatric clinic? |
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Definition
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Term
| Which is within the realm of the school nurse's role? |
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Definition
| Treating a child with a nosebleed. |
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Term
| The parents of a critically injured child wish to stay in the room while the child is receiving emergence care. The nurse should do which of the following according to the emergency nurses association? |
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Definition
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Term
| A group of childeren on one hospital unit are suffering separation anxiety. When determining the stage of separation anxiety, the nurse recognizes the child in despair is the child who. . . |
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Definition
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Term
| A 4 year old is seen in the clinic with a sore throat. The most likely causative agent is. . . |
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Definition
| That he yelled at his brother |
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Term
| The nurse needs to administer meds to a 4 year old. The medication is only available in a tablet. The nurse should. . . |
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Definition
| Crush and mix into 1tsp. of applesauce. |
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Term
| The nurse is working with a preschool aged hospitalized child. The nurse is planning activities to reduce anxiety. What is the appropriate action by the nurse? |
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Definition
| Provide the child with a doll and safe medical equipment. |
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Term
| Which technique would be most effective in encouraging a preschooler to take fluids by mouth? |
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Definition
| Have them play picnic with small medicine cups of liquid. |
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Term
| Parents are asking you as a nurse about ways to prepare a child for day surgery. The child is 7 years old. What is your advice? |
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Definition
| Take a tour of the unit before the experience. |
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Term
| Parents of a hospitalized 3 year old must return to work and leave the child with out a family member for several hours. An aunt will come during her lunch break. What do you tell the parents to say? |
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Definition
| Tell the parent to tell the child that his aunt will be there during lunch. |
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Term
| A dose of .42 ml of a liquid medication must be administered. The nurse's best action is to use a. . . |
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Definition
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Term
| If you have to give 3cc of an antibiotic to a 3 year old, what is the best thing to do? |
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Definition
| Split it in half and give 1.5 ml in each vastus lateralis. |
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Term
| If a child requires a spinal tap (or any painful procedure), where should it be done? |
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Definition
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Term
| During the nurse's initial assessment of a school aged child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching TV. The nurse should. . . |
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Definition
| Give him the pain med. (if they say it hurts, believe them regardless of what they are doing). |
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Term
| A 10 year old child has been receiving morphine every 2 hours for post op pain. The medication relieves the pain for approximately 90 min. then returns. The nurse should? |
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Definition
| Call the doctor to see if the medication orders can be changed. |
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Term
| A 2 year old is hospitalized with a fractured femur. In addition to pain medication, which of the following will best provide pain relieve? |
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Definition
| Parent's presence at the bedside. |
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Term
| The nurse is caring for a 23 month old child in the post op period. The pain assessment that is most appropriate is? |
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Definition
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Term
| Parent asks how to reduce the pain of the blood draws that are happening everyday. The most appropriate method? |
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Definition
| EMLA cream applied to the skin at least 1 hour before. |
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Term
| Child has been recieving IV pain medication and will no start receiving medication by mouth. The nurse anticipates that the oral dose will be? |
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Definition
| Greater than the IV dose. |
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Term
| Which of the following is an important consideration when using the FACES pain rating scale with children? |
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Definition
| The scale can be used with preschoolers. |
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Term
| It's important for nurses to know that respiratory depression in children medicated with opiods is most likely to occur when? |
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Definition
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Term
| Which of the following resources should be available when light sedation is given? Select all that apply. |
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Definition
| Oxygen supply, suction, BP, monitor |
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Term
| Which of the following techniques is appropriate in managing pain for a 10 year old? |
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Definition
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Term
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Definition
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Term
| The nurse is getting a child from his room who is screaming and crying to go to the Tx room. What should the nurse do? |
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Definition
| Allow the child to bring hsi favorite blanket. |
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Term
| What position do you put a neonate in for a lumbar venipuncture? |
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Definition
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Term
| A child is about to have a painful procedure and the mother wants to go with the child. What do you tell the mother? |
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Definition
| Let her know what is expected and if she agrees to stay calm, she can go. |
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Term
| You're going to give a child some medicine. What do you tell the child? |
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Definition
| It's time for your medicinenow. Do you want apple juice or orange juice after? |
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Term
| You're going to do vital signs on a child. What should you do? |
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Definition
| Let the child hold the blood pressure cuff and stethoscope. |
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Term
| One of the most valuable clues to pain is what? |
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Definition
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Term
| The child asks you to come back later with the medicine. What do you tell him? |
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Definition
| Tell him his antibiotics are due in 15 minutes, so we have to do it now. |
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Term
| A child doesn't want to eat what is on his plate and is requesting pizza and ice-cream. What do you do? |
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Definition
| You order the pizza and icecream |
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Term
| When a parent signs an informed consent, what does that mean? |
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Definition
| It means they understand what the procedure entails. |
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Term
| A 15 year old wants to know if the assessment information will be shared with the parent. What do you tell her? |
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Definition
| No information will be shared unless intervention is needed. |
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Term
| If a parent refuses treatment and you have told her the risk, what should you do? |
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Definition
| Document the explanatin and refusal. |
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Term
| A child rates his pain as a 4 on a 5 pt scale while playing on the bed with his friend. What do you do? |
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Definition
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Term
| A 15 year old in the hospital will be there for 1 week. What should you do? |
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Definition
| Hang a calendar in the room with anticipated visits and events. |
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Term
| A child wants to keep empty medicine cups and syringes without needles. How old is this child? |
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Definition
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Term
| A child only eats 2 french fries on his plate. What should you do? |
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Definition
| Tell him how well they eat. |
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