Exam 20: Pediatric Variations of Nursing Interventions

A 6-year-old child is hospitalized for intravenous (IV) antibiotic therapy. He eats little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. Which is the best nursing action?

An 8-month-old infant is restrained to prevent interference with the IV infusion. How should the nurse appropriately care for this child?

A child with congestive heart failure is placed on a maintenance dosage of digoxin (Lanoxin). The dosage is 0.07 mg/kg/day, and the child's weight is 7.2 kg. The physician prescribes the digoxin to be given once a day by mouth. Each dose will be _____ milligrams. (Record your answer below using one decimal place.)

A 2-year-old child comes to the emergency department with dehydration and hypovolemic shock. Which best explains why an intraosseous infusion is started?

The nurse must do a heel stick on an ill neonate to obtain a blood sample. What action is recommended to facilitate blood flow?

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

A child is receiving total parenteral nutrition (TPN; hyperalimentation). At the end of 8 hours, the nurse observes the solution and notes that 200 ml/8 hr is being infused rather than the ordered amount of 300 ml/8 hr. The nurse should adjust the rate so that how much will infuse during the next 8 hours?

A physician's prescription reads, "ampicillin sodium 125 mg IV every 6 hours." The medication label reads, "1 g = 7.4 ml." A nurse prepares to draw up _____ milliliters to administer one dose. (Round your answer to two decimal places.)

A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. What information should the nurse include in her response to the child?

Which is an important nursing consideration when performing a bladder catheterization on a young boy?

The nurse approaches a group of school-age patients to administer medication to Sam Hart. What should the nurse do to identify the correct child?

A critically ill child has hyperthermia. The parents ask the nurse to give an antipyretic such as acetaminophen (Tylenol). What should the nurse explain about antipyretics?

The nurse wore gloves during a dressing change. What should the nurse do after the gloves are removed?

It is important to make certain that sensory connectors and oximeters are compatible. What can incompatible wiring cause?

The nurse has just collected blood by venipuncture in the antecubital fossa. Which should the nurse do next?

Frequent urine testing for specific gravity and glucose are required on a 6-month-old infant. Which is the most appropriate way to collect small amounts of urine for these tests?

Which is the preferred site for intramuscular injections in infants?

In some genetically susceptible children, anesthetic agents can trigger malignant hyperthermia. The nurse should be alert in observing that, in addition to an increased temperature, what is an early sign of this disorder?

What is an appropriate method for administering oral medications that are bitter to an infant or small child?

What is an appropriate intervention to encourage food and fluid intake in a hospitalized child?