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Questions and Answers
What is one of the nursing responsibilities during the admission of a child to the pediatric unit?
Which method is recommended for collecting urine specimens from infants?
Which of the following is considered a normal vital sign for infants?
What is an important safety measure when transporting infants?
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What is the primary focus of a physical survey on a hospitalized child?
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Which of the following techniques is important for administering oral medications to children?
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When assessing vital signs in infants, which measurement is unique to this age group?
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What should be done prior to collecting specimens from a hospitalized child?
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What is the most important variable in predicting response to drug therapy in infants and children?
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Which of the following is NOT one of the six rights of medication administration?
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In preparing a pediatric patient for surgery, which factors are adaptations that should be considered?
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What is one key component that a nurse has to monitor when administering medications to infants?
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Which drug interaction is related to iron supplements?
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Which of the following considerations is NOT typically relevant for pediatric intravenous (IV) administration?
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For gastrostomy tube feeding, which technique is considered appropriate?
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What should be calculated before the administration of medication to children?
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Study Notes
Chapter 22: Health Care Adaptations for the Child and Family
- Chapter covers health care adaptations for children and families.
- Lesson 22.1 Objectives (1 of 2):
- Define key words related to pediatric care.
- List five safety measures for hospitalized children.
- Illustrate techniques for transporting infants and children.
- Plan basic daily data collection for hospitalized infants and children.
- Identify normal vital signs for infants and children at different ages.
- Lesson 22.1 Objectives (2 of 2):
- Develop a nursing care plan for a child with a fever.
- Explain techniques for collecting urine and stool specimens from infants.
- Describe positioning an infant for a lumbar puncture.
- Admission to the Pediatric Unit - Nursing Responsibilities:
- Identification of the patient.
- Obtaining informed consents.
- Implementing safety measures.
- Preparing for procedures.
- Transporting, positioning, and restraining.
- Basic Data Collection:
- Observation of the child.
- Assessing growth and development.
- Evaluating the child's interaction with the environment.
- Gathering a complete history.
- Physical Survey:
- Assessing vital signs.
- Evaluating pain levels.
- Measuring height and weight.
- Recording head circumference (infants).
- Collecting Specimens:
- Verifying physician orders.
- Obtaining necessary lab requisitions, containers, and supplies.
- Collecting specimens properly.
- Labeling specimens correctly.
- Sending specimens to the lab according to hospital policy.
- Recording specimen collection and output in the nurses' notes and intake/output record.
- Lesson 22.2 Objectives (1 of 2):
- Demonstrate administering oral, eye, and ear medications to infants and children.
- Demonstrate assessing vital signs in infants and children.
- Compare preferred intramuscular injection sites for infants and adults.
- Discuss two necessary nursing responsibilities for children receiving parenteral fluids, and their rationales.
- Lesson 22.2 Objectives (2 of 2):
- Calculate safe dosages for liquid medications.
- Demonstrate gastrostomy tube feeding techniques.
- Summarize care for children receiving supplemental oxygen.
- Explain tracheostomy care principles.
- List adaptations necessary for preparing pediatric patients for surgery.
- Medications in Infants and Children:
- Age is the most crucial factor determining response to medication.
- Factors impacting medication administration include absorption, metabolism, and excretion.
- Nursing Responsibilities in Administering Medications to Infants and Children:
- Observe for toxic effects.
- Calculate safe dosages before administration.
- Administer medications via oral, parenteral routes (including intravenous and TPN).
- Medication Safety Alert!: Preventing Medication Errors:
- Adhering to the "Six Rights" of medication administration is essential. The six rights include the "Right" patient, "Right" drug, "Right" dose, "Right" time, "Right" route, and "Right" documentation.
- Factors to Consider for Pediatric IVs:
- Developmental characteristics.
- IV insertion site selection.
- Preparation of the child.
- Family involvement.
- Related nursing actions.
- Protection of the IV site.
- Mobility considerations.
- Safety needs.
- Preventing Drug Interactions:
- Understand selected drug-environment interactions (e.g., phototoxicity).
- Recognize selected drug-drug interactions (e.g., phenytoin and antacids).
- Identify selected drug-food interactions (e.g., iron supplements and egg yolks).
- Nutrition, Digestion, and Elimination:
- Gavage feeding.
- Gastrostomy feeding.
- Enemas.
- Respiration:
- Tracheostomy care.
- Indications for suctioning.
- Complications.
- Signs and symptoms to monitor for.
- Oxygen therapy.
- Airway obstruction.
- Preoperative and Postoperative Care:
- Preoperative: children need physical and psychological preparation, tailored to their understanding; clarify misunderstandings; infants shouldn't be NPO for longer than 4-6 hrs; provide pacifiers to support sucking needs.
- Postoperative: nursing interventions are aimed at helping the child manage the situation and minimize physical and psychological complications.
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Description
This quiz focuses on Chapter 22, which discusses essential health care adaptations for pediatric patients and their families. You'll explore key concepts, safety measures, and nursing responsibilities necessary for effectively caring for children in health care settings. Prepare to enhance your understanding of pediatric care practices and nursing care planning.
