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Questions and Answers
What is the maximum volume of fluid that should be administered in a single IM injection site?
What is the maximum volume of fluid that should be administered in a single IM injection site?
Which of the following is NOT a contraindication for taking a rectal temperature?
Which of the following is NOT a contraindication for taking a rectal temperature?
What is the preferred IM injection site for children?
What is the preferred IM injection site for children?
Which of the following is NOT a reason to use an infusion pump?
Which of the following is NOT a reason to use an infusion pump?
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Which of the following is a common sign of dehydration in infants?
Which of the following is a common sign of dehydration in infants?
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What is the recommended approach to communicating with a school-aged child about a medical procedure?
What is the recommended approach to communicating with a school-aged child about a medical procedure?
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What is the primary goal of palliative care?
What is the primary goal of palliative care?
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Which of the following is NOT a characteristic of the overprotective parent?
Which of the following is NOT a characteristic of the overprotective parent?
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At what age do we typically start taking a child's blood pressure?
At what age do we typically start taking a child's blood pressure?
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What is the recommended way to prevent SIDS?
What is the recommended way to prevent SIDS?
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A child is scheduled to receive the MMR vaccine. They are on corticosteroids. Which action should the nurse take?
A child is scheduled to receive the MMR vaccine. They are on corticosteroids. Which action should the nurse take?
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A child presents for a well-child visit and is due for the MMR vaccine. The child's mother reports the child has been experiencing a low-grade fever for the past two days. Which of the following is the most appropriate action for the nurse to take?
A child presents for a well-child visit and is due for the MMR vaccine. The child's mother reports the child has been experiencing a low-grade fever for the past two days. Which of the following is the most appropriate action for the nurse to take?
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A child presents for the MMR vaccine. The child has a history of severe allergic reactions to vaccines. Which of the following actions is most appropriate?
A child presents for the MMR vaccine. The child has a history of severe allergic reactions to vaccines. Which of the following actions is most appropriate?
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A child has received the MMR vaccine and develops a fever of 103 degrees Fahrenheit 3 days later. The child also has a rash. Which of the following nursing actions is most appropriate?
A child has received the MMR vaccine and develops a fever of 103 degrees Fahrenheit 3 days later. The child also has a rash. Which of the following nursing actions is most appropriate?
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A child is due for the MMR vaccine. The child's mother reports that the child had a severe reaction to the previous MMR vaccine. Which of the following is the most appropriate action for the nurse to take?
A child is due for the MMR vaccine. The child's mother reports that the child had a severe reaction to the previous MMR vaccine. Which of the following is the most appropriate action for the nurse to take?
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A child presents for the MMR vaccine. The child's mother reports that the child has been crying for 3 hours straight. Which of the following is the most appropriate action for the nurse to take?
A child presents for the MMR vaccine. The child's mother reports that the child has been crying for 3 hours straight. Which of the following is the most appropriate action for the nurse to take?
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When interviewing an adolescent, what should the nurse prioritize?
When interviewing an adolescent, what should the nurse prioritize?
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A child is receiving ear drops. The child is 5 years old. Which of the following nursing actions is most appropriate?
A child is receiving ear drops. The child is 5 years old. Which of the following nursing actions is most appropriate?
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What is a key consideration when assigning a room to an adolescent patient?
What is a key consideration when assigning a room to an adolescent patient?
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A child is receiving nose drops. Which of the following nursing actions is most appropriate after administering the nose drops?
A child is receiving nose drops. Which of the following nursing actions is most appropriate after administering the nose drops?
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Which of the following is an appropriate strategy for obtaining a urine sample from a diapered child?
Which of the following is an appropriate strategy for obtaining a urine sample from a diapered child?
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When a preschooler expresses fear of leaking bodily fluids, what is the most appropriate nursing action?
When a preschooler expresses fear of leaking bodily fluids, what is the most appropriate nursing action?
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A child is receiving eye drops. The child is 7 years old. Which of the following nursing actions is most appropriate?
A child is receiving eye drops. The child is 7 years old. Which of the following nursing actions is most appropriate?
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A child is due for their MMR vaccine. The child's mother reports that the child is immune-compromised. Which of the following is the most appropriate action for the nurse to take?
A child is due for their MMR vaccine. The child's mother reports that the child is immune-compromised. Which of the following is the most appropriate action for the nurse to take?
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What is the most important aspect of supporting an adolescent dealing with a terminal illness?
What is the most important aspect of supporting an adolescent dealing with a terminal illness?
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How should the nurse approach the assessment of a toddler who is apprehensive about the physical exam?
How should the nurse approach the assessment of a toddler who is apprehensive about the physical exam?
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What is the most effective way to ensure a child understands a medical procedure?
What is the most effective way to ensure a child understands a medical procedure?
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Which of the following is a common concern for an adolescent hospitalized for a serious illness?
Which of the following is a common concern for an adolescent hospitalized for a serious illness?
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When providing care for a dying child, the nurse should prioritize which of the following?
When providing care for a dying child, the nurse should prioritize which of the following?
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What is a crucial aspect of nursing care when working with families of dying children?
What is a crucial aspect of nursing care when working with families of dying children?
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A 16-year-old patient is hospitalized for a serious illness. Which of the following nursing interventions is most appropriate to address the adolescent's primary psychosocial concern?
A 16-year-old patient is hospitalized for a serious illness. Which of the following nursing interventions is most appropriate to address the adolescent's primary psychosocial concern?
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What are typical normal side effects of vaccinations in children?
What are typical normal side effects of vaccinations in children?
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Which of the following is considered an abnormal reaction to vaccinations that should be reported?
Which of the following is considered an abnormal reaction to vaccinations that should be reported?
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What should be done if a child has had a severe allergic reaction to vaccines previously?
What should be done if a child has had a severe allergic reaction to vaccines previously?
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What precautions should be taken for a child who is immune compromised when considering vaccinations?
What precautions should be taken for a child who is immune compromised when considering vaccinations?
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When administering ear drops to a child over 3 years old, how should the ear be pulled?
When administering ear drops to a child over 3 years old, how should the ear be pulled?
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What should be done after installing nose drops in a child?
What should be done after installing nose drops in a child?
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Which of the following is NOT a reason to postpone vaccine administration?
Which of the following is NOT a reason to postpone vaccine administration?
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How long after receiving a vaccine might a delayed reaction, such as rash, occur in a child?
How long after receiving a vaccine might a delayed reaction, such as rash, occur in a child?
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A 3-year-old child presents with a fever of 104°F. The child's parents are concerned about the high temperature. How should the nurse approach the situation?
A 3-year-old child presents with a fever of 104°F. The child's parents are concerned about the high temperature. How should the nurse approach the situation?
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A 7-year-old child is scheduled for a blood draw. The child is anxious and expresses fear about the procedure. What is the most effective approach to address the child's anxiety?
A 7-year-old child is scheduled for a blood draw. The child is anxious and expresses fear about the procedure. What is the most effective approach to address the child's anxiety?
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A nurse is caring for a 16-year-old patient who is nearing the end of life. The patient's parents are struggling to cope with the situation. Which of the following nursing interventions would be most appropriate?
A nurse is caring for a 16-year-old patient who is nearing the end of life. The patient's parents are struggling to cope with the situation. Which of the following nursing interventions would be most appropriate?
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A 4-year-old child is admitted to the hospital after a car accident. The child's parents are constantly by their side, but the child becomes increasingly clingy and anxious. How should the nurse approach the situation?
A 4-year-old child is admitted to the hospital after a car accident. The child's parents are constantly by their side, but the child becomes increasingly clingy and anxious. How should the nurse approach the situation?
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A nurse is caring for a newborn who has a sunken fontanel. What is the most likely cause of this finding?
A nurse is caring for a newborn who has a sunken fontanel. What is the most likely cause of this finding?
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A 10-year-old child is admitted to the hospital for an appendectomy. The child's parents are very protective and hesitant to allow the child to participate in activities like playing games or interacting with other children. How should the nurse approach the situation?
A 10-year-old child is admitted to the hospital for an appendectomy. The child's parents are very protective and hesitant to allow the child to participate in activities like playing games or interacting with other children. How should the nurse approach the situation?
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A nurse is providing education to a new mother on SIDS prevention. Which of the following instructions should be emphasized?
A nurse is providing education to a new mother on SIDS prevention. Which of the following instructions should be emphasized?
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A nurse is caring for a 13-year-old patient who has been hospitalized for a prolonged period. The patient expresses frustration and anger about being confined to the hospital. How should the nurse respond?
A nurse is caring for a 13-year-old patient who has been hospitalized for a prolonged period. The patient expresses frustration and anger about being confined to the hospital. How should the nurse respond?
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What is the most important psychological response for a nurse to understand when caring for a dying child?
What is the most important psychological response for a nurse to understand when caring for a dying child?
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Which age group typically does not fully comprehend that death is permanent?
Which age group typically does not fully comprehend that death is permanent?
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Which of the following interventions is most appropriate for an adolescent expressing anger about their diagnosis?
Which of the following interventions is most appropriate for an adolescent expressing anger about their diagnosis?
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In pediatric nursing, what should be prioritized during the hospitalization of a preschooler fearful of bodily injury?
In pediatric nursing, what should be prioritized during the hospitalization of a preschooler fearful of bodily injury?
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To assist a toddler in coping with a medical procedure, which strategy should the nurse employ?
To assist a toddler in coping with a medical procedure, which strategy should the nurse employ?
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What is a common misconception adolescents might have regarding their hospitalization?
What is a common misconception adolescents might have regarding their hospitalization?
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What is a key consideration for nurses when assigning rooms to patients of different age groups?
What is a key consideration for nurses when assigning rooms to patients of different age groups?
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What aspect of communication is vital when interviewing an adolescent about sensitive topics?
What aspect of communication is vital when interviewing an adolescent about sensitive topics?
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What is imperative for nurses to do while discussing death with children?
What is imperative for nurses to do while discussing death with children?
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During which stage of grief is a dying child likely to express frustration and emotional outbursts?
During which stage of grief is a dying child likely to express frustration and emotional outbursts?
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Study Notes
Vaccine Side Effects and Reactions
- Normal side effects include inflammation signs: redness, swelling, warmth, pain, fever, lethargy, and irritability indicating an immune response.
- Adverse reactions warrant reporting: rash, fever exceeding 104°F, fever lasting over three days, total loss of function, prolonged high-pitched crying, recurrent fever, and spreading red streaks.
- Normal delayed reactions to MMR vaccine include fever developing 10-12 days later and rash appearing 2-3 days post-vaccination.
- Contraindications for vaccination include history of severe reactions, allergies, immune compromise, and current corticosteroid treatment.
Medication Administration Techniques
- Nose Drops: Use mummy restraints if necessary. After administration, keep the child's head tilted back for 30-60 seconds.
-
Ear Drops:
- For children <3 years: pull ear down and back.
- For children >3 years: pull ear up and back. Keep child on unaffected side for about 5 minutes.
- Eye Drops: Administer drops into the lower conjunctival sac as with adults.
- IM Injections: Use a 25-gauge needle; maximum volume per site is 1 mL, with vastus lateralis as the preferred site.
Hydration and Vital Signs
- Wet diapers indicate hydration; infants may have a sunken fontanel when dehydrated.
- Normal temperature may reach 105°F in children up to 5 years due to poor temperature regulation.
- Blood pressure monitoring begins at 2-3 years; earlier if cardiac abnormalities exist.
- Pain management is essential. Administer medications for reported pain regardless of the child's appearance.
Developmental Assessments and Parent Interaction
- Monitor head circumference above ears and brows for growth assessment.
- Evaluate scoliosis in children aged 6-12 through visual inspections and standardized testing.
- For communication with parents and children, always provide anticipatory guidance and explain potential regression after hospitalization.
- Encourage supportive parenting and active participation in a child's care to foster independence.
Psychological and Grief Considerations
- Understand and respect Kubler-Ross's five stages of grief: denial, anger, bargaining, depression, acceptance.
- Preschoolers may perceive death as fantasy until the age of 9-10, when the permanence of death becomes clearer.
- Therapeutic play can be used to explain medical procedures and alleviate anxiety in children.
Safety and Emergency Protocols
- In case of poisoning, collect information about ingested substances, active ingredients, quantities, timing and child's symptoms.
- Adolescent safety risks include driving, firearms, and substance experimentation. Education and privacy during discussions about sensitive topics are crucial.
Interviewing Techniques
- When interviewing adolescents, ensure privacy and ask for consent regarding parental presence.
- Gather subjective data like chief complaints with open-ended questioning techniques to facilitate communication.
- Maintain appropriate room assignments based on age, illness, and acuity to ensure safety and comfort.
Routine Health Screenings
- For infants, assess head-to-toe starting at the feet; consider rectal temperature if fever is present.
- Encourage toddlers' choices during visits to foster cooperation; assess preschool, school-aged, and adolescents with considerations for privacy and sensitive discussions.
- Urine sampling techniques differ based on age: use U-bag for diapered infants and straight catheterization for sterile samples.
Vaccine Side Effects and Reactions
- Normal side effects include inflammation signs: redness, swelling, warmth, pain, fever, lethargy, and irritability indicating an immune response.
- Adverse reactions warrant reporting: rash, fever exceeding 104°F, fever lasting over three days, total loss of function, prolonged high-pitched crying, recurrent fever, and spreading red streaks.
- Normal delayed reactions to MMR vaccine include fever developing 10-12 days later and rash appearing 2-3 days post-vaccination.
- Contraindications for vaccination include history of severe reactions, allergies, immune compromise, and current corticosteroid treatment.
Medication Administration Techniques
- Nose Drops: Use mummy restraints if necessary. After administration, keep the child's head tilted back for 30-60 seconds.
-
Ear Drops:
- For children <3 years: pull ear down and back.
- For children >3 years: pull ear up and back. Keep child on unaffected side for about 5 minutes.
- Eye Drops: Administer drops into the lower conjunctival sac as with adults.
- IM Injections: Use a 25-gauge needle; maximum volume per site is 1 mL, with vastus lateralis as the preferred site.
Hydration and Vital Signs
- Wet diapers indicate hydration; infants may have a sunken fontanel when dehydrated.
- Normal temperature may reach 105°F in children up to 5 years due to poor temperature regulation.
- Blood pressure monitoring begins at 2-3 years; earlier if cardiac abnormalities exist.
- Pain management is essential. Administer medications for reported pain regardless of the child's appearance.
Developmental Assessments and Parent Interaction
- Monitor head circumference above ears and brows for growth assessment.
- Evaluate scoliosis in children aged 6-12 through visual inspections and standardized testing.
- For communication with parents and children, always provide anticipatory guidance and explain potential regression after hospitalization.
- Encourage supportive parenting and active participation in a child's care to foster independence.
Psychological and Grief Considerations
- Understand and respect Kubler-Ross's five stages of grief: denial, anger, bargaining, depression, acceptance.
- Preschoolers may perceive death as fantasy until the age of 9-10, when the permanence of death becomes clearer.
- Therapeutic play can be used to explain medical procedures and alleviate anxiety in children.
Safety and Emergency Protocols
- In case of poisoning, collect information about ingested substances, active ingredients, quantities, timing and child's symptoms.
- Adolescent safety risks include driving, firearms, and substance experimentation. Education and privacy during discussions about sensitive topics are crucial.
Interviewing Techniques
- When interviewing adolescents, ensure privacy and ask for consent regarding parental presence.
- Gather subjective data like chief complaints with open-ended questioning techniques to facilitate communication.
- Maintain appropriate room assignments based on age, illness, and acuity to ensure safety and comfort.
Routine Health Screenings
- For infants, assess head-to-toe starting at the feet; consider rectal temperature if fever is present.
- Encourage toddlers' choices during visits to foster cooperation; assess preschool, school-aged, and adolescents with considerations for privacy and sensitive discussions.
- Urine sampling techniques differ based on age: use U-bag for diapered infants and straight catheterization for sterile samples.
Vaccine Side Effects and Reactions
- Normal side effects include inflammation signs: redness, swelling, warmth, pain, fever, lethargy, and irritability indicating an immune response.
- Adverse reactions warrant reporting: rash, fever exceeding 104°F, fever lasting over three days, total loss of function, prolonged high-pitched crying, recurrent fever, and spreading red streaks.
- Normal delayed reactions to MMR vaccine include fever developing 10-12 days later and rash appearing 2-3 days post-vaccination.
- Contraindications for vaccination include history of severe reactions, allergies, immune compromise, and current corticosteroid treatment.
Medication Administration Techniques
- Nose Drops: Use mummy restraints if necessary. After administration, keep the child's head tilted back for 30-60 seconds.
-
Ear Drops:
- For children <3 years: pull ear down and back.
- For children >3 years: pull ear up and back. Keep child on unaffected side for about 5 minutes.
- Eye Drops: Administer drops into the lower conjunctival sac as with adults.
- IM Injections: Use a 25-gauge needle; maximum volume per site is 1 mL, with vastus lateralis as the preferred site.
Hydration and Vital Signs
- Wet diapers indicate hydration; infants may have a sunken fontanel when dehydrated.
- Normal temperature may reach 105°F in children up to 5 years due to poor temperature regulation.
- Blood pressure monitoring begins at 2-3 years; earlier if cardiac abnormalities exist.
- Pain management is essential. Administer medications for reported pain regardless of the child's appearance.
Developmental Assessments and Parent Interaction
- Monitor head circumference above ears and brows for growth assessment.
- Evaluate scoliosis in children aged 6-12 through visual inspections and standardized testing.
- For communication with parents and children, always provide anticipatory guidance and explain potential regression after hospitalization.
- Encourage supportive parenting and active participation in a child's care to foster independence.
Psychological and Grief Considerations
- Understand and respect Kubler-Ross's five stages of grief: denial, anger, bargaining, depression, acceptance.
- Preschoolers may perceive death as fantasy until the age of 9-10, when the permanence of death becomes clearer.
- Therapeutic play can be used to explain medical procedures and alleviate anxiety in children.
Safety and Emergency Protocols
- In case of poisoning, collect information about ingested substances, active ingredients, quantities, timing and child's symptoms.
- Adolescent safety risks include driving, firearms, and substance experimentation. Education and privacy during discussions about sensitive topics are crucial.
Interviewing Techniques
- When interviewing adolescents, ensure privacy and ask for consent regarding parental presence.
- Gather subjective data like chief complaints with open-ended questioning techniques to facilitate communication.
- Maintain appropriate room assignments based on age, illness, and acuity to ensure safety and comfort.
Routine Health Screenings
- For infants, assess head-to-toe starting at the feet; consider rectal temperature if fever is present.
- Encourage toddlers' choices during visits to foster cooperation; assess preschool, school-aged, and adolescents with considerations for privacy and sensitive discussions.
- Urine sampling techniques differ based on age: use U-bag for diapered infants and straight catheterization for sterile samples.
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Description
This quiz covers the normal and abnormal side effects of vaccines, including signs of inflammation and adverse reactions that need to be reported. It also discusses delayed reactions in children.
