Ricci 51 (B) Flashcards
Which nursing action facilitates care being provided to a child in an emergency situation
A) Encourage the family to remain in the waiting room
B) Include parents as partners in providing care for the child
C) Always reassure the child and family
D) Give explanations using professional terminology
B
The father of a child in the ED is yelling at the physicians and nurses. Which action is CONTRAINDICATED in this situation?
A) Provide a nondefensive response
B) Encourage the father to talk about his feeling
C) Speak in simple, short sentences
D) Tell the father he must wait in the waiting room
D
What is an appropriate nursing intervention for a 6 month old infant in the ED?
A) Distract the infant with noise or bright lights
B) Avoid warming the infant
C) Remove any pacifiers from the baby
D) Encourage the parent to hold the infant
D
What action should the nurse working in the ED implement in order to decrease fear in a 2 year old child?
A) Keep the child physically restrained during nursing care
B) Allow the child to hold a favorite toy or blanket
C) Direct the parents to remain outside the treatment room
D) Let the child decide whether to sit up or lie down for procedures
B
Which nursing action is most appropriate to assist a preschool-aged child in coping with the ED experience?
A) Explain procedures and give the child at least 1 hr to prepare
B) Remind the child that she is a big girl
C) Avoid the use of bandages
D) Use positive terms and avoid terms such as shot and cut
D
Which action should the nurse incorporate into a care plan for a 14 year old child in the ED
A) Limit the number of choices to be made by the adolescent
B) Insist that parents remain with the adolescent
C) Provide clear explanations and encourage questions
D) Give rewards for cooperation with procedures
C
The ED nurse notices that the mother of a young child is making a lot of phone calls and getting advice from her friends about what she should do. This behavior is an indication of…
A) Stress
B) Healthy coping skills
C) Attention-getting behaviors
D) Low self-esteem
A
A preschool child in the ED has a respiratory rate of 10 breaths per minute. How should the nurse interpret this finding?
A) The child is relaxed
B) Respiratory failure is likely
C) This child is in respiratory distress
D) The child’s condition is improving
B
The nurse observes abdominal breathing in a 2-year-old child. What does this finding indicate?
A) Imminent respiratory failure
B) Hypoxia
C) Normal respiration
D) Airway obstruction
C
What should be the ED nurse’s next action when a 6 year old child has a systolic BP of 58 mm Hg?
A) Alert the physician about the SBP
B) Comfort the child and assess respiratory rate
C) Assess the child’s responsiveness to the environment
D) Alert the physician that the child may need IV fluids
A
You are the nurse caring for a child who is diagnosed with septic shock. He begins to develop dysrhythmia and hemodynamic instability. Endotracheal intubation is necessary. The physician feels that cardiac arrest may soon develop. What drug do you anticipate the physician will order?
A) Atropine sulfate
B) Epinephrine
C) Sodium bicarbonate
D) Inotropic agents
B
You are the nurse working triage in the ED. A school-age child is brought in for treatment, carried by her mother. What is part of a primary assessment that should be performed first on this child?
A) Determine level of consciousness
B) Obtain a health history
C) Obtain a full set of vital signs
D) Evaluate for pain
A
What is the goal of the initial intervention for a child in cardiopulmonary arrest?
A) Establishing a patent airway
B) Determining a pulse rate
C) Removing clothing
D) Reassuring the patient
A
What is the nurse’s immediate action when a child comes to the ED with sweating, chills, and fang bite marks on the thigh?
A) Secure antivenin therapy
B) Apply a tourniquet to the leg
C) Ambulate the child
D) Reassure the child and parent
A
How should the nurse instruct the mother who calls the ED because her 9-year-old child has just fallen on his face and one of his front teeth fell out?
A) Put the tooth back in the child’s mouth and call the dentist right away
B) Place the tooth in milk or water and go directly to the ED
C) Gently place the tooth in a plastic zippered bag until she makes a dental appointment
D) Clean the tooth and call the dentist for an immediate appointment
B
