A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?

Fear of bodily injury

Fear of pain

Separation anxiety

Loss of control

Answer and Explanation

The Correct Answer is C

A. Fear of bodily injury is a concern but may not be as prominent as separation anxiety, particularly in younger children.

B. Fear of pain is significant but often secondary to the anxiety of being separated from parents.

C. Separation anxiety is the most prominent stressor for toddlers and preschoolers, as they struggle with being away from their caregivers.

D. Loss of control can contribute to stress but is more relevant in older children who understand their environment more clearly.

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Correct Answer is B

Explanation

A. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.

B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.

C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.

D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.

A. Place infant supine in the crib. B. Mix medication with formula. C. Position the syringe to the side of the infant's tongue. D. Measure elixir using a medicine cup.

Correct Answer is C

Explanation

A. Placing the infant supine in the crib is not a recommended position for administering oral medication as it may cause choking or aspiration.

B. Mixing medication with formula is not recommended, as it may alter the effectiveness of the medication or lead to incomplete dosing.

C. Positioning the syringe to the side of the infant's tongue is the best method to prevent choking and allow the infant to swallow the medication effectively.

D. A medicine cup is not appropriate for measuring medication for an infant due to the small volume and potential for spillage.

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A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a boy with probable intussusception. While waiting for a radiologist-guided air enema to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate?

Correct Answer is B

Explanation

A nurse is preparing to administer oral medication to a 3-month-old infant. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding?

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction would be included in the teaching?

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

A nurse is caring for a child diagnosed with disseminated intravascular coagulation (DIC). The child's parents ask the nurse what factors can cause or increase the risk of DIC in children. Which of the following statements should be included in the discussion? (Select all that apply).

A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?

A nurse is planning care for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan?

Which is the most beneficial nursing action to prevent or minimize chemotherapy associated nausea and vomiting?