The pediatric nurse is assigned to care for a 7-year-old child in ...

[lak]

The pediatric nurse is assigned to care for a 7-year-old child in the hospital. The child is going to have surgery in the morning. The child asks the nurse if this surgery will hurt. Which of the following is the nurse's best response?
 
  a. An anesthetist will put you to sleep so you won't feel anything.
  b. You will sleep through the surgery so it won't hurt. When you wake up, we will give you medicine to make any hurting better.
  c. The doctor who specializes in sleep is going to knock you out real good, so don't worry about feeling any pain.
  d. A stick in the arm to give you medicine to sleep is all you will feel.

Question 2

Which of the following signs or symptoms will the nurse find on assessing a child who is neutropenic and has an infection?
 
  a. elevated temperature and complaint of a feverish feeling
  b. production of pus
  c. redness of inflammation
  d. no signs except perhaps complaint of pain or swelling

[vseab]

Answer to Question 1

B

Feedback
A Incorrect: Children of this age may interpret each word literally, so it is best to avoid terms like Put you to sleep.
B Correct: When caring for school-age children, it is important to use correct terminology they will understand. Children of this age may interpret each word literally. It is best to explain the sequence of events the child will experience and exactly what will happen.
C Incorrect: Children of this age may interpret each word literally, so it is best to avoid terms like Knock you out real good.
D Incorrect: Children of this age may interpret each word literally, so it is best to avoid terms like A stick in your arm.

Answer to Question 2

D

Feedback
A Incorrect. The child may have an elevated temperature but will have no complaints of a feverish feeling.
B Incorrect. There will be no production of pus.
C Incorrect. There will be no redness of inflammation.
D Correct. A child who is neutropenic and has an infection will not mount an immune response to infection. There will not be the usual inflammatory response to the infection such as redness or production of pus because of the lack of neutrophils. She or he may complain of pain or swelling. Fever may be the only sign of infection.

[lak]

Excellent

[nanny]

TYSM