Chapter 39: Pediatric Variations of Nursing Interventions Perry: Maternal Child Nursing Care, 6th Edition

Chapter 39:
Pediatric
Variations of
Nursing
Interventions
Perry: Maternal
Child Nursing
Care, 6th Edition
1. The nurse is caring. What skin care
interventions for an unconscious child should
be included in the plan of care?
a. Avoiding use of pressure reduction on the
bed.
b. Massaging reddened bony prominences to
prevent deep tissue damage.
c. Using drawsheet to move child in bed to
reduce friction and shearing injuries.
d. Avoiding rinsing skin after cleansing with
mild antibacterial soap to provide a protective
barrier. - CORRECT ANSWER-ANS: C
A drawsheet should be used to move the child
in the bed or onto a gurney to reduce friction
and shearing injuries. Do not drag the child
from under the arms. Bony prominences should
not be massaged if reddened. Deep tissue
damage can occur. Pressure-reduction devices
should be used to redistribute weight instead.
The skin should be cleansed with mild
nonalkaline soap or soap-free cleaning agents
for routine bathing.
2. The nurse is planning how to best prepare a
4-year-old child for some diagnostic
procedures. What guideline should the nurse
consider when preparing a preschooler for a
diagnostic procedure?
a. Planning for a short teaching session of about
30 minutes.
b. Telling the child that procedures are never a
form of punishment.
c. Keeping equipment out of the child's view.
d. Using correct scientific and medical
terminology in explanations. - CORRECT
ANSWER-ANS: B
Illness and hospitalization may be viewed as
punishment in preschoolers. Always state
directly that procedures are never a form of
punishment. Teaching sessions for this agegroup should be 10 to 15 minutes in length.
Demonstrate the use of equipment and allow
the child to play with miniature or actual
equipment. Explain the procedure and how it
affects the child in simple terms.
3. The most appropriate nursing action to
implement when a preschooler being prepped
for outpatient surgery refused to allow the
parent to remove his/her underwear?
a. Allow the child to wear their underpants.
b. Discuss to the mother why this is important.
c. Ask the mother to explain to her child why
he/she must remove the underwear.
d. Explain in a kind, matter-of-fact manner that
this is hospital policy. - CORRECT ANSWER-ANS:
A
It is appropriate for the child to leave his/her
underpants on. This allows his/her some
measure of control during the foot surgery. The
mother should not be required to make the
child more upset. The child is too young to
understand what hospital policy means.