Peds week 3

A pediatric nurse is caring for a terminally ill child and their family. The nurse is asked to explain the concept of "palliative care" to the parents. Which of the following statements by the nurse best demonstrates an understanding of palliative care in pediatric patients?

• Palliative care focuses on curing the child's illness and providing aggressive medical treatments until recovery."

• "Palliative care is only for children who are actively dying, and it primarily involves withdrawal of all medical interventions."

• "Palliative care aims to enhance the quality of life for the child and family by providing relief from the symptoms and stress associated with the illness."

• "Palliative care is a last-resort option and should only be considered when all curative treatments have failed."

A 10-year-old child with a terminal illness is experiencing significant emotional distress and struggling to cope with their diagnosis. The pediatric nurse is assessing the child's emotional needs. Which of the following strategies would be most appropriate for the nurse to employ in this situation, considering the child's developmental stage?

• Provide detailed medical explanations to help the child understand the complexities of their illness.

• Encourage the child to discuss their feelings and concerns in an open and age-appropriate manner.

• Avoid discussing the terminal diagnosis altogether to prevent additional emotional stress.

• Consult with the child's parents only and exclude the child from discussions about their condition.

A 12-year-old pediatric patient with a life-limiting illness is approaching the end of life. The healthcare team has observed several physical manifestations. Which of the following physical manifestations are commonly associated with a pediatric patient approaching death? (Select all that apply.)

• Increased appetite and weight gain.

• Decreased respiratory rate and shallow breathing.

• Increased energy levels and alertness.

• Cheyne-Stokes Respirations

• Decreased sensation and movement in lower extremities

The nurse is preparing to administer a medication to a 5-year-old who weighs 35 pounds. The prescribed dose is 1 to 2 mg/kg/day. Which is the appropriate dose range for this child?

The nurse is administering a crushed tablet to an 18-month-old infant. What is a recommended guideline for this intervention?

• Place an NG and put crushed tablet through NG

• Mix the crushed tablet with a small amount of applesauce.

• Place the crushed tablet in the infant's formula.

• Crushed tablets should only be mixed with water.

A 3-year-old child presents to the pediatric clinic with symptoms of respiratory distress, including a barking cough, inspiratory stridor, and hoarseness. The nurse suspects croup. Which of the following findings would be most consistent with a diagnosis of croup in this child? (Select all that apply.)

• Recurrent ear infections (otitis media) in the child's medical history.​

• Low-grade fever.

• Presence of stridor at rest.

• Improvement of symptoms with a cool mist humidifier

A 4-year-old pediatric patient is brought to the emergency department with sudden-onset high fever, sore throat, and difficulty swallowing. The healthcare team suspects epiglottitis. Which of the following clinical findings are characteristic of epiglottitis in this pediatric patient? (Select all that apply.)

• Inspiratory stridor.

• A barking cough

• Tripod position

• Anxiety and agitation.​

A 7-year-old pediatric patient has undergone a tonsillectomy. The nurse is providing postoperative care and monitoring for potential complications. Which of the following complications should the nurse be particularly vigilant for during the immediate postoperative period? (Select all that apply.)

• Wound infection.

• Postoperative nausea and vomiting

• Epistaxis.

• Respiratory distress.

• Infection

The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the most important thing to stress?

• Apply an ice collar.

• S/S of bleeding

• Encourage the child to drink liquids.

• Administer analgesics.

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be least appropriate for the nurse to perform?

• Providing 100% oxygen via nonrebreather

• Visualizing the throat w/ tongue depressor

• Having the child sit forward

• Auscultating for lung sounds