Child Hospitalization

gakayupi's version from 2016-01-27 02:49

Section 1

Question Answer
Define - clinical pathwayinterdisciplinary plan of care that displays progress of the treatment plan for a patient
emancipated minoradolescent younger than 18 years of age who is no longer under the parents' authority
regressionloss of an achieved level of functioning to a past level of behavior
siblingsbrothers and sisters

Section 2

Question Answer
List three advantages of outpatient surgery for the pediatric patientreduced incidence of nonsocomial infection;
reduction of hosptial costs;
recuperation at home in familiar surroundings;
eliminates the need to separate the child from the family;
emotional impact of the illness is reduced.
A child's reaction to hospitalization depends onage;
amount of preparation;
security of home life,
previous hospitalizatons;
support of family and medical personnel;
child's emotional health

Section 3

Question Answer
True or False - Every child reacts differently to the hospital experience.True
During hospitalization, a caring and compassionate nurse can take the place of a child's primary caregivers.False
Hosptalization can be a positive experinece for children.True

Section 4

Question Answer
The three major stressors for children of all ages during hospitalization areseparation;
fear of body intrusion
Separation anxiety is most pronounced in the ________ stage.toddler

Section 5

Question Answer
State the behavior for each stage of anxiety - protestChild cries continuously for "mommy".
despairChild is sad and depressed.
denialChild becomes interested in his or her surroundings.

Section 6

Question Answer
List three nonpharmacologic mehtods of pain reduction.distraction; imagery; relaxation strategies; drawing; cognitive strategies; backrub, massage
Administration of acetaminophen in quantities exceeding the recommended maximum daily dose can cause damage to the __________.liver

Section 7

Question Answer
True or False - Infants and children respond to drugs differently than adults.True
Addiction occurs quickly in children receiving opioids for severe pain.False
Children 7 years of age and older can be taught to use patient-controlled analgesia.True
Administering analgesics on an as-needed schedule is the most effective way to relieve a child's pain.False
The nurse must calculate all medication dosages to determine if they are safe to administer to the child.True

Section 8

Question Answer
Define conscious sedation.administration of intravenous drugs to a patient to impair consciousness but retain reflexes; ability to maintain a patent airway; ability to respond to physical and verbal stimuli
What advice would the nurse give to a parent who is concerned that her hospitalized toddler was drinking from a cup and now only wants his bottle?Regression during hospitalization is normal. It should not be punished. Praise appropriate behavior and ignore regression. When a child is free of the stress that caused the regression, praise will motivate the achievment of appropriate behavior.
List three things the nurse can do to lesson anxiety for the parents of a hospitalized child.Display an understanding and acceptance of people and their problems; allow parents to ventilate their feelings; answer questions no matter how illogical they may seem; reinforce positive parenting; provide information about the child's condition and treatment.
List three ways the nurse can decrease siblings anxiety when a brother or sister is hospitalized.Direct attention to the sibling; support their efforts to comfort the family member; engage in play or drawing.
Give two methods of decreasing the stress of hospitalization for an infant.Perform painful procedures as gently as possible and return the infant to parents for consolation; assign consistant caregivers.
List three examples of transitional objects that can be brought to the hospital for a 15-month-old child.blanket; stuffed animal; favorite toy
What guidelines shoudl the nurse follow for providing explanations about hospital experiences to your children?explanation should be at the child's level of understanding; be truthful about things that may hurt; give the explanation immediately before a procedure to prevent needless worrying
Preschoolers are particularly fearful of _____.bodily harm; particularly intrusive procedures
Explain how the nurse would prepare a preschool child for abdominal surgery.Show the child the part of the body requiring surgery. Give simple information about the system and draw the body, circling the part or parts that will be involved. Give clear, understandable, truthful explanations. Listen to questions and correct any misinterpretations.
List two ways the nurse can foster a sense of independence for the hospitalized school-age child.Allow child to participate in her care by making menu selections, helping the nurse, staying busy with age-appropriate toys.
Following treatments, what should the nurse encourage the school-age child to do?Draw and talk about their drawings or act out their feelings through puppel
Illness in the young adolescent is seen mainly as a threat to __________.body image
What factors should the nurse take into consideration when assigning rooms or roommates for hospitalized adolescent?Adolescents do better with one or two roommates than in a single room. Avoid placing the adolescent with a senile, dying, or severely disabled patient in an adult unit, or an infant in a pediatric unit.
Preparation for discharge begins _________.on admission
What should be included in the documentation when a child is discharged from the hospital?when ans with whom the patient departed; patient's behavior (smiling, crying, alert); method of transportation form the unit; patient's weight; instructions or medications given to take home
List four suggestions the nurse can give parents who are concerned about behavioral problems arising with their children after hospitalization.Anticipate behaviors such as clinging, regression, aggression, manipulation; allow child to participate in family activities; take the focus off of the illness; be kind, firm, consistent with behavior; build trust by being truthfull; provide suitable play materials; allow time for free play; listen and clarify misconceptions about the illness; avoid long periods of separation; allow the child to visit hospital staff during routine clinic visits if desired.