Pediatric Clients in the Hospital Setting

A nurse is caring for a preschool client on an inpatient pediatric unit.

Complete the following sentence by using the lists of options.

The nurse should identify that the client is experiencing _______ due to ______.

The nurse should identify that the client is experiencing regression due to stress.

A nurse is caring for a client on an inpatient pediatric unit.

The nurse is preparint to establish peripheral intravenous (IV) access on the client. Which of the following actions should the nurse implement?

(Select all that apply.)

Take the client to the treatment room to perform the procedure.

Utilize an arm board to protect the peripheral IV site.

Explain procedure to the client using age-appropirate language.

A nurse is caring for an adolescent client on an inpatient pediatric unit.

Which of the following interventions should the nurse plan to implement during the client's admission?

(Select all that apply.)

Allow time during the day for the client to complete their schoolwork.

Place a referral for a Child Life Specialist to meet with the client.

Plan the client's care to provide an established quiet time during the day.

A nurse is educating the parents of a client on a pediatric unit using the teach-back method. Which of the following actions by the parents indicate a thorough understanding of the information provided?

Explaining the information in their own words.

A nurse is providing care to a pediatric client. Which of the following statements accurately demonstrate the medication reconciliation process?

Collaborate with the provider to determine which medications to continue or discontinue based on the medication reconciliation process.

A nurse is providing care for a school-aged client who was admitted to the hospital. To provide a positive hospital stay, which of the following actions by the nurse demonstrates an implementation of therapeutic communication techniques?

Place the client in a quiet area with dimmed lighting for relaxation.

A nurse is providing care for a preschool-aged client admitted to the hospital for the first time. The client appears anxious, and the nurse is preparing to initiate an IV. Considering the potential anxiety associated with hospitalization, which of the following actions should the nurse implement to alleviate the client's anxiety?

Explain the purpose of the IV line and the procedure using age-appropriate language.

A nurse is providing care to a client on a pediatric unit that is getting ready for discharge. Which of the following actions should the nurse take to support families providing medical care for their children?

Conduct in-person classes at the hospital to demonstrate and confirm parents' understanding of care.

A nurse is implementing the AIDET communication framework while providing care for a pediatric client. Which of the following actions by the nurse demonstrates the application of the "acknowledge" component of AIDET?

Making eye contact and smiling while addressing the client by their preferred name.

A nurse is providing care for a preschooler that has been admitted for minor surgery. Which of the following nursing interventions is most appropriate when minimizing the negative impact of hospital stress?

Allow the client to participate in play activities with familiar toys.

A nurse is providing care for a toddler who is hospitalized for a surgical procedure. The child is visibly distressed an exhibits signs of separation anxiety. Which of the following nursing action(s) are appropriate in addressing the child's distress?

Encourage the parents to stay with the client as much as possible during hospitalization.

Provide a consistent and familiar routine to help establish a sense of security.

Allow the client to have a favorite toy or comfort item.

A nurse is providing care for a school-aged client who is hospitalized frequently. In the context of reducing anxiety and promoting a sense of control, which of the following nursing intervention(s) would effectively address the unique needs of this hospitalized client?

Allow the client to hold a medical-safe item, such as a bandage, during the hospitalization.

Keep the client and family aware of anticipated changes to the plan of care.

Allow the client to participate in their assessment by letting them listen to their own heart with a stethoscope.

A nurse is providing care to a school-aged client who is hospitalized for a minor surgical procedure. The nurse needs to establish effective communication with the client and the family. Which of the following actions by the nurse demonstrates the appication of therapeutic communication principles?

Speak in a soft and calm tone to the child while maintining eye contact.

A nurse is providing care to a toddler on a pediatric unit. Which of the following should the nurse identify as the appropriate bed type for this client's age group?

Enclosed crib

A nurse is providing care to a pediatric client. How should the nurse best respond to the family when asked about the potential adverse effects of a new medication to promote their understanding and involvement in the plan of the care?

Offer a comprehensive explanation of the medication, including potential adverse effects, and encourage questions.

A nurse is providing care to a pediatric client who is about to have surgery. Which of the following interventions should the nurse take while preparing the client for surgery?

Offer the client a tour of the surgical facility and pediatric unit.

A nurse is providing care to a hospitalized pediatric client. Recognizing the importance of promoting physical activity for overall growth and development, which of the following interventions aligns with the goal of encouraging physical activity in pediatric clients?

Collaborating with child life specialists to incorporate play into the care plan.

Utilizing interactive video games as a means of physical activity.

A nurse is administering medication to a preschool age client. Which of the following actions should the nurse take?

Follow the rights of medication administration.

A nurse is providing care for an adolescent client admitted to the hospital. The nurse is aware that alcohol and drugs are a sensitive topic for this age group. Which of the following interventions is crucial when assessing the client?

Discussing the importance of confidentiality with the adolescent before inquiring about sensitive topics.

A nurse is providing care for a 4-year-old client. The client has recently experienced a regression in toilet training progress due to the stress of hospitalization. Which of the following interventions should the nurse implement to manage the preschooler's toileting needs?

Provide toilet training pants throughout the hospitalization.

A nurse is providing care to a preschool-age client who is hospitalized for a minor surgical procedure. Which of the following nursing interventions aligns with Piaget's phase of cognitive development for preschoolers?

Encourage the client to engage in pretend play with a medical play kit.

A nurse is calculating a safe medication dosage for a pediatric client. Which of the following actions should the nurse take?

Check the child's most recent weight in kilograms.