Price: Pediatric Nursing, 10th Edition

Open Book Quizzes Chapter 17: Pediatric Procedures

1. Alcohol should never be added to the water because it reduces the heat too rapidly and can be absorbed. 2. If the child has a diagnosis suspicious of epiglottitis, the throat culture should not be done because the airway may become edematous and occluded as a result of the trauma of specimen collection. 3. Weigh the child and record weight in kilograms. Determine recommended safe range in milligrams/kilogram by checking pediatric medication reference. Multiply childs weight by the lower and upper limits of the dose range. Compare childs ordered dose with dose range to determine whether medication dose falls within the safe range. 4. Selected considerations in giving medications to preschool children include the following: chewable tablets and liquids are preferred; regression in pill taking may be seen; watch for loose teeth that could be swallowed; avoid prolonged reasoning; only give choices when there is one; involve parents if appropriate; provide puppet play to help child express frustration concerning injections; and praise child after procedure. 5. When infants clench their eyes shut during administration of eyedrops, the drops can be placed in the nasal corner where the lids meet. When the child opens the lids, the medication flows onto the conjunctiva. 6. Use the hand opposite the side for injection to locate landmarks (e.g., to give in childs left hip, use your right hand to locate the landmarks). Locate by placing your palm on the greater trochanter, index finger on the anterior superior iliac spine, and middle finger on the posterior edge of the iliac spine. Inject into center of the V formed by the index and middle finger. 7. Parenteral fluids are necessary when sickness is accompanied by vomiting or loss of consciousness or when the gastrointestinal system requires a rest. Use of parenteral fluids is important in severe cases of vomiting and diarrhea in which the excessive loss of water and electrolytes leads to death if untreated. It also provides a means for the safe and effective administration of select parenteral medications. 8. Intravenous alimentation solutions are complex combinations of crystalline amino acids, glucose, vitamins, trace minerals, and electrolytes. Conditions other than low birth weight that may necessitate their use include severe burns, chronic intestinal obstruction, intractable diarrhea, irradiation, and other life-threatening maladies or conditions. 9. Oxygen is administered to pediatric patients as age-appropriate via Isolette, nasal cannula, mask, hood, or tent.

Copyright 2008 by Saunders, an imprint of Elsevier, Inc.

10. Selected considerations for the infant receiving oxygen include the following: nose may need to be suctioned with bulb syringe to remove mucus; may benefit from use of infant seat; make sure crib sides are up; avoid use of baby oil, A and D ointment, Vaseline, or other oil- or alcohol-based substances; anticipate stranger anxiety at around 8 months; an extremely irritable baby may benefit from comforting in parents lap, followed by sleeping in tent; and frequently children can be removed from oxygen tent for bathing and eating.