A registered nurse is preparing to perform a physical examination on a 5-year-old child. To make the child feel safer during the examination the nurse should do which of the following?
a. Examine the child's fingernails before listening to his breath sounds.
b. Question only the child so as to avoid unwanted parental influence.
c. Perform palpation before visual inspection.
d. Calls the parents by their first names to establish a more trusting bond.
A
Children will feel safer during an examination if it is initiated from the periphery and then moves to the central. For example, examine the extremities before moving to the chest. It also helps to perform parts of the examination that you can do visually before actually touching the child. When obtaining histories of infants and children, gather all or part of the information from parents or guardians. Call children by their preferred name, and address parents formally (e.g., as "Mr. and Mrs. Brown") rather than by first names.
You might also like to view...
The manager is contemplating terminating a nurse. What should the manager consider regarding the expectations of the job prior to proceeding with termination? Note: Credit will be given only if all correct choices and no incorrect choices are
selected. Standard Text: Select all that apply. 1. Did the nurse receive and sign for a copy of the appropriate job description when hired? 2. Was the nurse apprised of the criteria on which evaluation would be based? 3. Have any changes to policy and procedure been discussed with the nurse and made available in writing? 4. Was the nurse hired using the same documentation as others hired at the same time? 5. Have others hired during the same time period been successful?
"Dose desired / dose on hand = dose administered" is the formula for calculating the dose to be administered. Under which of the following circumstances is this to be used?
A) When the physician is not available to calculate the dosage B) When the dosage is written in the apothecary system C) When the dose desired and dose on hand are in the same system D) When the label of the drug is in the metric system
Which of the following statements made by a nurse best reflects an understanding of the nega-tive impact of ageism regarding client care?
1. "If I don't value the older client, I will never be able to provide the care they are entitled too." 2. "Everyone, regardless of age or position, always deserves effective, appropriate nursing care." 3. "As a society we lose so much valuable wisdom and knowledge when we devalue our older members." 4. "If older clients do not feel valued, they are less likely to seek the health care they need and deserve."
One of the first signs of overwhelming sepsis in a child with burn injuries is:
a. Seizures. c. Disorientation. b. Bradycardia. d. Decreased blood pressure.