100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 345 Exam 2 Review Questions and Correct Answers $12.49   Add to cart

Exam (elaborations)

NURS 345 Exam 2 Review Questions and Correct Answers

 11 views  0 purchase
  • Course
  • NUR 345
  • Institution
  • NUR 345

Infant's understanding of illness -unaware of effects but senses parent distress Infant responses to hospitalization -sleep-wake cycles disrupted -feeding routines disrupted -displays excessive irritability -separation anxiety -starting about 9 months What helps relieve the separation anxiety for...

[Show more]

Preview 3 out of 25  pages

  • August 29, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 345
  • NUR 345
avatar-seller
twishfrancis
NURS 345 Exam 2 Review Questions
and Correct Answers
Infant's understanding of illness ✅-unaware of effects but senses parent distress

Infant responses to hospitalization ✅-sleep-wake cycles disrupted
-feeding routines disrupted
-displays excessive irritability
-separation anxiety -starting about 9 months

What helps relieve the separation anxiety for infants and toddlers ✅consistency of
nursing care, providers

Toddler and pre-schooler's understanding of illness ✅-understanding of cause and
effect is not fully developed
-have a general concept of body
-beginning to understand the concept of safety and germs

Toddler responses to hospitalizations ✅-frightened to lie supine
-associates pain with punishment
-does not understand why parents will not help him

Preschoolers responses to hospitalization ✅-fear ghosts, monsters, body parts leaking
out, tubes are permanent
-may perceive it and illness as punishment
-want to play-- allow because it reduces stress

School age understanding of body ✅-maturing
-younger: internal body contains heart and bones
-older: better understanding of body

School age responses to hospitalizations ✅-increased sensitivity to environment (hear
everything)
-demonstrate detailed recall of events from hospitalizations later on

Adolescents understanding of illness ✅-more aware of physical, psychological, and
behavioral causes of illness and injury
-younger: can describe location and function of major organs
-older: perceives effects of illness and injury on appearance

Adolescents responses to hospitalizations ✅-denial
-regression (in development)
-withdrawal (especially with a history of repeated hospitalizations)

,-intellectualization
-projections
-displacement

At what age can a child swallow a pill ✅generally around 5

Oral medications and children ✅-if they cant swallow a pill, check with pharmacy to
see how to/if you can crush it and mix it with something
-mix with very sweet foods, not applesauce
-child should be in an upright position

Rectal medications and children ✅-children have small colons so use the smallest
finger and see if you can cut it in half lengthwise to thin it
-use lubrication
-hold buttocks together for a few minutes afterwards (especially in infants)

Opthalmic medications and children ✅-explain the process and hold their head in the
correct position
-warm it to room temperature

Topical medications and children ✅infants' skin is very thin so it will absorb very
easily→ be very careful to use the correct dose

Im medications and children ✅-infants and younger: vastis lateralis
-can use the deltoid once it develops enough muscle (usually around 18 months)
-25 gauge

Iv medications and children ✅-their veins are so small and fragile we preserve the line
until it falls out
-infants: hands, feet, scalp
-older children: don't put it in their dominate hand if you can help it

Infants preparation for procedures ✅-tell them just before and be completely ready to
start the procedure right after
-want to make sure they are immobilized, but it shouldn't be the parents job

Toddlers preparation for procedures ✅-tell them just before and be completely ready to
start the procedure right after
-immobilize them; allow them to scream and cry and the comfort them afterwards
-provide rewards

Preschoolers preparation for procedures ✅-tell them just before and be completely
ready to start the procedure right after
-provide a brief explanation
-respond well to distractions

, -provide rewards

School-age children preparation for procedures ✅-still don't want to tell them far in
advance
-don't give them the option of if they want to do if, but allow some time to relax
-they sometimes like to be in control and don't want anyone holding them down
-provide rewards

Adolescents preparation for procedures ✅-may want a verbal or written explanation
-teach the use of distraction or imagery
-explore their concerns and answer questions
-often want to know their results and when they'll be ready

Purpose of pre-op ✅to reduce fear, stress, and anxiety

Pre-op period ✅-reduce fear and anxiety
-help them understand what they will see on their body when they come back
-use dolls and surgery materials to have them get comfortable, child life may help
-can keep stuffed animals until last minute

Components of the pre-op checklist ✅-consent
-name band on and correct
-allergies
-prosthetic devices removed
Check for any loose teeth (especially around 6 and 7 when they start losing teeth)
-make sure they go to bathroom
-npo order followed

Post-opp care ✅-assess airway, vitals, incisions, drainage tubes, and urine output
-pain management
-monitoring iv fluids
-assisting with mobility
-advancing nutrition as tolerated

Fluids and surgery ✅-surgery can cause fluid loss and edema (3rd spacing)
-monitor is and os carefully

4 stress reduction techniques ✅-recreation
-rest
-relationships
-routines (particularly with preschoolers and younger)

Examples of therapeutic play ✅-child dresses up as doctor or nurse and gives shot to
baby doll

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

83637 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart