because children younger than 5 years are egocentric the nurse should do which when communicating with them

ATI RN

ATI Nursing Care of Children

1. Because children younger than 5 years are egocentric, the nurse should do which when communicating with them?

A. Focus communication on the child.
B. Use easy analogies when possible.
C. Explain experiences of others to the child
D. Assure the child that communication is private

Correct answer: A

Rationale: Focusing communication directly on the child aligns with their egocentric nature and helps engage them in the conversation.

2. The parent of an infant with colic tells the nurse, "All this baby does is scream at me; it is a constant worry." What is the nurse's best action?

A. Encourage the parent to verbalize feelings.
B. Encourage the parent not to worry so much.
C. Assess the parent for other signs of inadequate parenting.
D. Reassure the parent that colic rarely lasts past age 9 months.

Correct answer: A

Rationale: Encouraging the parent to express their feelings is crucial in providing support and addressing the emotional challenges that colic can present. Reassuring the parent about the temporary nature of colic can also be helpful.

3. What is most important in the management of cellulitis?

A. Burow solution compresses
B. Oral or parenteral antibiotics
C. Topical application of an antibiotic
D. Incision and drainage of severe lesions

Correct answer: B

Rationale: Oral or parenteral antibiotics are essential in treating cellulitis to eliminate the infection. Topical antibiotics are not sufficient, and incision and drainage are only for abscesses.

4. The nurse is aware that skin turgor best estimates what?

A. Perfusion
B. Adequate hydration
C. Amount of body fat
D. Amount of anemia

Correct answer: B

Rationale: Skin turgor is a quick and simple way to assess hydration status. Poor skin turgor can indicate dehydration.

5. A school-age child with cancer is being prepared for a procedure. The child says, “I have had one of these before. They hurt.” The nurse bases her response on what knowledge related to pain in this patient?

A. Often misrepresent experiencing pain
B. Tolerate pain better than adults
C. Become accustomed to painful procedures
D. Commonly experience treatment-related moderate to severe pain when they have cancer

Correct answer: D

Rationale: The correct answer is D. Pain is frequently reported by children with cancer, with around 84% experiencing it. Most children report moderate to severe pain, with about half finding it highly distressing. There is no evidence to suggest that children often misrepresent their pain experiences. Pain tolerance is not solely based on age but is a complex phenomenon. Children do not become accustomed to painful procedures, as each experience of pain is unique.