A child has a central venous access device for intravenous (IV) fluid administration. A blood sample is needed for a complete blood count, hemogram, and electrolytes. What is the appropriate procedure to implement for this blood sample?

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RN Nursing Care of Children Online Practice 2019 A Questions

Question 1 of 5

A child has a central venous access device for intravenous (IV) fluid administration. A blood sample is needed for a complete blood count, hemogram, and electrolytes. What is the appropriate procedure to implement for this blood sample?

A. Perform a new venipuncture to obtain the blood sample. B. Interrupt the IV fluid and withdraw the blood sample needed. C. Withdraw a blood sample equal to the amount of fluid in the device, discard, and then withdraw the sample needed. D. Flush the line and central venous device with saline and then aspirate the required amount of blood for the sample.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

What is an advantage of the ventrogluteal muscle as an injection site in young children?

A. Easily accessible from many directions B. Free of significant nerves and vascular structures C. Can be used until the child reaches a weight of 9 kg (20 lb) D. Increased subcutaneous fat, which provides sustained drug absorption

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

When teaching a mother how to administer eye drops, where should the nurse tell her to place them?

A. At the lacrimal duct B. On the sclera while the child looks to the outside C. In the conjunctival sac when the lower eyelid is pulled down D. Carefully under the eyelid while it is gently pulled upward

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

What is a priority intervention for an infant with a temporary colostomy for Hirschsprung disease?

A. Teaching how to irrigate the colostomy B. Protecting the skin around the colostomy C. Discussing the implications of a colostomy during puberty D. Using simple, straightforward language to prepare the child

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?

A. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed. B. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur. C. Discourage parent presence during procedures on infants and toddlers. D. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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