Pediatric Nursing

Sigma Institute of Health CareersNUR231L Pediatric Nursing Clinical Case StudyStudent Name: _______________________________________________________Pediatric Variations of Nursing InterventionsThe pediatric nurse is giving care to a group of four patients of various ages. The nurse needs to perform a number of procedures and needs to modify procedures based on the patients’ ages and developmental stages.Answer the following questions and give the rationale:1. The nurse is preparing to administer penicillin G (Bicillin) to a school-age child. What action should the nurse take to determine that the bevel of the needle is in the correct place?a) Check the bottom of the syringe for blood after aspirating.b) Evaluate the ease with which the needle was inserted.c) Ensure that the needle was inserted at a 90-degree angle.d) Check the top of the syringe for blood whileaspirating.Answer:_________________________________________________________________________________Rationale:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2. A toddler has a small-bore tube for tube feeding and requires a medication in suspension form. Which action by the nurse is the most important preventive action to maintain patency of the tube?a) Flushing after the medication with an adequate amount of fluidb) Dissolving all tablets completely in warm water before giving themc) Checking for placement by aspiration of the small-bore tubed) Elevating the head of the toddler’s bed at least 45 degreesAnswer:___________________________________________________________________________________Rationale:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3. The nurse is trying to get a preschooler to eat after having nothing by mouth (NPO) for several days postoperatively. The child has been experiencing nausea. What approaches should the nurse try? Select all that apply.a) Allow the parents to feed the child.b) Encourage the child to eat the same amount of food as he or she did preoperatively.c) Serve food that the child chooses.d) Cover the plate with a variety of food.e) Cut sandwiches into small shapes.f) Avoid giving cookies or sweet drinks.Answer:____________________________________________________________________________________Rationale:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________4. An enema is to be given to a 6-year-old to prepare her for an examination of the lower bowel. What type and amount of enema solution would the nurse anticipate administering?a) 200 mL of a prepackaged Fleet’sb) 300 mL of tap waterc) 400 mL of normal salined) 500 mL of mineral oilAnswer:_____________________________________________________________________________________Rationale:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________The Child with Cerebral DysfunctionThe charge nurse in the pediatric neurologic intensive care unit is reviewing the change-of-shift report for several of the patients.The first patient is a 28-month-old toddler who has been on life support for 2 days after a submersion injury. The vehicle in which he was riding flipped over and landed upside down in a shallow lake. The toddler was submerged for approximately 6 minutes. He was resuscitated at the accident site within 10 minutes after being rescued and transferred to the pediatric intensive care unit.5. The charge nurse is assessing some of the information obtained during the hourly routine. Which assessment data would provide some indications of a good outcome?a) The pupils react sluggishly but equally, and the child’s toes move when tickled.b) The heart rate is regular, and the child lies quietly when his endotracheal tube is suctioned.c) The body temperature has been 97 to 98 degrees, and the lung sounds are clear.d) The oxygen saturation level is 98%, and the blood gases are within normal limits.Answer:____________________________________________________________________________________Rationale:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6. The second patient is a 4-year-old girl with suspected Reye syndrome who is almost comatose since admission during the night. The nurse caring for this child is preparing to assist with the primary diagnostic test for this disease. What equipment and supplies should the nurse have available?a) A lumbar puncture tray and betadineb) A liver biopsy tray and abdominal x-rayc) Several blood tubes of various colors and a butterfly needled) A bone marrow tray and a hollow-core needleAnswer:_____________________________________________________________________________________Rationale:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________7. The parents ask the nurse caring for their daughter what could have caused this sudden terrible illness. What information would be most appropriate for the nurse to share with the parents?a) “How children get Reye syndrome is not well understood, but there is a connection between having a viral illness such as chickenpox or the flu and treating the fever with aspirin or a medication with aspirin in it.”b) “There is a direct correlation between bacterial infections and the use of acetaminophen (Tylenol) in children who acquire Reye syndrome because Tylenol can harm the liver even in healthy children.”c) “When a child gets immunizations and then gets a viral infection, regardless of how slight, the immune system cannot handle it, and because the liver is used to purify toxins, the liver function becomes impaired.”d) “The measles virus can lie dormant in the body for a period of time. When a child gets the measles–mumps–rubella vaccine, it can awaken the sleeping virus, which can then attack the liver and the brain.”Answer:_____________________________________________________________________________________Rationale:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________8. A 3½-year-old child in the neurologic intensive care unit has had years of severe seizures and is being treated with a ketogenic diet. Which dinner tray would be appropriate for the nurse to serve to the child?a) Cheeseburger on a bun, French fries, and a vanilla milkshakeb) Pepperoni pizza, watermelon cubes, and lemonadec) Chopped hot dogs in baked beans, a biscuit, and fruit punchd) Fried eggs with bacon, cheese cubes, and iced teaAnswer:_____________________________________________________________________________________Rationale:

Assignments ABC
Order NOW For A 35% Discount!
Pages (550 words)
Approximate price: -


Top-Quality Papers with AssignmentsABC

Are you stuck with your paper? Is a research paper giving you a hard time crafting research topics? We assist students in achieving the best top-grade academic writing services in compliance with the provided instructions. Have your paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing. All our writers undergo thorough tests to ensure they are qualified writers and deliver the best consistent papers of high quality under tight deadlines.

1000+ Master's, Bachelor's and Ph.d. Experts

We ensure all our writers have the knowledge and experience of crafting the best papers before hiring them. Our writers have acquired Bachelor's or Ph.D. credentials from reputable institutions all over the globe. Our writers can handle papers from any discipline and can handle over 100+ subjects. Including but not limited to a dissertation, term papers, research papers, narrative essays, thesis papers, expository essays, etc. All your orders must pass through a strict protocol of our expert essay writing editors.

Affordable Essay Writing Services

We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. We provide a great deal of student-friendly prices and professionalism with all our essay writing services. We provide great discounts for all our returning customers and new clients. Our paper writing services have a user-friendly interface and professional academic assistance. We are committed to assisting all students in any discipline regardless of their academic level. Place an order with an essay writer today.

Timely delivery of Work

Are you close to missing your paper deadline? Or spent a lot of time conducting extensive research and crafting papers? You are at the right place to get your research paper done in under 3 hours to meet your tight deadline. Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines. You can, therefore, trust that your paper will be done within and before the set deadline.

100% Original Papers

"Hello, can you write my essay with 100% original content?" We are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. Writers who deliver plagiarized papers are suspended to avoid future plagiarized papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading. All papers are delivered with 100% plagiarism content. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.

24/7/365 Customer Assistance

We are dedicated to ensuring our customers have an excellent experience while using our essay writing services. Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day. Kindly feel free to ask your queries on your order placement, payment methods, and order processing. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via our website or live chat.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

For years now, has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.


Essay Writing Services

Since we launched, deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.


Admission and Business Papers

Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.


Editing and Proofreading

At, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.


Technical Papers

At, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. Mycoursewriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.