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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be given just before the child goes to sleep the night before the surgery.

A sedative to be given three to four hours before surgery and an analgesic-atropine mixture given one to two hours before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be sent to the operating room with the child.

Answer and Explanation

The Correct Answer is A

Choice A reason: A sedative 1.5-2 hours pre-surgery reduces anxiety, and an analgesic-atropine mixture just before leaving minimizes pain and secretions. This timing aligns with pediatric preoperative protocols, making it the correct anticipation for administering medications to prepare the child for surgery effectively.

Choice B reason: Giving medications the night before surgery is too early for preoperative effects like sedation or secretion control. The correct timing is closer to surgery, making this incorrect, as it does not align with standard preoperative medication administration for a child undergoing surgery.

Choice C reason: A sedative 3-4 hours before surgery is too early, reducing effectiveness, and the analgesic-atropine timing is suboptimal. The 1.5-2-hour sedative window is standard, making this incorrect compared to the precise timing needed for preoperative medications in pediatric surgical care.

Choice D reason: Sending medications to the operating room delays administration, risking inadequate preoperative sedation or secretion control. Administering at specific pre-surgery intervals is standard, making this incorrect compared to the timed delivery of sedative and analgesic-atropine for the child’s surgical preparation.

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Correct Answer is C

Explanation

Choice A reason: Eating with family may encourage variety but does not address the normalcy of food jags in 6-year-olds. Reassuring about their transient nature reduces caregiver stress, making this less direct and incorrect compared to normalizing the child’s selective eating behavior for the concerned caregiver.

Choice B reason: Insisting on variety at every meal may escalate mealtime stress, as food jags are normal and temporary in 6-year-olds. Acknowledging their common occurrence is more supportive, making this pressuring and incorrect for addressing the caregiver’s nutritional concern about the child’s eating habits.

Choice C reason: Food jags, where a child fixates on one food, are common at age 6 and typically resolve naturally. Reassuring the caregiver reduces anxiety and aligns with pediatric nutrition guidance, making this the prioritized response to address concerns about the child’s nutrition and eating patterns.

Choice D reason: Discouraging food preferences risks mealtime conflicts, as food jags are developmentally normal. Normalizing their temporary nature supports the caregiver without forcing the child, making this unhelpful and incorrect compared to reassuring about the common, transient behavior in 6-year-olds.

A. The child has more frequent urges to empty the bladder. B. The child has a greater risk for trauma to the kidney. C. The adult has a greater chance of retaining fluids than the child. D. The adult has less fat to cushion the kidney.

Correct Answer is B

Explanation

Choice A reason: Frequent bladder urges relate to bladder size and neurological maturation, not kidney location. Children’s higher kidney position increases trauma risk, making this unrelated and incorrect for the anatomical difference in kidney placement between children and adults in the context of injury risk.

Choice B reason: Children’s kidneys are proportionally larger and higher (near T12-L3) with less protective fat, increasing trauma risk from blunt injury. This anatomical difference aligns with pediatric urology evidence, making it the correct fact related to kidney location in children compared to adults.

Choice C reason: Fluid retention is a physiological process, not directly tied to kidney location. Children’s higher kidney placement increases trauma susceptibility, making this irrelevant and incorrect for the anatomical comparison of kidney position between children and adults in terms of health risks.

Choice D reason: Adults may have less fat, but children’s kidneys are less protected due to higher positioning and thinner fat layers. Trauma risk is the primary concern, making this partially correct but incorrect compared to the direct consequence of kidney trauma in children due to location.

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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The caregiver of a 6-year-old is concerned the child is not getting proper nutrition because on some days, the child will only eat one type of food. Which response should the nurse prioritize for this caregiver?

Correct Answer is C

Explanation

The location of the kidneys in the child in relationship to the location of the kidneys in the adult makes which fact a greater likelihood in the child?

Correct Answer is B

Explanation

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