A 5-year-old child is being admitted to the hospital for surgery. Which intervention would be appropriate to help prepare this child for hospitalization?
Wait to discuss the surgery with until the child asks specific questions.
Set aside an hour a day to talk about the child's feelings concerning the surgery.
Read the child a story about children of similar age who go to the hospital for surgery.
Have the child visit a family whose preschool child has just been discharged from the hospital.
The Correct Answer is C
Choice A rationale:
Waiting to discuss the surgery until the child asks specific questions might lead to increased anxiety as the child may be apprehensive about the surgery but unable to express their concerns.
Choice B rationale:
Setting aside an hour a day to talk about the child's feelings concerning the surgery can be overwhelming for a 5-year-old, potentially increasing anxiety and making the procedure seem more daunting.
Choice C rationale:
Reading the child a story about children of similar age who go to the hospital for surgery provides a developmentally appropriate approach. It helps the child understand the process through relatable characters, reducing fear and uncertainty about the upcoming experience.
Choice D rationale:
Having the child visit a family whose preschool child has just been discharged from the hospital might expose the child to unfamiliar situations, possibly leading to more confusion and anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Educating caregivers on sensory impairment is important in the care of a child with myelomeningocele, but the priority is to prevent infection. The exposed spinal cord and tissue are at risk of infection.
Choice B rationale:
Preventing infection is the priority for a child with myelomeningocele. The neural tube defect exposes the spinal cord, making the child susceptible to infections that can lead to serious complications.
Choice C rationale:
Correction of joint contractures is important in the overall care of a child with myelomeningocele, but preventing infection takes precedence. Joint contractures can be managed over time, while infection can quickly escalate.
Choice D rationale:
Measuring daily head circumference is essential for assessing hydrocephalus in a child with myelomeningocele, but preventing infection is more urgent. Infection can cause rapid deterioration, while changes in head circumference might be gradual.
Correct Answer is C
Explanation
Reviewing the patient's complete blood count.
Choice A rationale:
Measuring height is not a priority when administering zidovudine.
Choice B rationale:
Monitoring weight gain is important but not the first priority.
Choice C rationale:
Reviewing the complete blood count is crucial before administering zidovudine, as this medication can cause bone marrow suppression. Checking for changes in white blood cell counts, hemoglobin, and platelet levels is essential to ensure the patient can tolerate the medication without severe adverse effects.
Choice D rationale:
Reviewing the patient's chemistry profile is relevant, but assessing blood counts is more critical due to zidovudine's potential impact on bone marrow function.
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