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:
The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.
Choice B rationale:
This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.
Choice C rationale:
The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.
Choice D rationale:
The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.
Correct Answer is B
Explanation
Choice A rationale:
While educating caregivers on sensory impairment is important for an infant with myelomeningocele, preventing infection takes precedence as the priority nursing intervention.
Choice B rationale:
The correct answer. Preventing infection at the site of the myelomeningocele is crucial to avoid potentially life-threatening complications, such as meningitis. The exposed neural tissue poses a significant infection risk.
Choice C rationale:
Correcting joint contractures is important but is a secondary concern compared to preventing infection, which can have more immediate and severe consequences.
Choice D rationale:
Measuring daily head circumference is important to monitor for hydrocephalus in these infants, but preventing infection remains the higher priority.
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