A charge nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?
"I will explain the procedure using simple diagrams."
"I will explain the long-term consequences of the procedure."
"I will start preparing the child 2 days prior to the procedure."
"I will plan for a 30-minute teaching session."
The Correct Answer is A
A. Using simple diagrams to explain the procedure to a school-age child is an effective way to help them understand. Visual aids are appropriate for this age group.
B. School-age children are not developmentally ready to understand long-term consequences of medical procedures in detail.
C. Preparing a school-age child 2 days prior to the procedure is generally appropriate for procedures, but not too far in advance.
D. A 30-minute session may be too long for a school-age child, who may have limited attention span; shorter sessions are typically more effective.
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Related Questions
Correct Answer is C
Explanation
A. The head of the bed should be maintained at a low angle to reduce stress on the spine, not at a 30° angle.
B. Ambulation should be delayed for a longer period after scoliosis surgery, usually around 24 hours, to avoid strain on the spine.
C. The adolescent should be logrolled every 2 hours by two nurses to maintain spinal alignment after scoliosis surgery.
D. Oral intake should be delayed for a longer period (typically 6 hours) after scoliosis surgery to monitor for any complications.
Correct Answer is D
Explanation
A. Flexion and extension of the neck should be avoided to prevent further injury.
B. The screws on the halo device should not be tightened routinely unless directed by the provider.
C. Pin site assessment should be done daily, not every other day, to check for infection.
D. Repositioning the client using a turning sheet is important to prevent movement of the halo device and to prevent injury to the cervical spine.
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