A nurse in the emergency departments is caring for a toddler
Complete the following sentence by using the list of options.
The nurse should first
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Options 1:
A. Keeping the child NPO is crucial to prevent further ingestion or aspiration of the battery, which could lead to serious complications.
B. Teaching the child's parents the importance of inspecting the child's play area is important for future prevention but is not the immediate priority in this acute situation.
C. Obtaining an informed consent is not the priority in this scenario. It should be done after keeping the child NPO.
Options 2:
A. Encouraging parents to inspect toys for easily removable parts is important for prevention but is not the immediate priority when dealing with a child who has already ingested a foreign object.
B. Preparing the child for flexible endoscopy is the second action to visualize and safely remove the battery from the esophagus.
C. Waiting for return of the gag reflex without taking immediate action could delay potentially life-saving interventions.
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Correct Answer is D
Explanation
A. Requesting assistance from the anesthesiologist may not directly address the guardian's misunderstanding about the procedure and may not be necessary unless there are specific anesthesia-related concerns.
B. While this option suggests a proactive approach by the nurse, it may not be appropriate unless the nurse is sufficiently knowledgeable about the specifics of the cardiac catheterization and has been delegated this task by the healthcare team. Typically, the primary responsibility lies with the healthcare provider performing the procedure.
C. Witnessing the adolescent's signature on the informed consent form is an important step in the consent process but does not directly address the guardian's misunderstanding about the procedure.
D. This action is appropriate because the provider has the knowledge and responsibility to explain why the cardiac catheterization is necessary, the benefits it offers, and any risks associated with the procedure. It ensures that the guardian receives accurate and detailed information directly from the expert who will be performing the procedure, facilitating an informed decision.
Correct Answer is C
Explanation
A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts.
B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers.
C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired.
D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.
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