A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?
Enforce strict bed rest without allowing any physical activity.
Allow the child to decorate their hospital room with personal items.
Limit visits to reduce the child's emotional dependency.
Use medical terms to explain procedures.
The Correct Answer is B
A. Enforcing strict bed rest without any physical activity can lead to feelings of isolation and boredom, which may negatively affect the child's well-being and engagement.
B. Allowing the child to decorate their hospital room with personal items fosters a sense of ownership and comfort, helping to promote emotional well-being and engagement during hospitalization.
C. Limiting visits can increase feelings of loneliness and anxiety in the child, which is not conducive to their emotional health; maintaining social connections is important for well-being.
D. Using medical terms may confuse the child and does not support their understanding or engagement; explanations should be age-appropriate and easily understood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This option is incorrect as it does not describe the expected blood pressure difference in coarctation of the aorta.
B. Coarctation of the aorta typically presents with higher blood pressure in the upper body (arms) and lower blood pressure in the lower body (legs) due to the obstruction of blood flow distal to the aortic arch.
C. This option is incorrect because while coarctation can lead to decreased perfusion in the lower extremities, it does not typically result in decreased blood pressure in both the arms and legs simultaneously.
D. While increased blood pressure may occur in the arms, the legs would not typically show increased blood pressure in cases of coarctation.
Correct Answer is ["B","C"]
Explanation
The nurse should plan to include Target 1: administer acetaminophen or ibuprofen oral solution if needed for pain and Target 2: call provider if right leg feels cool to touch in comparison to left leg in the discharge instructions for the guardians.
Rationale:
- Administer acetaminophen or ibuprofen oral solution if needed for pain: This instruction is important for managing post-procedure discomfort and promoting the child's comfort.
- Call provider if right leg feels cool to touch in comparison to left leg: This is a critical instruction, as it can indicate potential complications like bleeding or thrombosis. Early identification of these issues is essential for timely intervention.
The other options are not appropriate for discharge teaching in this case:
- Remove pressure dressing four hours after discharge: This is typically done in the hospital setting under the supervision of healthcare professionals.
- Maintain clear liquid diet for 24 hr after discharge: A clear liquid diet may not be necessary after discharge, especially if the child is tolerating oral intake well.
- Tub bath is permitted 24 hr after procedure: While bathing is generally allowed after the procedure, specific instructions regarding water temperature and avoiding submerging the incision site should be provided.
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