A nurse is contributing to the plan of care for a school-aged child who is scheduled for a biopsy.
Which of the following interventions should the nurse recommend?
Explain the procedure to the child 1 week prior to the biopsy.
Use simple diagrams and photographs to explain the procedure to the child.
Plan to spend 45 minutes explaining the procedure to the child.
Explain the possible long-term consequences of the procedure to the child.
The Correct Answer is B
Choice A rationale
Explaining the procedure a week prior is not ideal for school-aged children. At this developmental stage, attention spans are limited, and providing information too early can result in anxiety or forgetfulness. Preparing children 1 to 2 days prior is more effective to ensure comprehension and reduce anticipatory stress.
Choice B rationale
Using simple diagrams and photographs aligns with the cognitive development of school-aged children, who benefit from visual aids. This approach promotes understanding by bridging abstract concepts with concrete visual representations, thus reducing fear and uncertainty about the procedure.
Choice C rationale
Spending 45 minutes explaining the procedure exceeds the attention span of school-aged children. Such prolonged sessions may overwhelm or disengage them. Instead, concise and focused explanations are recommended to match their developmental needs and learning capacity.
Choice D rationale
Discussing long-term consequences may not be suitable for a child’s developmental stage. This information can induce unnecessary fear, as school-aged children typically focus on immediate rather than long-term outcomes. Tailoring the explanation to their level is essential for effective communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A hard-boiled egg is rich in proteins, providing essential amino acids for growth and development in toddlers. It is also soft and easy to chew, reducing choking hazards. Nutritionally, eggs contribute to overall health and meet dietary recommendations for young children.
Choice B rationale
Grapes pose a significant choking risk for toddlers due to their size and slippery texture. While they are nutritious, alternative preparations such as slicing into smaller pieces are necessary for safe consumption by toddlers.
Choice C rationale
Raw carrots are a common choking hazard for toddlers due to their hardness and size. Cooked carrots or smaller, softened pieces are safer alternatives to provide the same nutritional benefits without the risk.
Choice D rationale
Popcorn is unsuitable for toddlers as its small kernels and inconsistent texture present a choking hazard. Despite being a snack option for older children, it lacks the safety required for young children during their developmental stage.
Correct Answer is C
Explanation
Choice A rationale
Daily weights are primarily used for fluid balance monitoring, especially in cases like heart failure or renal conditions. It is not a standard intervention unless specifically indicated for the child’s clinical condition.
Choice B rationale
Routine blood pressure checks every 8 hours are not typically necessary for pediatric patients unless there is a concern for hypertension or critical illness. This intervention is not universally applicable.
Choice C rationale
Seizure precautions are crucial for ensuring patient safety in children with a history or risk of seizures. They include measures such as padded side rails, oxygen availability, and maintaining a safe environment.
Choice D rationale
Sodium-restricted diets are not routinely prescribed for children unless there is an underlying condition like kidney or cardiac disease. This intervention does not apply broadly to pediatric care.
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