A nurse is planning care for a child who has osteomyelitis.
Which of the following interventions should the nurse include in the plan of care?

Choice A rationale:

Using half-strength formula might not provide enough nutrition for the infant, especially if they have failure to thrive. It's essential to provide adequate nutrition to support growth and development.

Choice B rationale:

Giving fruit juice between feedings can fill the baby's stomach with low-nutrient beverages, decreasing the intake of essential nutrients needed for growth.

Choice C rationale:

Keeping the infant in a visually stimulating environment is important for cognitive and sensory development. However, this alone will not address the underlying issue of failure to thrive, which often requires medical and nutritional interventions.

Choice D rationale:

Assigning consistent nursing staff to care for the infant promotes a stable and trusting environment for the infant. Consistency in care can enhance the infant's sense of security and facilitate bonding. Additionally, it ensures that the infant's progress or any changes in condition are closely monitored by familiar caregivers, leading to prompt interventions if needed.

Choice A rationale:

Allowing the child to adjust their bedtime might promote autonomy, but in a hospital setting, routine and familiarity are essential for reducing anxiety in school-age children. Disrupting their home sleep routine may increase stress and hinder the child's ability to rest properly.

Choice B rationale:

Leaving the lights on in the child's room contradicts the principles of creating a sleep-conducive environment. Adequate sleep hygiene involves a dark and quiet room. Leaving lights on could interfere with the child's ability to fall asleep, potentially leading to sleep disturbances and increased anxiety.

Choice C rationale:

Following the child's home sleep routine is the most appropriate intervention. Maintaining consistency with the child's usual bedtime routine provides a sense of familiarity and security, reducing anxiety and promoting better sleep. This approach aligns with the principles of pediatric nursing, ensuring the child's emotional well-being while in the hospital.

Choice D rationale:

Providing the child with video games prior to bedtime is not recommended, especially in a hospital setting. Screen time, especially before sleep, can disrupt sleep patterns due to the blue light emitted by electronic devices. Additionally, video games may stimulate the child, making it harder for them to relax and fall asleep. This choice can exacerbate the child's stress and hinder their ability to achieve adequate sleep.