A nurse is planning to discharge a 4-year-old child who had surgery for appendicitis. Which of the following actions should the nurse include in the discharge plan? (Select all that apply.)
Provide written instructions and verbal explanations to the parents.
Teach the child how to change the dressing and monitor for signs of infection.
Encourage the parents to let the child resume normal activities as tolerated.
Give the child a stuffed animal or a toy as a reward for being brave.
Refer the child to a support group or a counselor if needed.
Correct Answer : A,C,D
Choice A reason: Providing written instructions and verbal explanations to the parents is an important action to ensure understanding and compliance with the discharge plan.
Choice B reason: Teaching the child how to change the dressing and monitor for signs of infection is not appropriate for a 4-year-old child, who may not have the cognitive or motor skills to perform these tasks. The parents should be taught how to do these instead.
Choice C reason: Encouraging the parents to let the child resume normal activities as tolerated is an important action to promote recovery and prevent complications such as constipation or adhesions.
Choice D reason: Giving the child a stuffed animal or a toy as a reward for being brave is an important action to provide positive reinforcement and reduce anxiety or fear associated with hospitalization or surgery.
Choice E reason: Referring the child to a support group or a counselor if needed is not a necessary action for a 4-year-old child who had surgery for appendicitis, unless there are signs of emotional distress or trauma that require professional intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Saying that they don't want to be touched or asking the nurse to go away is an indication that the child is feeling anxious and defensive, and not distracted from the procedure.
Choice B reason: This is incorrect. Expressing fear or pleading with the nurse not to hurt them is an indication that the child is feeling anxious and fearful, and not distracted from the procedure.
Choice C reason: This is correct. Showing interest and pride in making a bracelet with beads is an indication that the child is engaged in
the play activity and distracted from the procedure.
Choice D reason: This is incorrect. Asking the nurse to hurry up and finish is an indication that the child is feeling impatient and uncomfortable, and not distracted from the procedure.
Correct Answer is B
Explanation
Choice A reason: Egocentrism and magical thinking are characteristics of the preschool stage, not the school-age stage.
Choice B reason: Concrete operations and conservation are characteristics of the school-age stage, which involves logical thinking and understanding of physical properties.
Choice C reason: Formal operations and abstract reasoning are characteristics of the adolescent stage, not the school-age stage.
Choice D reason: Identity formation and peer pressure are characteristics of the adolescent stage, not the school-age stage.
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