A nurse is preparing a 4-year-old child for a tonsillectomy. Which of the following statements should the nurse make?
"You will have a special sleep so you won't feel anything."
"Your mom will be there throughout the procedure."
"You will be put to sleep for your surgery."
"Your throat will feel better when you wake up."
The Correct Answer is A
Choice A reason: This statement is developmentally appropriate and helps to alleviate the child's anxiety about pain during the procedure. It uses language that a 4-year-old can understand without causing unnecessary fear.
Choice B reason: While it is comforting to know a parent will be close by, this statement is not accurate as parents are typically not present in the operating room during the procedure. It could lead to confusion and distress when the parent is not there.
Choice C reason: This statement is too vague and may not be fully understood by a child. It lacks the reassurance that the child will not feel pain, which is an important aspect to address.
Choice D reason: Although this statement is positive and forward-looking, it does not address the child's immediate concerns about the procedure itself. It is important to reassure the child about what to expect during the surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hemoglobin (Hgb) of 12 g/dL is within the normal range for school-age children and is not specifically indicative of nephrotic syndrome.
Choice B reason: A serum protein level of 4.2 g/dL is lower than the normal range, which is typically between 6 and 8 g/dL. This finding is consistent with nephrotic syndrome, as the condition is characterized by proteinuria and hypoalbuminemia, leading to low serum protein levels.
Choice C reason: A BUN (Blood Urea Nitrogen) level of 15 mg/dL is within the normal range for children and does not specifically indicate nephrotic syndrome. Nephrotic syndrome is characterized by protein loss, not necessarily changes in BUN levels.
Choice D reason: A serum sodium level of 144 mEq/L is within the normal range for children. While electrolyte imbalances can occur in nephrotic syndrome, this value does not specifically indicate the condition.
Correct Answer is A
Explanation
Choice A reason: Obtaining written consent from the client is appropriate as adolescents are entitled to confidential care for STIs. This respects the client's autonomy and privacy.
Choice B reason: Contacting the client's parents may not be necessary unless the adolescent is under the age specified by law for independent consent. It could also breach confidentiality.
Choice C reason: Postponing the testing could delay diagnosis and treatment, which is not in the best interest of the client. Immediate testing is important for health and well-being.
Choice D reason: Requesting verbal consent from the social worker is not appropriate as the consent should come directly from the client or their legal guardian, if required.
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