A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)
Provide frequent and routine verbal updates with the parents.
Encourage the parents to participate in the toddler's plan of care when appropriate.
Perform more frequent health care rounds on the toddler.
Conduct interprofessional rounds at the child's bedside so the parents can be inside.
Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with.
Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.
Correct Answer : A,B,C,D,E
A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.
B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.
C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.
D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.
E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.
F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The 18-month-old shows signs of improving hydration status, evidenced by adequate wet diapers and food intake. This client is stable.
B. The adolescent with mild postoperative pain and preparing for discharge is stable and does not require immediate attention.
C. The toddler's low oxygen saturation (91%) and continued coughing indicate potential airway obstruction or impaired gas exchange, which requires immediate assessment and intervention to prevent respiratory failure.
D. Although the 6-year-old with asthma should be monitored, their last use of a rescue inhaler 16 hours ago suggests they are not in acute distress.
Correct Answer is D
Explanation
A. Asking "who, what, where, and why" questions typically occurs around age 3 to 4 years.
B. Following one-step directions is typically seen earlier, around 12 to 15 months.
C. Recognizing items in a picture book is more characteristic of a 12-month-old child.
D. By 18 months, toddlers often begin to combine two words, such as "want cookie" or "go outside."
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