A nurse is providing preoperative teaching for a 9-year-old child who is scheduled for a tonsillectomy. Which of the following actions should the nurse take?
Indicate on a stuffed animal where the procedure will be performed.
Use simple diagrams to explain the procedure.
Discuss the benefits of the procedure.
Provide teaching immediately before the procedure.
The Correct Answer is B
A. Indicate on a stuffed animal where the procedure will be performed: This approach is more appropriate for preschool-aged children, who learn best through play and concrete objects. School-age children benefit more from factual, age-appropriate explanations.
B. Use simple diagrams to explain the procedure: School-age children can understand basic anatomy and processes. Simple diagrams provide visual reinforcement, reduce anxiety, and help the child grasp what will happen during surgery.
C. Discuss the benefits of the procedure: While explaining benefits is important, focusing only on outcomes without addressing the child’s need for concrete understanding may not fully reduce preoperative anxiety.
D. Provide teaching immediately before the procedure: Teaching should occur in advance to give the child time to process the information, ask questions, and mentally prepare. Immediate pre-op teaching is too rushed for effective learning.
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Related Questions
Correct Answer is D
Explanation
A. "I will be excused from physical education class.": Physical activity is actually encouraged in adolescents with cystic fibrosis, as it helps improve lung function, mobilize secretions, and enhance overall health. Avoiding exercise would not support effective disease management.
B. "I will limit my calcium intake to prevent kidney stones.": Children with cystic fibrosis are at risk for osteoporosis due to malabsorption of fat-soluble vitamins and poor bone health, not kidney stones from calcium. Adequate calcium intake is essential for bone strength.
C. "I will take fewer enzymes when I eat high-fat foods.": Pancreatic enzymes should be taken with all meals and snacks, especially those high in fat, to aid in digestion and nutrient absorption. Taking fewer enzymes would worsen malabsorption and nutritional deficiencies.
D. "I will increase my intake of vitamin D.": Fat-soluble vitamin deficiencies, including vitamin D, are common in cystic fibrosis due to malabsorption. Supplementing vitamin D supports bone health and calcium absorption.
Correct Answer is D
Explanation
A. Reschedule the procedure until the client's guardian provides written consent: In most states, adolescents have the legal right to consent to reproductive health services, including contraception. Guardian consent is not required for IUD insertion.
B. Call the adolescent's guardian to obtain verbal consent prior to the procedure: Involving a guardian without the adolescent’s permission breaches confidentiality. Reproductive health decisions are protected for adolescents, and verbal consent from a guardian is unnecessary.
C. Encourage the adolescent to wait to ask questions about the device until after its insertion: It is essential for the adolescent to receive complete education and have all questions answered before the procedure. Informed consent cannot be obtained after the procedure has already been done.
D. Witness the adolescent's signature on the consent form: Adolescents can legally provide consent for contraception. The nurse’s role is to witness the signature, ensuring the adolescent understands the procedure and that the consent is voluntary.
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