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 C
Explanation
A. "I will have my baby sleep next to me in bed during the night.": Bed-sharing increases the risk of suffocation and SUIDS. Infants should sleep in the same room as parents but on a separate, firm sleep surface such as a crib or bassinet.
B. "I will move my baby's stuffed animal to the corner of their crib while they sleep.": Stuffed animals, pillows, and blankets should not be in the crib as they pose a suffocation risk. The crib should be free of soft items to reduce the chance of airway obstruction.
C. "I will dress my baby in lightweight clothing to sleep.": Overheating is a risk factor for SUIDS. Dressing the infant in lightweight clothing or a sleep sack without additional blankets helps regulate temperature safely and supports prevention.
D. "I will lay my baby on their side to sleep for naps.": Side-lying is unstable and increases the risk of the infant rolling onto their stomach. The safest position for all sleep times is supine (on the back) to maintain airway patency and reduce SUIDS risk.
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