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. Ensure that the child sleeps in an air-conditioned room: While a cool and comfortable environment may reduce stress and promote rest, air conditioning alone does not address the management of heart failure. It is supportive but not a priority nursing intervention.
B. Avoid giving the child live virus vaccines: Live virus vaccines are typically avoided in immunocompromised clients or those on immunosuppressive therapy, not specifically for stable pediatric heart failure.
C. Weigh the child every other day: Children with heart failure are at risk for fluid retention, and daily weights provide the accurate and timely assessment of fluid status. Weighing every other day could delay the identification of fluid overload and compromise early intervention.
D. Consolidate activities to promote the child's rest: Children with heart failure often experience fatigue due to decreased cardiac output. Organizing care to allow longer rest periods helps reduce cardiac workload and conserves energy.
Correct Answer is A
Explanation
A. Administer oral rehydration solution after each diarrheal stool: Oral rehydration solutions replace fluid and electrolytes lost during diarrhea and are the recommended treatment for children. Giving small, frequent amounts after each stool helps prevent dehydration.
B. Encourage intake of carbonated beverages diluted with water: Carbonated drinks, even when diluted, are high in sugar and can worsen diarrhea by drawing more fluid into the intestines. They also lack the necessary electrolyte balance for proper rehydration.
C. Provide the child with a bananas, rice, applesauce, and toast (BRAT) diet: The BRAT diet is no longer recommended for managing diarrhea in children because it is low in protein, fat, and essential nutrients. A normal diet with rehydration is more effective for recovery.
D. Provide chicken or beef broth until the diarrhea subsides: Broths are high in sodium but lack adequate carbohydrate and potassium replacement. They do not provide balanced rehydration and may contribute to electrolyte imbalances if used alone.
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