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?
Use simple diagrams to explain the procedure.
Indicate on a stuffed animal where the procedure will be performed.
Provide teaching immediately before the procedure.
Discuss the benefits of the procedure.
The Correct Answer is A
A. Use simple diagrams to explain the procedure. Children benefit from visual aids to help them understand medical procedures. Using simple diagrams can help the child visualize what will happen during the tonsillectomy in a non-threatening way and make the process less intimidating.
B. Indicate on a stuffed animal where the procedure will be performed. While a stuffed animal might be useful for younger children, a 9-year-old is more likely to benefit from a visual aid that is more aligned with their cognitive and developmental level. Simple diagrams or pictures would be more appropriate for this age group.
C. Provide teaching immediately before the procedure. It is more effective to provide teaching well before the procedure to allow the child time to process and ask questions. Immediate preoperative teaching might lead to increased anxiety and may not allow enough time for the child to fully understand.
D. Discuss the benefits of the procedure. While it is important to acknowledge the purpose of the procedure, focusing on the benefits alone might not address the child's concerns and anxieties about the procedure. Explaining the procedure in a straightforward and understandable manner, without overemphasizing the benefits, is usually more effective in reducing anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Ask her if she is ready to eat her sandwich for lunch." Asking if the child is ready to eat might increase resistance, as toddlers often assert their autonomy by saying "no." This does not provide an option that would allow the toddler to make a choice.
B. "Ask her if she would like to have her favorite sandwich for lunch." This is a yes/no question which might lead to refusal, especially if the child is already in a stage of negativism, where they are more likely to resist being told what to do.
C. "Tell her that she may have a sandwich or soup for lunch." Offering choices between two acceptable options gives the toddler a sense of control, which can help reduce oppositional behavior. This approach aligns with the developmental stage of toddlers who are asserting independence.
D. "Tell her she is having her favorite sandwich for lunch." Telling the child what they will have to eat might lead to resistance. Providing a choice rather than making a statement gives the child more agency in their decision-making.
Correct Answer is ["C","F","G"]
Explanation
Capillary refill 4 seconds (Cardiovascular) – Indicates poor perfusion and worsening dehydration.
Extremities cool (Integumentary) – Suggests impaired circulation, potential hypovolemia.
Reports no tears (Integumentary) – Sign of severe dehydration.
Lethargic (Neurologic) – Worsening mental status, could indicate hypovolemia or electrolyte imbalance.
Heart rate 112/min – Mildly elevated but not yet critical.
Respiratory rate 26/min – Within an acceptable range for a toddler.
Hyperactive bowel sounds – Expected with diarrhea.
Diaper area reddened – Needs care but not urgent
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