An infant has undergone surgical repair of her myelomeningocele and is returned to the pediatric unit. Her mother tearfully says to the nurse, "I wish I could hold my baby.”. Which nursing action would be most appropriate?

Have a child life specialist explain the procedure using a doll.

Choice A rationale:

Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.

Choice B rationale:

Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.

Choice C rationale:

Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.

Choice D rationale:

Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.