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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be given just before the child goes to sleep the night before the surgery.

A sedative to be given three to four hours before surgery and an analgesic-atropine mixture given one to two hours before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be sent to the operating room with the child.

Answer and Explanation

The Correct Answer is A

Choice A reason: A sedative 1.5-2 hours pre-surgery reduces anxiety, and an analgesic-atropine mixture just before leaving minimizes pain and secretions. This timing aligns with pediatric preoperative protocols, making it the correct anticipation for administering medications to prepare the child for surgery effectively.

Choice B reason: Giving medications the night before surgery is too early for preoperative effects like sedation or secretion control. The correct timing is closer to surgery, making this incorrect, as it does not align with standard preoperative medication administration for a child undergoing surgery.

Choice C reason: A sedative 3-4 hours before surgery is too early, reducing effectiveness, and the analgesic-atropine timing is suboptimal. The 1.5-2-hour sedative window is standard, making this incorrect compared to the precise timing needed for preoperative medications in pediatric surgical care.

Choice D reason: Sending medications to the operating room delays administration, risking inadequate preoperative sedation or secretion control. Administering at specific pre-surgery intervals is standard, making this incorrect compared to the timed delivery of sedative and analgesic-atropine for the child’s surgical preparation.

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Correct Answer is A

Explanation

Choice A reason: Wearing personal clothes, connecting with friends, and interacting with peers with similar illnesses fosters normalcy and emotional well-being in a 12-year-old. This aligns with pediatric psychosocial care for chronic illness, making it the correct action to help the preteen thrive during hospitalization.

Choice B reason: Making all decisions excludes the 12-year-old from care involvement, undermining autonomy and coping. Encouraging personal expression and peer connection supports thriving, making this disempowering and incorrect compared to fostering independence and emotional health in a chronically ill preteen in the hospital.

Choice C reason: Focusing on limitations discourages confidence and resilience, hindering a 12-year-old’s adaptation to chronic illness. Promoting normalcy through clothes and social interaction is more supportive, making this negative and incorrect for helping the preteen thrive during their hospital stay with a chronic condition.

Choice D reason: Strict behavioral rules may provide structure but do not address emotional and social needs like personal expression and peer support. Encouraging normalcy fosters thriving, making this less impactful and incorrect compared to actions promoting psychosocial well-being in a hospitalized 12-year-old with chronic illness.

A. Find a Little League team that encourages participation of kids at all disability levels. B. Modify family activities so they are more sedentary for the child. C. Find an art class that will allow the child to participate without physical exertion. D. Teach the child at home so that the child does not feel overly different.

Correct Answer is C

Explanation

Choice A reason: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.

Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.

Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.

Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.

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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is working with a 12-year-old who is hospitalized with a chronic illness. Which action by the nurse might help the chronically ill preteen thrive while hospitalized?

Correct Answer is A

Explanation

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

Correct Answer is C

Explanation

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A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child?

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