The nurse is admitting a 10-year-old for surgery. What action should the nurse prioritize when caring for this child?
Offer to help with bathing.
Answer questions regarding pain.
Encourage family caregivers to stay with the child.
Avoid prolonged discussions about the child’s anxiety.
The Correct Answer is C
Choice A reason: Offering bathing assistance is supportive but less critical than family presence, which reduces stress for a 10-year-old facing surgery. Caregiver support addresses emotional needs, making this secondary and incorrect compared to prioritizing family involvement during the child’s hospital admission for surgery.
Choice B reason: Answering pain questions is important but secondary to family presence, which provides ongoing comfort for a 10-year-old. Caregiver support is foundational for emotional stability, making this less urgent and incorrect compared to encouraging family to stay during the surgical admission.
Choice C reason: Encouraging family caregivers to stay provides emotional security for a 10-year-old facing surgery, reducing anxiety and enhancing coping. This aligns with pediatric perioperative care principles, making it the prioritized action to support the child’s well-being during the hospital admission process.
Choice D reason: Avoiding prolonged anxiety discussions prevents fixation but doesn’t address emotional needs like family presence, which offers continuous support. Caregiver presence is more impactful, making this less proactive and incorrect for the nurse’s priority in caring for the 10-year-old during surgery admission.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Placing the probe on the chest is not a standard pulse oximetry site and gives inaccurate readings. Explaining the device’s purpose addresses the caregiver’s concern, making this ineffective and incorrect compared to educating about the sensor’s role in monitoring the infant’s oxygen levels.
Choice B reason: Pulse oximetry measures oxygen saturation, not respiratory retractions, which are observed visually. Clarifying its purpose reassures the caregiver, making this inaccurate and incorrect compared to explaining the device’s function to address concerns about the sensor’s use on the infant.
Choice C reason: Explaining that pulse oximetry measures oxygen saturation clarifies its importance, reassuring the caregiver about its necessity and addressing tightness concerns. This aligns with pediatric nursing education principles, making it the prioritized response to ensure compliance with monitoring the infant’s respiratory status.
Choice D reason: Checking the probe site every 8 hours prevents skin issues but doesn’t address the caregiver’s concern about tightness. Explaining the device’s purpose promotes understanding, making this secondary and incorrect compared to educating to maintain the sensor’s use on the infant.
Correct Answer is D
Explanation
Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.
Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.
Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.
Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.
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