The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

Showing the child pictures of the heart and the surgical repair

Allowing the child to view a cartoon video of the procedure

Using a doll with a sternal incision and dressing to explain post-surgical care

Avoiding the mention of post-operative discomfort and interventions

Answer and Explanation

The Correct Answer is C

A. Showing pictures may not be as effective for a 4-year-old to understand the procedure and what to expect.
B. A cartoon video may not accurately depict the procedure and could create unrealistic expectations.
C. Using a doll with a sternal incision and dressing helps the child visualize and understand what will happen, making the experience less frightening.
D. Avoiding the mention of post-operative discomfort and interventions can lead to mistrust and anxiety; it's important to provide age-appropriate explanations.

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Correct Answer is C

Explanation

A. A basic metabolic panel is a blood test that measures various substances in the blood, but it is not used to determine the extent of tumor metastasis.
B. A lumbar puncture can be used to detect cancer cells in the cerebrospinal fluid, but it does not provide a full picture of metastasis.
C. A head CT (computed tomography) scan is a valuable imaging test that can help determine the extent of tumor metastasis, particularly to the brain or skull.
D. A biopsy is used to diagnose the type of tumor but is not typically used to determine the extent of metastasis on its own.

A. "Baseball cannot be adapted and it is best if he does not participate." B. "Could you try enrolling him in a music or arts based activity?" C. "Would you like to talk about your decision and discuss alternatives?" D. “That was a good choice. I'm sure he is upset that he cannot play baseball anymore.”

Correct Answer is C

Explanation

A. This response is not supportive and does not consider adaptive sports opportunities that may be available.
B. Suggesting a different activity might be helpful, but it does not address the parents' feelings or provide support for their decision.
C. Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
D. This response does not support the parents' emotional needs or explore other possibilities for the child to stay active.

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The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

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A 2-year-old child is diagnosed with neuroblastoma. The nurse understands that which of the following tests help to determine the extent of tumor metastasis?

Correct Answer is C

Explanation

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

Correct Answer is C

Explanation

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