The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?

Give the child syringes or hospital masks to play with at home prior to hospitalization.

Include the child in play therapy with children who are hospitalized for similar surgery.

Provide a family tour of the preoperative unit one week before the surgery is scheduled.

Provide dolls and equipment to re-enact feelings associated with painful procedures.

Answer and Explanation

The Correct Answer is C

A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.

B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.

C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.

D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.

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Correct Answer is C

Explanation

A. Ensuring medications are kept in a safe place is important but may not directly impact safety in the milieu.

B. Replacing paper trash bags with biohazard bags is unnecessary unless there is a specific reason related to infection control.

C. Removing soft drink cans can prevent them from being used inappropriately (e.g., for self-harm or as weapons), contributing to a safer environment.

D. Taking the client's cellular telephone and providing a room telephone may be necessary for some clients but is not a universal safety measure.

A. A resting respiratory rate of 35 breaths/minute. B. Flaring of the nares. C. Diaphragmatic respirations. D. Bilateral bronchial breath sounds.

Correct Answer is B

Explanation

A. A respiratory rate of 35 breaths/minute can be normal for a 2-year-old, so it is not necessarily indicative of distress by itself.

B. Flaring of the nares is a sign of increased work of breathing and is an indication of respiratory distress, as the child is using accessory muscles to breathe.

C. Diaphragmatic respirations are typical for young children and not indicative of distress unless other signs are present.

D. Bilateral bronchial breath sounds do not necessarily indicate respiratory distress and could be normal depending on the context.

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The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?

Nursing Test Bank

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