The practical nurse (PN) is planning the preoperative teaching plan for a school-age child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the PN to implement?
Provide dolls and equipment to re-enact feelings associated with painful procedures.
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.
Give the child syringes or hospital masks to play with at home prior to hospitalization.
The Correct Answer is A
A. Provide dolls and equipment to re-enact feelings associated with painful procedures: Therapeutic play helps children express and cope with anxiety.
B. Include the child in play therapy with children hospitalized for similar surgery: May help but can increase anxiety if peers share negative experiences.
C. Provide a family tour of the pre-op unit a week before surgery: Helpful but less effective for immediate anxiety relief.
D. Give child syringes or masks to play with at home before hospitalization: May help familiarity, but direct guided play with healthcare context is more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Fatigue: Common in anemia but not the most characteristic crisis symptom.
B. Infection: A complication of sickle cell disease but not the hallmark of a vaso-occlusive crisis.
C. Joint pain: Vaso-occlusion causes severe pain, often in joints, bones, or abdomen, during a sickle cell crisis.
D. Decreased hemoglobin: Present but not the primary symptom described by the client in crisis.
Correct Answer is ["B","C","E"]
Explanation
A. Removes the water pitcher from room of client on fluid restriction:
Correct practice for fluid restriction; no guidance needed.
B. Uses client's same finger when obtaining a blood drop for glucometer:
Repeated use can cause trauma/infection; rotate sites.
C. Applies disposable gown and mask as part of standard precautions:
Standard precautions require PPE only when risk of exposure exists, not routinely.
D. Maintains Fowler's position for a client with breathing difficulty:
Correct practice; supports lung expansion.
E. Positions bed in highest position before leaving all client rooms:
Unsafe; bed should be left in lowest position to prevent falls.
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