Which intervention should be implemented for a school-age client admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident?
Keep alarm levels low.
Keep the lights dimmed at night.
Encourage the same nurses to take care of the patient on consecutive days.
Facilitate visits from school friends.
The Correct Answer is C
Choice A reason: Keeping alarm levels low is important to reduce stress and promote a healing environment, but it is not the most impactful intervention for personalized care.
Choice B reason: Dimming the lights at night helps maintain a normal sleep-wake cycle, which is beneficial but not as specific to the client's individual needs as continuity of care.
Choice C reason: Having the same nurses care for the patient on consecutive days can provide consistency and build trust, which is especially important for a child in critical condition.
Choice D reason: While visits from school friends can be uplifting, they may not be feasible or appropriate for a client in critical condition in the PICU. The priority is ensuring stable and consistent care.
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Correct Answer is D
Explanation
Choice A reason: Administering a bolus of D10W is not the first-line treatment for severe dehydration and may not address the immediate fluid needs of the infant.
Choice B reason: Offering an oral rehydration solution is not appropriate for an infant with severe dehydration and a compromised ability to hold down fluids.
Choice C reason: Administering a bolus of hypertonic saline is not typically the initial treatment for dehydration and could potentially worsen the infant's condition.
Choice D reason: This is the correct choice. Administering a bolus of normal saline is the immediate action to treat severe dehydration and restore circulatory volume.
Correct Answer is A
Explanation
Choice A reason: School-age children, typically around the ages of 6 to 12, begin to grasp the finality and irreversibility of death. They understand that death is universal and affects all living things.
Choice B reason: Preschool-age children may have some concept of death, but they often view it as reversible or temporary, not fully understanding its permanence.
Choice C reason: Toddlers are too young to comprehend the concept of death, as their cognitive development at this stage does not allow for such abstract thinking.
Choice D reason: While adolescents certainly understand the permanence of death, this awareness develops earlier, during the school-age years. Adolescents may begin to explore more complex philosophical and existential questions about life and death.
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