Which nursing intervention is most appropriate for a school-age child with congenital heart block who codes in the emergency department (ED), while the parents witness the resuscitation scene?
Escort the parents out of the room until the child has stabilized.
Allow one parent to sit on the bed next to the child and hold their hand during the resuscitation.
Allow them to stay in the room during the resuscitation as long as they are not disturbing the resuscitation efforts.
Ask the parents to bring additional family from the waiting room to support them in the room during the resuscitation.
The Correct Answer is C
Choice A reason: Escorting the parents out of the room may increase their anxiety and distress, as they may want to be close to their child during such a critical time.
Choice B reason: Allowing one parent to sit on the bed may interfere with the medical team's efforts and is not typically recommended during active resuscitation.
Choice C reason: Allowing the parents to stay in the room can provide them with some comfort, knowing they are near their child, and may help in the grieving process if the outcome is unfavorable, as long as they do not interfere with the medical procedures.
Choice D reason: Bringing additional family members into the room during resuscitation can create a chaotic environment and may hinder the medical team's ability to work efficiently. It is better to have a controlled number of people in the room.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.
Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.
Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.
Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.
Correct Answer is A
Explanation
Choice A reason: School-age children, typically between the ages of 6 and 12, begin to understand the finality of death. They can grasp that death is irreversible and permanent, affecting all living beings.
Choice B reason: Preschool-age children often perceive death as a temporary or reversible state. They may not fully comprehend its permanence until they are older.
Choice C reason: Toddlers are too young to understand complex concepts like the permanence of death. Their cognitive development at this stage is focused on more concrete and immediate experiences.
Choice D reason: By adolescence, individuals have a clear understanding of the permanence of death, but this awareness typically develops during the school-age years. Adolescents may explore more complex ideas about life and death, but the basic understanding of permanence is already established.
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