Which should the nurse consider when preparing a school-age child and the family for heart surgery?

Let the child hear the sounds of an ECG monitor.

Avoid mentioning postoperative discomfort and interventions.

Explain that an endotracheal tube will not be needed if the surgery goes well.

Unfamiliar equipment should not be shown.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Letting the child hear the sounds of an ECG monitor can help reduce anxiety and fear of the unknown. It can also help the child understand what to expect during the surgery and recovery.

Choice B reason: This is not a good choice. Avoiding mentioning postoperative discomfort and interventions can create unrealistic expectations and mistrust. The nurse should provide honest and age-appropriate information about the surgery and the possible complications and pain management.

Choice C reason: This is not a good choice. Explaining that an endotracheal tube will not be needed if the surgery goes well can imply that the surgery might not go well and cause unnecessary worry. The nurse should explain that an endotracheal tube is a common device that helps the child breathe during and after the surgery and that it will be removed as soon as possible.

Choice D reason: This is not a good choice. Unfamiliar equipment should be shown and explained to the child and the family in a simple and reassuring way. This can help them become familiar with the equipment and reduce their fear and anxiety.

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Correct Answer is C

Explanation

Choice A reason: This statement is incorrect, as ibuprofen is not recommended for infants under 6 months of age due to the risk of kidney damage and bleeding. Cool wet sponges can also cause shivering and increase the body temperature. The nurse should advise the father to avoid these methods and seek medical attention.

Choice B reason: This statement is incorrect, as acetaminophen is not enough to treat a high fever in a 2-month-old infant. The nurse should also inform the father that the normal dose of acetaminophen for infants is 10 to 15 mg/kg every 4 to 6 hours, and that he should not exceed 5 doses in 24 hours. The nurse should urge the father to take the infant to the urgent care clinic as soon as possible.

Choice C reason: This statement is correct, as a fever of 38.5°C (101.3°F) or higher in an infant under 3 months of age is considered a medical emergency and requires immediate evaluation and treatment. The nurse should explain to the father that a high fever in a young infant can indicate a serious infection, such as meningitis, sepsis, or urinary tract infection, and that the infant needs to be seen by a doctor right away.

Choice D reason: This statement is incorrect, as putting the infant in a cool bath can cause hypothermia and shock. The nurse should advise the father to avoid this method and seek medical attention.

A. A sense of hopelessness and despair are a normal part of adolescence. B. Previous suicide attempts are not an indication of risk for completed suicides. C. LGBT adolescents are at a particularly high risk for suicide. D. Problem-solving skills are of limited value to the suicidal adolescent.

Correct Answer is C

Explanation

Choice A reason: This statement is false, as a sense of hopelessness and despair are not a normal part of adolescence, but signs of depression and suicidal ideation. The nurse should educate the adolescents and their parents about the warning signs of suicide and the importance of seeking professional help.

Choice B reason: This statement is false, as previous suicide attempts are a major risk factor for completed suicides. The nurse should assess the adolescents for any history of self-harm or suicide attempts and provide them with appropriate interventions and referrals.

Choice C reason: This statement is true, as LGBT adolescents are at a particularly high risk for suicide due to the stigma, discrimination, and bullying they may face from their peers, family, and society. The nurse should provide a safe and supportive environment for the LGBT adolescents and connect them with resources and support groups.

Choice D reason: This statement is false, as problem-solving skills are of great value to the suicidal adolescent. The nurse should teach the adolescents how to cope with stress, deal with conflicts, and seek help when needed. The nurse should also help the adolescents develop positive self-esteem and resilience.

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Which should the nurse consider when preparing a school-age child and the family for heart surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The father of a 2-month-old infant calls the advice nurse saying his child has a fever of 38.5°C (101.3°F). The nurse should instruct the father to do which of the following?

Correct Answer is C

Explanation

A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?

Correct Answer is C

Explanation

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