A young school-age child is in the pediatric intensive-care unit (PICU) with a fractured femur and head trauma. The child was not wearing a helmet while riding his new bicycle on the highway and collided with a car
Which nursing diagnoses may be appropriate for this family?
Standard Text: Select all that apply.
1. Guilt Related to Lack of Child Supervision and Safety Precautions
2. Family Coping: Compromised, Related to the Critical Injury of the Child
3. Parental Role Conflict Related to Child's Injuries and PICU Policies
4. Knowledge Deficit Related to Home Care of Fractured Femur
5. Anger Related to Feelings of Helplessness
Correct Answer: 1,2,3,5
Rationale: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission, it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.
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