A 13-year-old child with cystic fibrosis (CF) is a frequent patient on the pediatric unit. This admission, she is sleeping during the daytime and unable to sleep at night. What should be a beneficial strategy for this child?
a. Administer prescribed sedative at night to aid in sleep.
b. Negotiate a daily schedule that incorporates hospital routine, therapy, and free time.
c. Have the practitioner speak with the child about the need for rest when receiving therapy for CF.
d. Arrange a consult with the social worker to determine whether issues at home are interfering with her care.
ANS: B
Children's response to the disruption of routine during hospitalization is demonstrated in eating, sleeping, and other activities of daily living. The lack of structure is allowing the child to sleep during the day, rather than at night. Most likely the lack of schedule is the problem. The nurse and child can plan a schedule that incorporates all necessary activities, including medications, mealtimes, homework, and patient care procedures. The schedule can then be posted so the child has a ready reference. Sedatives are not usually used with children. The child has a chronic illness and most likely knows the importance of rest. The parents and child can be questioned about changes at home since the last hospitalization.
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