A nurse is working with a student in the pediatric intensive care unit. The student reports that a 3-year-old patient looks very anxious, and the parents report that this behavior is not normal for her and she seems disoriented
Which action suggested by the registered nurse is the most appropriate?
A.
Assess the child for sensory overload.
B.
Encourage the child to take a short nap.
C.
Have the parents leave for a short break.
D.
Plan age-appropriate diversionary activities.
ANS: A
Sensory overload is a common finding in the pediatric intensive care unit. Manifestations of this finding include lethargy, behavioral changes, disorientation, panic, withdrawal, hallucinations, fear, and anxiety. The student (and nurse) should assess the child for sensory overload. Regular sleep-wake cycles can help diminish stress, but a short nap would not alleviate these symptoms. Having the parents leave is not consistent with family-centered care. Diversionary activities are always appropriate for hospitalized children, but, again, will not diminish the symptoms.
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