What preparation should the nurse consider when educating a school-age child and the family for heart surgery?
a. Unfamiliar equipment should not be shown.
b. Let the child hear the sounds of a cardiac monitor, including alarms.
c. Explain that an endotracheal tube will not be needed if the surgery goes well.
d. Discussion of postoperative discomfort and interventions is not necessary before the procedure.
ANS: B
The child and family should be exposed to the sights and sounds of the intensive care unit (ICU). All positive, nonfrightening aspects of the environment are emphasized. The family and child should make the decision about a tour of the unit if it is an option. The child should be shown unfamiliar equipment and its use demonstrated on a doll. Carefully prepare the child for the postoperative experience, including intravenous lines, incision, endotracheal tube, expected discomfort, and management strategies.
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