A 6-year-old child is admitted after being in a fire at school. The physician plans to perform a bronchoscopy to assess for airway damage. Which nursing action is the priority for this child?
A.
Document any teaching done in the child's chart.
B.
Let the child perform the procedure on a doll.
C.
Obtain written consent from the parent/guardian.
D.
Tell the child he or she won't remember the procedure.
ANS: C
For this invasive procedure, written consent is required. Documenting teaching is important, but does not take priority. Allowing the child to simulate the bronchoscopy with a doll with help alleviate fears, but again does not take priority. Telling the child that he or she will not remember the procedure is false reassurance and may not end up being true, causing the child to lose trust in the nurse.
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