A child diagnosed with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. Which nursing interventions are appropriate for this child?
1. Place a continuous-pulse oximetry monitor on the child.
2. Place the child in a room near the nurse's station.
3. Allow for several visitors to remain at the child's bedside.
4. Use soft restraints if the child becomes confused.
5. Use sedation around the clock to decrease agitation.
Correct Answer: 1,2
Rationale: When a child is sedated, respiratory status should be monitored with a pulse-oximetry machine. The child should be close to the nurse's station so that frequent monitoring can be done. Several visitors at the bedside would increase the child's anxiety. Soft restraints may increase agitation. Sedation around the clock is not recommended due to the need to evaluate the neurologic system.
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