The nurse is caring for a 3-year-old client on the pediatric unit who was in an automobile accident. The client's mother was killed in the accident and the client has just been told. How should the nurse expect the client to react to this information?
A) The client will ask if mommy will cook her favorite meal when she wakes up.
B) The client will cry and be depressed.
C) The client will ask for her toys and ignore what has been said.
D) The client will react with anger and may be violent.
Answer: A
The 3-year-old client generally thinks of death as being sleep, and with that level of understanding, it would be reasonable to ask for her mother to make her a meal upon waking. This is a normal reaction of a child of this age. The child will not appear to show grief or become angry because the child thinks the mother is sleeping. Neither would the child ignore what has been said about her mother.
You might also like to view...
A child is receiving chemotherapy induction for acute lymphocytic leukemia (ALL). Taking common side effects into consideration, which nursing diagnoses would be appropriate during the induction chemotherapy? Select all that apply
1. Risk for infection 2. Skin Integrity: Impaired mucous membrane 3. Injury, risk for: hemorrhagic cystitis 4. Fluid and electrolyte Impairment: Nausea and vomiting 5. Impaired sleep pattern 6. Patterns of Elimination, Altered: diarrhea
You are the nurse caring for a postsurgical patient who is Asian-American who speaks very little English. How should you most accurately assess this patient's pain?
A) Use a chart with English on one side of the page and the patient's native language on the other so he can rate his pain. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. C) Use the Visual Analog Scale (VAS). D) Use the services of a translator each time you assess the patient so you can document the patient's pain rating.
The nurse is caring for a child after cardiac surgery. What interventions should the nurse implement with regard to chest tubes placed to a water-seal drainage system? (Select all that apply.)
a. Maintain sterility. b. Check for tube patency. c. Do not interrupt the water-seal drainage system. d. Clamp the chest tube when ambulating the child. e. Measure the drainage by emptying the collection chamber every shift.
A 17-year-old girl comes into the emergency department complaining of a memory gap of the previous night
She says she only had one drink but felt dizzy and disoriented. She woke up in a friend's bed but has no recollection of getting there. What action should the nurse take first? A) Call Social Services to counsel her about blackouts related to alcohol abuse B) Call Neurology so they can see her to rule out a neurologic impairment C) Have the patient call her parents to get their permission to treat and counsel her D) Complete a rape kit in case she has been abused while under the influence of Rohypnol