A hospitalized 3-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. The most appropriate nursing diagnosis is:
1. Ineffective Individual Coping related to an invasive procedure.
2. Anxiety related to anticipated painful procedure.
3. Fear related to the unfamiliar environment.
4. Knowledge Deficient of the procedure.
2
Rationale:
1. The child's behavior is appropriate for coping in this age child.
2. This child is not old enough to understand the need for an IV infusion. The question stem indicates that the child has been through this painful procedure before, and his reaction to entering the treatment room is based on anticipation of repeat discomfort.
3. The child's fear is related not to the unfamiliar environment but to the anticipated pain of the IV stick.
4. The question stem indicates that the child has been through this before, so Knowledge Deficient is not the most appropriate diagnosis.
You might also like to view...
A nurse is caring for a client who has a tracheostomy tube. What actions may the nurse delegate to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Applying water-soluble lip balm to the client's lips b. Ensuring the humidification provided is adequate c. Performing oral care with alcohol-based mouthwash d. Reminding the client to cough and deep breathe often e. Suctioning excess secretions through the tracheostomy
A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:
a. use extensive self-disclosure in patient interactions. b. encourage dependence on the nurse for support and reassurance. c. consistently make interpretive judgments about the patient's behavior. d. be aware of own feelings and use congruent communication strategies.
Mrs Tagaloa is at potential risk for unintentionally retained surgical items. What factors contribute to her being at additional risk, and what can be done to prevent harm?
Mrs Lanuola Tagaloa is a 54-year-old Samoan woman who has lived in Australia for the past 15 years. She was admitted on the day of surgery for an elective vaginal hysterectomy with anterior/posterior colporrhaphy. She has a history of asthma and has type 2 diabetes mellitus (diagnosed at 42 years of age). Mrs Tagaloa has a history of grand multipara. She has a BMI of 30+ and falls into the obese category, but appears otherwise fit and well. She lives at home with her extended family and is responsible for the care of her mother and school-aged children. The admissions nurse informs you that Mrs Tagaloa is very softly spoken and did not maintain eye contact. She was accompanied by a female family member and overheard to be conversing in her native language. What will be an ideal response?
The incidence of mental retardation in the school-aged population is ____________________% in school-aged children
Fill in the blank(s) with correct word