A child with a mild traumatic brain injury is being sedated with a mild sedative so that pain and anxiety are minimized. The nurse should (Select all that apply.)
1. place a continuous-pulse oximetrymonitor on the child.
2. place the child in a room near thenurse's station.
3. allow for several visitors to remain atthe child's bedside.
4. use soft restraints if the childbecomes confused.
5. use sedation around the clock todecrease agitation.
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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