Kaylee has had her surgery and needs to have a dressing change. You expect that this procedure may be both painful and frightening to the child. This procedure should be performed:
a. In the patient's room, because the surroundings are familiar
b. In the treatment room, so she will associate positive feelings with her patient room
c. In the playroom, so she will be distracted by the other children playing
d. None of the above
B
Painful and frightening procedures are accomplished in the treatment room. The child needs to feel safe and secure in the patient room. Performing the procedure in front of other children is inappropriate.
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A pediatrician orders Russell traction for a 12-year-old patient with Legg-Calvé-Perthes disease. Which interventions are appropriate for the nurse to include in the care plan for this patient? (Select all that apply.)
A. Bony areas are massaged frequently. B. Child is lying in a supine position. C. Hip is flexed and abducted. D. Skin is inspected every 12 hours. E. The child uses a trapeze to move.
The nurse is reviewing medications that have been proven effective for weight loss. Which medications does the nurse identify as being removed from the market due to safety concerns?
Standard Text: Select all that apply. 1. Amphetamine and dextroamphetamine (Dexedrine) 2. Orlistat (Alli) 3. Fenfluramine and phentermine (Fen-Phen) 4. Ephedra alkaloids 5. Sibutramine (Meridia)
The nurse is caring for an 8-year-old boy who has chronic epilepsy. What would be most important to address when teaching the child and parents about living with this condition?
A) Multiple corrective surgeries to slowly remove diseased parts of his brain B) Physical, occupational, and speech therapy to maximize his potential C) Support for maintaining self-esteem because of his altered lifestyle D) Hyperventilation therapy to counteract the periods of decreased oxygenation
The nurse is providing support to parents at the time their child is diagnosed with chronic disabilities. The nurse notices that the parents keep asking the same questions. The nurse should:
a. Patiently continue to answer questions. b. Kindly refer them to someone else to answer their questions. c. Recognize that some parents cannot understand explanations. d. Suggest that they ask their questions when they are not upset.