A 6-year-old child is in the pediatric intensive-care unit (PICU) with a fractured femur and head trauma
The child was not wearing a helmet while riding his new bicycle on the highway and collided with a car. The nurse may expect which of the following nursing diagnoses with parents of this child?
(Select all that apply.)
1. Guilt related to lack of childsupervision and safety precautions
2. Family Coping:Compromised,relatedto the critical injury of the child
3. Parental Role Conflict related tochild's injuries and PICU policies
4. Knowledge Deficit related to homecare of fractured femur
5. Anger related to feelings ofhelplessness
Answer:1,2,3,5
Rationale: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission,it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.
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