Which nursing action would be most appropriate to assist a preschool-age child in coping with the emergency department experience?
a. Explain the procedures and give the child some time to prepare.
b. Remind the child that she is a big girl.
c. Avoid the use of bandages.
d. Use positive terms and avoid terms such as "shot" and "cut.".
D
Using positive terms and avoiding words that have frightening connotations assist the child in coping. Preschool-age children should be told about procedures immediately before they are done. Time to prepare only allows time for fantasies and increased anxiety. Children should not be shamed into cooperation. Bandages are important to preschool-aged children. Children in this age group believe that their insides can leak out and that bandages stop this from happening.
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Your patient has just been told that her illness is terminal. The patient states, "I can't believe I am going to die. Why me?" What is your best response?
A) "I know how you are feeling." B) "You have lived a long life." C) "This must be very difficult for you." D) "Life can be so unfair."
An 86-year-old client asks the nurse why cancer affects mostly the elderly. An accurate response would be:
A) "The elderly have more oncogenes." B) "It may take 10 to 20 years after damage to the DNA for the cancer to appear." C) "The cells of the elderly are more fragile and more susceptible to cancer." D) "The elderly have a longer time to be affected by all carcinogens."
A patient who received an oral dose of procainamide immediate release an hour ago at 9:00 a.m. is now prescribed to receive an oral dose of disopyramide. When is the earliest you should give the disopyramide?
a. Immediately b. 12:00 noon c. 3:00 p.m. d. 9:00 p.m.
When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is to teach feeding with which of the following types of equipment?
a. spoon c. Asepto syringe with a rubber tip b. "sippy" cup d. special straw for drawing fluid up