The nurse is caring for a patient who is 4 years old and in isolation. Which approach should the nurse implement to reduce the patient's anxiety?
a. Put the child in a room with a locked door.
b. Ask the parents to keep the child in the room.
c. Explain isolation to the child by using a cartoon.
d. Put the mask, gown, and gloves on in view of the child.
D
The nurse should let the child see her face before putting on the mask so the child knows who is behind the mask and is not frightened. The nurse could even bring a mask for the child to play with in the nurse's presence to reduce anxiety. The nurse should explain isolation to the child and use educational material suitable to the patient's developmental level. However, the child is unlikely to grasp the meaning and implications of isolation, necessitating repeated explanations and guidance. Although the nurse may ask for the parents' help in keeping the child in the room, the nurse retains the responsibility for maintaining transmission precautions and the child's safety. Locking the door is a restraint and puts the child at risk in an emergency.
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