A 12-year-old child diagnosed with cancer is hospitalized for the first time. Considering many children in this age group possess a fear of hospitals, what strategies will the nurse use to help the child during hospitalization? Select all that apply
a. Encourage visits from outside friends
b. Ask the parents to bring in personal items from home
c. Maintain a strict daily routine to keep the child focused
d. Decrease parent involvement with the child's care
A, B
Hospitalized children may fear the unknown, the strange environment, and strange professionals. They report missing the comforts of home, their mother's cooking, their own room, and so on. They are bothered by separations from family and friends and by the loss of control over their personal needs. The nurse can help by maximizing their contact with outside friends and school. Offer children choices when possible to restore some sense of control. For example, allow them to choose meal preferences or time of bathing. Encourage parents to bring familiar items from home to personalize their space. Involve parents in their care as much as possible and provide the parents with accurate information so they can relieve the child's anxieties.
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The nurse will plan to teach a 34-year-old patient diagnosed with stage 0 cervical cancer about
a. radiation. b. conization. c. chemotherapy. d. radical hysterectomy.
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1. Pulling the privacy curtain during a bed bath 2. Using a sheet to cover a patient during a bath 3. Encouraging the patient to wear pajamas from home 4. Allowing the patient to wear his own underwear 5. Providing the patient with a second gown to wear backward
Which pediatric client diagnoses necessitate close monitoring for respiratory acidosis? Select all that apply
1. Aspiration 2. Epiglottitis 3. Sepsis 4. Meningitis 5. Cystic fibrosis