Which of these approaches would be most appropriate for the nurse to use when teaching a 4-year-old patient about a scheduled surgery?
a. Give the parents a book to read about the procedure and do not discuss the procedure with the child to decrease anxiety.
b. Set boundaries before teaching by telling the child that she can ask only three questions because time is limited.
c. Insist that the parents wait outside the room to ensure privacy of the child.
d. Allow the child to touch and hold medical equipment such as thermometers and syringes.
D
Nursing interventions during the preoperational period (age 2 to 7 years) should recognize the use of play (such as handling equipment) to help the child understand the events taking place. Giving the parents a book and not involving the child is not the best option, because the nurse should explain all procedures to children and their parents. Children tend to ask a lot of questions; therefore limiting questions may increase anxiety. Parents and the child all should be involved in preoperative teaching because the parents will be the primary caregivers upon discharge.
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