Answer to Question 1
B, C, E
The developmental appropriate approaches for an adolescent include providing privacy for care and visiting, encouraging questions about appearance and the effects of illness, and encouraging peers to call and visit if the adolescent's condition can tolerate this action. The adolescent requires the use of scientific terminology and detailed explanations; answering questions with simple concrete explanations is appropriate for the preschool age. Regression occurs for the school age and younger child, but is not common in the adolescent.
Answer to Question 2
D
A familiar toy can be effective in decreasing a child's stress in an unfamiliar environment. The child will be NPO before surgery; therefore, including snacks for the child is contraindicated, however unnecessary stress will result when the child is denied the juice. It is not necessary to bring all medications on the day of surgery. The medication the child has been receiving should have been noted during the preoperative workup. The parent should be knowledgeable concerning which medications the child has been taking if further information is necessary.
NUrse
The nurse conducts the health history as the first step in the nursing assessment
The nurse cares for the postop client in the postanesthesia care unit (PACU).
To check pupillary reflexes the nurse first holds the penlight
Select of Primary and Secondary Procedures
Checklist of Developmental Skills: Birth to 5 years Cont.