The nurse is caring for an 11-year-old girl preparing to undergo ...

[james0929]

The nurse is caring for an 11-year-old girl preparing to undergo an MRI. Which of the following statements would best prepare the girl for the test and decrease anxiety?
 
  A) You won't hear a sound if you wear your headphones.
  B) The machine makes a very loud rattle, but the headphones will help.
  C) There are a variety of loud sounds you will hear.
  D) The MRI scanner sounds like a machine gun.

Question 2

The nurse is caring for a 9-year-old boy who is having chemotherapy. Which of the following is least important as a dietary strategy?
 
  A) Emphasizing grains, fruits, and vegetables
  B) Including high-fiber foods if opioids are being taken
  C) Concentrating on high-calorie shakes and puddings
  D) Avoiding milk products if diarrhea is a problem

[isabelt_18]

Answer to Question 1

B
Response:
The nurse should acknowledge that an MRI is loud and briefly describe the noises the machine makes. Then, the nurse should immediately offer a solution: headphones. Telling the girl she won't hear a sound is untrue. Telling the child that there are loud sounds isn't enough and could increase her anxiety. Comparing the MRI scanner to the sounds of a machine gun is not appropriate imagery for a child.

Answer to Question 2

C
Response:
Providing high-calorie shakes and puddings with diet restrictions can help with weight gain if that is a problem, but this is not a good strategy. It is best to provide a balanced diet, emphasizing grains, fruits, and vegetables. If pain is being treated with opioid analgesics, including high-fiber foods is important to help relieve constipation. Avoiding milk products is a good idea if diarrhea is a problem because lactose can make diarrhea worse.