Which should the nurse take into consideration when working with ...

[K@]

Which should the nurse take into consideration when working with families in a home?
 
  1. Family member preferences for involvement in the care of the child
  2. The size of the child's room for therapy
  3. Ensuring that both parents participate in the care of the child
  4. Training all members of the family to take part in the child's care

Question 2

The nurse is caring for an 8-year-old child who has been in a car accident, has a head injury, and is in the ICU. The nurse sees the child pulling on the IV line. What action should the nurse take?
 
  1. Place soft wrist restraints on the child.
   2. Sedate the child as needed.
   3. Ask the parents to watch the child closely at all times.
   4. Tell the child not to pull on the IV line.

[Eunice618]

Answer to Question 1

1
Rationale:
1. When working with families in the home, make sure that house rules are negotiated. Be sure to discuss guidelines for the expected behavior and role of the nurse, as well as the family's preferences for involvement in the care of the child.
2. The size of the child's room has no bearing on the child's care as given by the family members.
3. It is not necessary for both parents to participate in the care of the child. It must be an individual family's decision based on what is best for the family and the particular child.
4. Training all members to particpate in the care of the child might be inappropriate based each member's age, abilities, and deverlopmental stage.

Answer to Question 2

1
Rationale:
1. Children might interfere with treatment by pulling or removing medical devices; this could necessitate restraints.
2. Due to the head injury, it is not feasible to sedate the child.
3. It is not feasible for the parents to watch the child at all times.
4. The child might not understand what the nurse is trying to convey.
Rationale:
1. Children may interfere with treatment by pulling or removing medical devices; this may necessitate the need for restraints.
2. Due to the head injury it is not feasible to sedate the child.
3. It is not feasible for the parents to watch the child at all times.
4. The child may not understand what the nurse is trying to convey.

[K@]

Gracias!

[miss.ashley]

Excellent