The nurse is notified that a 9-year-old boy with nephrotic ...

[bobbysung]

The nurse is notified that a 9-year-old boy with nephrotic syndrome is being admitted. Only semiprivate rooms are available. What roommate should be best to select?
 
  a. A 10-year-old girl with pneumonia
  b. An 8-year-old boy with a fractured femur
  c. A 10-year-old boy with a ruptured appendix
  d. A 9-year-old girl with congenital heart disease

Question 2

The nurse is admitting a 7-year-old child to the pediatric unit for abdominal pain. To determine what the child understands about the reason for hospitalization, what should the nurse do?
 
  a. Find out what the parents have told the child.
  b. Review the note from the admitting practitioner.
  c. Ask the child why he came to the hospital today.
  d. Question the parents about why they brought the child to the hospital.

[enass]

Answer to Question 1

ANS: B
An 8-year-old boy with a fractured femur would be the best choice for a roommate. The boys are similar in age. The child with nephrotic syndrome most likely will be on immunosuppressive agents and susceptible to infection. The child with a fractured femur is not infectious. A girl should not be a good roommate for a school-age boy. In addition, the 10-year-old girl with pneumonia and the 10-year-old boy with a ruptured appendix have infections and could pose a risk for the child with nephrotic syndrome.

Answer to Question 2

ANS: C
School-age children are able to answer questions. The only way for the nurse to know about the child's understanding of the reason for hospitalization is to ask the child directly. Finding out what the parents told the child and why they brought the child to the hospital or reading the admitting practitioner's description of the reason for admission will not provide information about what the child has heard and retained.