A nursing manager wants to decrease the amount of stress children ...

[TVarnum]

A nursing manager wants to decrease the amount of stress children have during hospitalization. What environmental change can the manager implement to best meet this goal?
 
  A.
  Create a treatment room for procedures.
  B.
  Have dim lighting installed in patient rooms.
  C.
  Keep the play area unlocked and open at all hours.
  D.
  Provide guest trays for parents staying in the room.

Question 2

A child is in the clinic to follow up on a blood lead level of 7 g/dL. What action by the nurse is best?
 
  A.
  Call social work or Child Protective Services to evaluate home safety.
  B.
  Instruct parents to have the child re-tested at the beginning of the school year.
  C.
  Reassure parents that this is below the threshold for lead poisoning.
  D.
  Teach parents to wet-mop surfaces instead of vacuuming the house.

[SVictor]

Answer to Question 1

ANS: A
One way to decrease the stress of hospitalization for children is to make the child's room a safe place where painful and frightening treatments and procedures do not occur. The manager should create a treatment room on the unit. Dim lighting might be peaceful and lead to better rest, but is not the best answer, nor is providing guest trays. Play areas for younger children especially should be kept secure for patient safety.

Answer to Question 2

ANS: D
The CDC has set the upper limit for blood lead at 5 g/dL. This child's level is higher, and the child may need specific treatment. The parents will have to be taught ways to eliminate lead in the house. One suggestion is to wet-mop surfaces instead of vacuuming, because the vacuum spreads lead dust. Calling social work or Child Protective Services at this point is premature. The parents need to take some sort of action now, and not just have the child tested at a later date.

[TVarnum]

Excellent

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