A 5-year-old is being discharged from the outpatient surgical ...

[jman1234]

A 5-year-old is being discharged from the outpatient surgical center. Which statement by the parent would indicate the need for further teaching?
 
  1. I can expect my child to have some pain for the next few days.
   2. I will plan to give my child pain medicine around the clock for the next day or so.
   3. Since my child just had surgery today, I can expect the pain level to be higher tomorrow.
   4. I will call the office tomorrow if the pain medicine is not relieving the pain.

Question 2

A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child?
 
  1. Wear kneepads, elbow pads, and a helmet while bicycling.
  2. Consider a swim club instead of the bicycling club.
  3. Do not join the club.
  4. Participate only in the social activities of the club.

[epscape]

Answer to Question 1

3
Rationale:
1. The child is expected to have some pain for a few days after surgery.
2. The child should receive pain medication on a scheduled basis.
3. Increasing pain can be a sign of complication, and should be reported to the physician; therefore, the nurse should clarify expectations for pain control.
4. If prescribed medication is not relieving the pain to a satisfactory level, the physician should be notified.

Answer to Question 2

1
Rationale 1: Children with hemophilia should be encouraged to participate in non-contact sports activities. Bicycling is an excellent option, and is recommended, along with swimming. However, the child should always use kneepads, elbow pads, and a helmet when participating in any physical sport.
Rationale 2: Biking is an acceptable sport as long as protective equipment is worn, and the child should be encouraged to make choices when possible.
Rationale 3: Discouraging a child from joining a club would not foster growth and development.
Rationale 4: Participating only in the social aspects of the club would not encourage physical activity.
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