A 6-year-old child is hospitalized for intravenous (IV) ...

[TVarnum]

A 6-year-old child is hospitalized for intravenous (IV) antibiotic therapy. He eats little on his regular diet trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. Which is the best nursing action?
 
  a. Request these favorite foods for him.
  b. Identify healthier food choices that he likes.
  c. Explain that he needs fruits and vegetables.
  d. Reward him with ice cream at the end of every meal that he eats.

Question 2

What is critical information for the nurse to incorporate into her care when using restraints on a child?
 
  a. Use the least restrictive type of restraint.
  b. Tie knots securely so they cannot be untied easily.
  c. Secure the ties to the mattress or side rails.
  d. Remove restraints every 4 hours to assess skin.

[SamMuagrove]

Answer to Question 1

ANS: A
Loss of appetite is a symptom common to most childhood illnesses. To encourage adequate nutrition, favorite foods should be requested for the child. These foods provide nutrition and can be supplemented with additional fruits and vegetables. Ice cream and other desserts should not be used as rewards or punishment.

Answer to Question 2

ANS: A
When restraints are necessary, the nurse should institute the least restrictive type of restraint. Knots must be tied so that they can be easily undone for quick access to the child. The ties are never tied to the mattress or side rails. They should be secured to a stable device, such as the bed frame. Restraints are removed every 2 hours to allow for range of motion, position changes, and assessment of skin integrity.

[TVarnum]

Excellent

[ktidd]

TYSM