Author Question: The nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac ... (Read 93 times)

lindiwe · **on:** Jun 28, 2018

The nurse is doing a prehospitalization orientation for Kayla, age 7, who is scheduled for cardiac surgery.

As part of the preparation, the nurse explains that Kayla will not be able to talk because of an endotracheal tube but that she will be able to talk when it is removed. This explanation is:
a. Unnecessary.
b. The surgeon's responsibility.
c. Too stressful for a young child.
d. An appropriate part of the child's preparation.

Question 2

Emma, age 3 years, is being admitted for about 1 week of hospitalization. Her parents tell the nurse that they are going to buy her a lot of new toys because she will be in the hospital. The nurse's reply should be based on an understanding that:

a. New toys make hospitalization easier.
b. New toys are usually better than older ones for children of this age.
c. At this age children often need the comfort and reassurance of familiar toys from home.
d. Buying new toys for a hospitalized child is a maladaptive way to cope with parental guilt.

komodo7 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
This is a necessary part of preoperative preparation that will help reduce the anxiety associated with surgery. If the child wakes and is not prepared for the inability to speak, she will be even more anxious. It is a joint responsibility of nursing, medical staff, and child life personnel. This is a necessary component of preparation that will help reduce the anxiety associated with surgery.

Answer to Question 2

ANS: C
Parents should bring favorite items from home to be with the child. Young children associate inanimate objects with significant people; they gain comfort and reassurance from these items. New toys will not serve the purpose of familiar toys and objects from home. The parents may experience some guilt as a response to the hospitalization, but there is no evidence that it is maladaptive.