Author Question: A toddler is critically injured and admitted to the pediatric intensive care unit. The child is on a ... (Read 83 times)

NClaborn · **on:** Jun 28, 2018

A toddler is critically injured and admitted to the pediatric intensive care unit. The child is on a ventilator and is sedated. The parents explain that the child is normally very active, wants to do everything himself, and is very chatty.

Which aspects of this situation would cause the greatest psychosocial impact on this child? (Select all that apply.)
A.
Activity restrictions
B.
Body image disturbances
C.
Communication barriers
D.
Loss of control
E.
Separation from peers

Question 2

The nursing faculty informs a clinical group of nursing students about the detrimental effects of excessive noise exposure to patients in the pediatric intensive care unit.

Which effects does the faculty member include in the discussion with the clinical group? (Select all that apply.)
A.
Decreased immune function
B.
Depressed pituitary function
C.
Increased gastric secretions
D.
Slower wound healing
E.
Weight loss

ririgirl15 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, C, D
Toddlers are in Erikson's stage of autonomy versus shame and doubt, and need to feel a sense of control over their physical abilities and increasing autonomy. Activity restrictions, not being able to talk while intubated, and a loss of control will all have a major impact on this child. Body image disturbances and separation from peers would have a bigger impact on an older child.

Answer to Question 2

ANS: A, C, D
Exposure to excessive noise has several detrimental physiological effects, including slower healing and recovery process, sleep disturbances, cardiovascular stimulation, increased gastric secretions, pituitary and adrenal gland stimulation, and suppression of the immune response to infection.