A toddler who has just been admitted to the pediatric unit is ...

[cagreen833]

A toddler who has just been admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point.
 
  The nurse needs to start an IV, and the parent asks, Will this be painful to my child? In practicing veracity, the nurse responds: 1. I won't lie to you. It may be easier for you if you step out until we get the line in..
   2. It will hurt, so be ready to hold the child..
   3. It shouldn't be too bad, and I'll be quick..
   4. We do this all the time, so don't worry..

Question 2

Which of the following interventions would be appropriate for a client with the nursing diagnosis of excess fluid volume?
 
  1. Assess respiratory status and lung sounds every 4 hours and prn
   2. Provide oxygen as prescribed
   3. Monitor brain natriuretic peptide (BNP) level
   4. Provide information about activity upon discharge

[stanleka1]

Answer to Question 1

1. I won't lie to you. It may be easier for you if you step out until we get the line in..

Rationale:
Veracity refers to telling the truth. Even though telling the truth may frighten the parent, starting an IV on a frightened, scared, ill child is a difficult task. Because of the developmental stage, the child will not understand an explanation by the nurse. Being honest to the parent will help the nurse gain trust and will outweigh any benefits that may be gained by downplaying the situation. Telling the parents that it will hurt and that they need to hold the child without giving them a choice is not appropriate; many parents do not want to participate in activities that cause pain to their child. The nurse does not know how bad it will be, and telling the parent not to worry is pointless.

Answer to Question 2

1. Assess respiratory status and lung sounds every 4 hours and prn

Rationale:
Interventions appropriate for the nursing diagnosis of excess fluid volume include assessing respiratory status and lung sounds every 4 hours and prn. Providing oxygen and monitoring BNP level are intervention appropriate for the diagnosis of decreased cardiac output. Providing information about activity upon discharge would be appropriate for the nursing diagnosis of activity intolerance.

[cagreen833]

Thank you!

[stanleka1]

Always glad to help...