Author Question: A 6-year-old child is in the pediatric intensive-care unit (PICU) with a fractured femur and head ... (Read 69 times)

HudsonKB16 · **on:** Jun 27, 2018

A 6-year-old child is in the pediatric intensive-care unit (PICU) with a fractured femur and head trauma.

The child was not wearing a helmet while riding his new bicycle on the highway and collided with a car. The nurse may expect which of the following nursing diagnoses with parents of this child?
(Select all that apply.)
1. Guilt related to lack of childsupervision and safety precautions
2. Family Coping:Compromised,relatedto the critical injury of the child
3. Parental Role Conflict related tochild's injuries and PICU policies
4. Knowledge Deficit related to homecare of fractured femur
5. Anger related to feelings ofhelplessness

Question 2

The nurse caring for a child who is sedated,unconscious,and on a mechanical ventilator can expect to include which of the following nursing interventions in the nursing care plan?

1. Active range of motion (ROM) exercises
2. Maintenance of intravenous (IV) hydration
3. Out-of-bed transfer to wheelchair
4. Whirlpool baths

Anonymous · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1,2,3,5
Rationale: All of these nursing diagnoses except Knowledge Deficit are possible in this situation. Although planning for discharge begins with admission,it is too early to begin teaching the parents about home care. The astute and experienced PICU nurse is prepared to recognize current problems and intervene appropriately.

Answer to Question 2

Answer:2
Rationale: The child who is unconscious is unable to take anything by mouth and thus will need IV therapy for hydration. The nurse may perform passive ROM exercises on the child,but the child is incapable of doing active ROM exercises. The child would not be permitted to be transferred to a wheelchair nor take whirlpool baths.