Author Question: Which is an appropriate preoperative teaching plan for a school-age child? a. Begin preoperative ... (Read 68 times)

roselinechinyere27m · **on:** Jun 27, 2018

Which is an appropriate preoperative teaching plan for a school-age child?

a. Begin preoperative teaching the morning of surgery.
b. Schedule a tour of the hospital a few weeks before surgery.
c. Show the child books and pictures 4 days before surgery.
d. Limit teaching to 5 minutes and use simple terminology.

Question 2

What is a realistic outcome for the child with osteogenesis imperfecta?

a. The child will have a decreased number of fractures.
b. The child will demonstrate normal growth patterns.
c. The child will participate in contact sports.
d. The child will have no fractures after infancy.

tanna.moeller · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Preparatory material can be introduced to the school-age child several days (1 to 5) in advance of the event. Books, pictures, charts, and videos are appropriate. Preoperative teaching a few hours before surgery is more appropriate for the preschool child. Preparation too far in advance of the procedure can be forgotten or cause undue anxiety for an extended period of time. A very short, simple explanation of the surgery is appropriate for a younger child such as a toddler.

Answer to Question 2

A
The biochemical defect associated with osteogenesis imperfecta causes a defect in the synthesis of collagen. The abnormal collagen results in incomplete bone development, placing the child at high risk for fracturing bones. Receiving safety education and wearing protective apparatus can decrease the number of fractures. Because of incomplete bone formation, children with osteogenesis imperfecta do not have normal growth patterns. The high risk of fractures and the abnormal growth patterns do not allow for active participation in contact sports. Osteogenesis imperfecta is a life-long disease process.