Author Question: The nurse is preparing discharge instructions for a school-age child with a tracheostomy. On what ... (Read 147 times)

nelaaney · **on:** Jun 27, 2018

The nurse is preparing discharge instructions for a school-age child with a tracheostomy. On what should the nurse focus when teaching the parents about the child's care needs at home? (Select all that apply.)

A) Performing tracheostomy care
B) Comfort level with suctioning procedure
C) Eliminate the use of room freshener sprays to reduce tracheal irritation
D) Importance of encouraging independence in the child as soon as possible
E) Obtaining a spare tracheostomy tube and inserter in the event of accidental removal

Question 2

The school nurse knows that school-age children are developing metalinguistic awareness. Which of the following is an example of this skill?

A) The child enjoys reading books.
B) The child enjoys conversations with peers.
C) The child enjoys speaking on the phone.
D) The child enjoys telling jokes.

dlook33 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, C, E
Feedback:
The nurse should ensure that the parents are comfortable performing tracheostomy care and suctioning. The parents need to understand the need to eliminate sprays that could irritate the child's tracheal mucosa and to have a spare tracheostomy tube and inserter available in the event the current device is accidentally removed. The child needs to be monitored for adequate oxygenation, safety when eating, and activity tolerance. Encouraging independence might need to be postponed until the child's respiratory status stabilizes.

Answer to Question 2

D
Feedback:
Language skills continue to accelerate during the school-age years. School-age children develop metalinguistic awarenessan ability to think about language and comment on its properties. This enables them to enjoy jokes and riddles due to their understanding of double meanings and play on words and sounds.