The nurse is taking care of a child in the ICU. The parent ...

[ts19998]

The nurse is taking care of a child in the ICU. The parent appears very angry, and tells the nurse no one is giving her information about her child. How should the nurse respond?
 
  1. Tell the parent he will ask the doctor to come and talk with her.
  2. Inform the parent she will be asked to leave if she continues this behavior.
  3. Tell the parent her behavior will upset the patient.
  4. Inform the parent of any change in the child's condition in a timely manner.

Question 2

The four-year-old child is undergoing cardiac surgery. To reduce the child's stress in the pre-operative period, the nurses will: Standard Text: Select all that apply.
 
  1. Explain the procedure to the child in simple terms of what the child will see, hear, and feel while awake.
  2. Explain to the child that the surgery will fix her broken heart.
  3. Allow the parents to accompany the child to the surgical holding room and wait with the child.
  4. Allow the child to hold onto their special teddy bear while awake.
  5. Wait until the child is in the holding room to insert the Foley catheter.

[ecabral0]

Answer to Question 1

4
Rationale:
1. The parent is already angry because of the lack of information sharing. The nurse should not pass the buck to the physician.
2. Telling the parent she will be asked to leave will only worsen the situation.
3. The parent is already angry, and informing her that her behavior will upset the child will only anger her more.
4. Nursing techniques include informing the family of potential problems that could occur. If the child's condition changes, make every effort to inform the family immediately.

Answer to Question 2

1,3,4
Rationale 1: The child does not need to understand the surgical activity while asleep.
Rationale 2: Care must be utilized in selecting terminology for the child. To the child, the heart is not just a muscle, but the center of the child's love. A broken heart may be discarded.
Rationale 3: This is appropriate as parents are the child's main source of support.
Rationale 4: Children of this age often have security objects; the child should be allowed to hold the object for comfort. Care must be taken that the teddy bear be labeled and returned to the child after the surgical procedure.
Rationale 5: The child is awake in the holding room. It is better to wait until the child is under anesthesia to insert the catheter.
Global Rationale:

[ts19998]

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