A child is admitted to the hospital with a spinal cord injury ...

[deesands]

A child is admitted to the hospital with a spinal cord injury resulting in paralysis below the level of the waist. When should the nurse begin planning with the parents for rehabilitation placement for this child after acute hospitalization?
 
  A) After hospitalization when the parents are ready
  B) As soon after the patient is admitted as possible
  C) When the child starts showing improvement in their condition
  D) Once the child and the parent feel it is time to seek extended care

Question 2

What would the nurse include in the plan of care for a dying child with pain?
 
  A) Administering analgesics as needed
  B) Using measures the nurse finds comforting
  C) Playing the television or radio so the child can hear it
  D) Changing the child's position frequently but gently

[ebe]

Answer to Question 1

Ans: B
It is important to begin planning for discharge to a rehabilitation facility as soon as possible so that all necessary arrangements can be made prior to discharge. Waiting until the parent or child feel the time is right or waiting until improvement is noted may not leave enough time for thorough discharge planning.

Answer to Question 2

Ans: D
Pain management includes changing the child's position frequently but gently to minimize discomfort. Analgesics are given around the clock rather than as needed. The nurse would use measures that the child finds comforting to provide additional relief. A calm environment with minimal noise and light is helpful.

[deesands]

Gracias!

[mohan]

Excellent