A nurse is planning preoperative teaching for a school-age client ...

[audragclark]

A nurse is planning preoperative teaching for a school-age client scheduled to have a tonsillectomy. The client has a history of attention deficit hyperactivity disorder (ADHD). Which intervention will the nurse include in the plan of care?
 
  1. Give instructions verbally and use a picture pamphlet, repeating points more than once.
  2. Ask other children who have had this procedure to talk to the child.
  3. Allow the child to lead the session to gain a sense of control.
  4. Play a television show in the background.

Question 2

A school-age client diagnosed with autism is admitted to the hospital because of recent vomiting and diarrhea. Which intervention by the nurse is most appropriate upon admission?
 
  1. Take the child on a quick tour of the whole unit.
  2. Take the child to the playroom immediately for arts and crafts.
  3. Orient the child to the hospital room with minimal distractions.
  4. Admit the child to a four-bed unit with small children.

[jaykayy05]

Answer to Question 1

Correct Answer: 1
Rationale: A teaching session for a child with ADHD should foster attention. Giving instructions verbally and in written form, repeating points, will improve learning for a child with ADHD. The environment needs to be quiet, with minimal distractions. A child who has difficulty concentrating should not lead the session even though the child needs to feel in control. Talking to other children who have had this procedure may not foster understanding, because this child has ADHD. Distractions such as noise from a television should be minimized.

Answer to Question 2

Correct Answer: 3
Rationale: Autistic children interpret and respond to the environment differently from other individuals. The child needs to be oriented to new settings and adjusts best to a quiet, controlled environment. A hospital room with only one other child is best.

[audragclark]

TYSM

[scikid]

Excellent