A toddler is being sent to the operating room for surgery at 9 ...

[schs14]

A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the child, what is the priority intervention?
 
  a. Administering preoperative antibiotic
  b. Verifying that the child and procedure are correct
  c. Ensuring that the toddler has been NPO since midnight
  d. Informing the parents where they can wait during the procedure

Question 2

A 6-year-old child needs to drink 1 L of GoLYTELY in preparation for a computed tomography scan of the abdomen. To encourage the child to drink, what should the nurse do?
 
  a. Give him a large cup with ice so it tastes better.
  b. Restrict him to his room until he drinks the GoLYTELY.
  c. Use little cups and make a game to reward him for each cup he drinks.
  d. Tell him that if he does not finish drinking by a set time, the practitioner will be angry.

[samiel-sayed]

Answer to Question 1

ANS: B
The most important intervention is to ensure that the correct child is going to the operating room for the identified procedure. It is the nurse's responsibility to verify identification of the child and what procedure is to be done. If an antibiotic is ordered, administering it is important, but correct identification is a priority. Clear liquids can be given up to 2 hours before surgery. If the child was NPO (taking nothing by mouth) since midnight, intravenous fluids should be administered. Parents should be encouraged to accompany the child to the preoperative area. Many institutions allow parents to be present during induction.

Answer to Question 2

ANS: C
One liter of GoLYTELY is difficult for many children to drink. By using small cups, the child will find the amount less overwhelming. Then a game can be made in which some type of reward (sticker, reading another page of a book) is given for each cup. A large cup of ice would make it more difficult because the child would see it as too much and ice adds additional fluid to be consumed. Negative reinforcement may work if the child wishes to be out of his room. A practitioner may or may not be angry if he does not finish drinking by a set time; this is a threat that may or may not be true. If the child is having difficulty drinking, this would most likely not be effective.

[schs14]

Excellent

[kalskdjl1212]

TYSM