The nurse is caring for an immobilized preschool child. What ...

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The nurse is caring for an immobilized preschool child. What intervention is helpful during this period of immobilization?
 
  a. Encourage wearing pajamas.
  b. Let the child have few behavioral limitations.
  c. Keep the child away from other immobilized children if possible.
  d. Take the child for a walk by wagon outside the room.

Question 2

What measure is important in managing hypercalcemia in a child who is immobilized?
 
  a. Provide adequate hydration.
  b. Change position frequently.
  c. Encourage a diet high in calcium.
  d. Provide a diet high in calories for healing.

[akudia]

Answer to Question 1

ANS: D
Transporting the child outside of the room by stretcher, wheelchair, or wagon increases environmental stimuli and provides social contact. Street clothes are preferred for hospitalized children. This decreases the sense of illness and disability. The child needs appropriate limits for both adherence to the medical regimen and developmental concerns. It is not necessary to keep the child away from other immobilized children.

Answer to Question 2

ANS: A
Vigorous hydration is indicated to prevent problems with hypercalcemia. Suggested intake for an adolescent is 3000 to 4000 ml/day of fluids. Diuretics are used to promote the removal of calcium. Changing position is important for skin and respiratory concerns. Calcium in the diet is restricted when possible. A high-protein diet served as frequent snacks with favored foods is recommended. A high-calorie diet without adequate protein will not promote healing

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Gracias!

[helenmarkerine]

Thanks for the timely response, appreciate it