The parents of a chronically ill 8-year-old do not want him to go ...

[sjones]

The parents of a chronically ill 8-year-old do not want him to go outside and play or to attend his friends' birthday parties for fear he will become ill. What response by the nurse is most appropriate?
 
  A.
  Can you let one or two friends come over to play?
  B.
  Children his age need to maintain friendships.
  C.
  He can go outside if he wears a mask all the time.
  D.
  You are right to be concerned that he will get sick.

Question 2

An infant has been hospitalized since birth. What nursing intervention takes priority for this child?
 
  A.
  Keeping the parents updated every day
  B.
  Maintaining a set visiting schedule for family
  C.
  Providing a soft crib and cuddly toys
  D.
  Soothing and providing physical touch

[Liddy]

Answer to Question 1

ANS: A
Although the parents do have to be vigilant that a chronically ill child does not acquire an acute community-based illness, maintaining peer relationships at this age is important. If the parents are unwilling to let the child attend larger gatherings or play outside, the nurse should assess if they would be willing to host smaller play dates. Information about the importance of friendships is a key aspect of working with the parents, but does not offer any solutions. The child may or may not need to wear a mask. Recognizing the parents' concerns is important, but, again, does not give them information or possible solutions.

Answer to Question 2

ANS: D
Priority nursing interventions for the infant with a chronic condition or undergoing a long hospitalization include measures to provide soothing and physical touch, such as cuddling, holding, using a soft voice, and rocking. Keeping parents up to date is important for any hospitalized child and is not specific to parents of this age group. Visitation should be liberal, preferably 24 hours a day. Soft mattresses and plush objects in the crib increase the risk of sudden infant death syndrome and should be avoided.

[sjones]

TYSM

[duy1981999]

Excellent