The nurse caring for a postoperative 9-year-old is approached by ...

[wenmo]

The nurse caring for a postoperative 9-year-old is approached by the parents and asked what more can be done to control the child's pain.
 
  The parents requested that opioids not be used, so the child is receiving NSAIDs with inadequate pain relief. The nurse suggests which of the following for the child? 1. Have the parents bring the child a stuffed animal to hold.
  2. Have the parents bring the child's scrapbook and supplies to the hospital.
  3. Ask the parents to bring in the child's favorite foods.
  4. Have the parents bring in several picture books.

Question 2

The nurse identifies which of the following clients as being at increased risk for infection? Select all that apply. Standard Text: Select all that apply.
 
  1. The client with acne
  2. The client with excessively dry skin
  3. The client with normal skin turgor.
  4. The client with pallor
  5. The client with ammonia dermatitis

[Viet Thy]

Answer to Question 1

2
Rationale: The nurse suggests activities that can be used to distract the child from pain perception. Developmentally, this child is in the industry stage, so suggesting things the child can make or build would be most appropriate. Stuffed animals and pictures books are toys that are too young for this age, and the child is not likely to be eating solid foods in the immediate postoperative phase.

Answer to Question 2

1,2,5
Rationale: One client at risk for infection is the client with acne, as acne is comprised of open sores. Excessively dry skin itches and breaks down skin, with resultant open areas prone to infection. Ammonia dermatitis is usually caused by urine contacting the skin as the result of incontinence. The pale client is not at risk for skin infection because pallor does not increase the risk of altered skin integrity. The client with good skin turgor also is at no increased risk for infection.

[wenmo]

Thanks for the timely response, appreciate it

[kusterl]

TYSM