A nurse is working in a pediatric clinic and has to explain a ...

[mwit1967]

A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child. Which of the following would be the most appropriate?
 
  1. Give the child's parent a full explanation, but make sure the child hears what is said.
  2. Let the child handle the equipment first, then demonstrate on the child's doll.
  3. Start the treatment, but make sure that the parent is there to comfort the child if she becomes afraid.
  4. Make sure that the physician is available for questions.

Question 2

A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?
 
  1. If you look better, you might feel better.
  2. Taking a shower might wash away some of that gloom and doom.
  3. This is a positive sign. I'll be right back with your supplies.
  4. Your spouse will be glad to see that you're feeling better.

[tanna.moeller]

Answer to Question 1

Correct Answer: 2
Rationale 1: The nurse should not talk over or around the child, just because of her age, but include her in conversation and communication. Before any treatment or therapy, explanation should be given. Otherwise the child will be frightened and the treatment will not be effective.
Rationale 2: The knowledge of the client's developmental stage will allow the nurse to modify the message accordingly. The use of dolls and games with simple language may help explain a procedure to a child.
Rationale 3: Before any treatment or therapy, explanation should be given. Otherwise the child will be frightened and the treatment will not be effective.
Rationale 4: Nurses should always be prepared to give explanation and teaching to their clients.

Answer to Question 2

Correct Answer: 3
Rationale 1: Telling the client that she might feel better if she looks better implies that the client's looks are objectionable.
Rationale 2: Suggesting that washing away the gloom and doom minimizes the client's concerns.
Rationale 3: How a person dresses or looks may be an indicator of how the person feels. A change in grooming habits may signal that the client is feeling better.
Rationale 4: A change in grooming habits may signal that the client is feeling better, but the nurse must be careful in this situation that the focus is not on the client's spouse-but on the client.

[mwit1967]

Excellent

[robbielu01]

TYSM