A nurse is preparing a 4-year-old child for a tonsillectomy. Which of the following statements should the nurse make?
"You will have a special sleep so you won't feel anything."
"Your mom will be there throughout the procedure."
"You will be put to sleep for your surgery."
"Your throat will feel better when you wake up."
The Correct Answer is A
Choice A reason: This statement is developmentally appropriate and helps to alleviate the child's anxiety about pain during the procedure. It uses language that a 4-year-old can understand without causing unnecessary fear.
Choice B reason: While it is comforting to know a parent will be close by, this statement is not accurate as parents are typically not present in the operating room during the procedure. It could lead to confusion and distress when the parent is not there.
Choice C reason: This statement is too vague and may not be fully understood by a child. It lacks the reassurance that the child will not feel pain, which is an important aspect to address.
Choice D reason: Although this statement is positive and forward-looking, it does not address the child's immediate concerns about the procedure itself. It is important to reassure the child about what to expect during the surgery.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Applying tepid water to the old dressings can help with their removal and may reduce discomfort, but it does not address the greatest risk to the client, which is infection.
Choice B reason: Checking the wound sites for manifestations of infection is crucial as burn injuries compromise the skin's protective barrier, making the client highly susceptible to infections. Infections can lead to further complications and delay healing.
Choice C reason: Performing passive range-of-motion exercises is important for maintaining joint mobility and preventing contractures in burn patients, but it is not the primary intervention for addressing the greatest risk of infection.
Choice D reason: Adjusting the room temperature to 33°C (91.4°F) can create a more comfortable environment for the burn patient and prevent hypothermia, but it is not directly related to the prevention of infection, which is the greatest risk.
Correct Answer is C
Explanation
Choice A reason: The concrete operational phase typically begins around age 7 and is characterized by the development of logical thought about concrete events. This phase is not typical for preschoolers, who are usually between the ages of 3 and 5.
Choice B reason: The formal operational phase usually starts at age 11 or older. It involves abstract thinking and the ability to systematically plan for the future, which is beyond the cognitive abilities of a preschooler.
Choice C reason: The preoperational phase occurs from ages 2 to 7. During this stage, children begin to engage in symbolic play and learn to manipulate symbols, but they do not yet understand concrete logic.
Choice D reason: The sensorimotor phase is from birth to about age 2. During this stage, infants learn about the world through their senses and actions, such as looking and touching. Preschoolers have typically moved beyond this phase.
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