A nurse is providing care to a 2-year-old toddler who has a cognitive impairment and was admitted for respiratory syncytial virus (RSV). The nurse is providing frequent interventions to maintain the toddler's respiratory status and notes the parents seem increasingly distressed. Which of the following intervention(s) should the nurse implement? (Select All that Apply.)
Provide frequent and routine verbal updates with the parents.
Encourage the parents to participate in the toddler's plan of care when appropriate.
Perform more frequent health care rounds on the toddler.
Conduct interprofessional rounds at the child's bedside so the parents can be inside.
Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with.
Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.
Correct Answer : A,B,C,D,E
A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.
B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.
C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.
D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.
E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.
F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Heart rate: Not changed
No specific mention of heart rate changes, so it remains unchanged.
Respiratory rate: Not changed
Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.
Urine output: Improved
Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.
Mucous membranes: Improved
At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.
Abdominal examination: Not changed
The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.
Vomiting frequency: Improved
Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.
Correct Answer is B
Explanation
A. A 3-year-old may not consistently recognize danger and requires adult supervision.
B. By age 3, children can answer simple questions, reflecting their growing language and cognitive skills.
C. Engaging in complex conversations typically develops later, around age 4 to 5.
D. Adhering to rules consistently occurs closer to the preschool and early school years.
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