In a pediatric surgical unit, when discussing patient-controlled analgesia (PCA) in a preoperative parental meeting, which client would be the most appropriate candidate for PCA?
An 8-year-old, postoperative spinal fusion for scoliosis.
A 6-year-old who is 72 hours post-op.
A 10-year-old who has a fractured femur and concussion.
A 16-year-old postoperative bone surgery with Down Syndrome.
The Correct Answer is A
Choice A reason: This is the correct choice. An 8-year-old is typically capable of understanding and using PCA effectively, especially after a major surgery like spinal fusion.
Choice B reason: A 6-year-old may not fully understand how to use PCA and could be at risk for under or overdosing.
Choice C reason: While a 10-year-old could use PCA, the presence of a concussion may impair their ability to use it properly.
Choice D reason: A 16-year-old with Down Syndrome may have cognitive impairments that could hinder the safe use of PCA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While apple or orange juice contains vitamin C, which can aid iron absorption, it is not sufficient on its own to address anemia.
Choice B reason: Excessive cow's milk can interfere with iron absorption and is not recommended for a child with anemia.
Choice C reason: This is the correct choice. Meats, eggs, and green vegetables are rich in iron, which is essential for treating anemia.
Choice D reason: Fruits, whole grains, and rice are healthy but are not the best sources of iron for addressing anemia in a child.
Correct Answer is C
Explanation
Choice A reason: Escorting the parents out of the room may increase their anxiety and distress, as they may want to be close to their child during such a critical time.
Choice B reason: Allowing one parent to sit on the bed may interfere with the medical team's efforts and is not typically recommended during active resuscitation.
Choice C reason: Allowing the parents to stay in the room can provide them with some comfort, knowing they are near their child, and may help in the grieving process if the outcome is unfavorable, as long as they do not interfere with the medical procedures.
Choice D reason: Bringing additional family members into the room during resuscitation can create a chaotic environment and may hinder the medical team's ability to work efficiently. It is better to have a controlled number of people in the room.
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