1030: The child has an audible murmur. Lung sounds are clear and equal. Pedal pulses present and marked. The parents state that the child has no known allergies. His last meal was approximately 3 hours ago. The child's parents are extremely concerned about the cardiac catheterization.
Vital signs:
Heart rate 108 beats/minute
Blood pressure 92/56 mm Hg
Respiratory rate 22 breaths/minute
Ovvoen saturation 96%
What can the nurse do to help the parents to decrease their anxiety? Select all that apply
Provide the parents with ideas about how to make their child feel better after the p
ell the parents that the procedure is 100% effective and safe
Limit visitation as long as the parents are anxious
Find a comfortable area that the parents can wait that is close to the procedure an
Do not give any specifics on the amount of time the procedure will take
Correct Answer : A,D,E
To help the parents decrease their anxiety, the nurse can:
A. Provide the parents with ideas about how to make their child feel better after the procedure. This can help reassure the parents that they can support their child during the recovery process.
D. Find a comfortable area that the parents can wait that is close to the procedure area. Being close to the procedure area allows the parents to stay informed and feel more connected to their child during the procedure.
E. Do not give any specifics on the amount of time the procedure will take. Providing a specific time may increase anxiety, so it's often better to provide a general idea of the timeframe.
Option B is not appropriate because stating that the procedure is 100% effective and safe may not be accurate and could lead to false expectations.
Option C is not appropriate because limiting visitation based on the parents' anxiety is not typically recommended. Supportive presence is generally encouraged for both the child and parents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Continuous pulse oximetry monitoring is indicated for assessing oxygen saturation and respiratory status, especially in a client with a history of chronic kidney disease and a previous septic episode. It helps monitor the client's respiratory function.
Calculation of intake and output is indicated to assess fluid balance, which is crucial in clients with chronic kidney disease and a history of acute kidney injury. It helps monitor fluid management.
Daily weights are indicated to monitor fluid retention and changes in the client's weight, which can be affected by the client's kidney condition and the administration of intravenous fluids.
IV 0.9% normal saline continuous infusion at 100 mL/hr is indicated to maintain hydration and promote renal function in clients with chronic kidney disease. It helps ensure adequate fluid balance.
IV potassium-sparing diuretics may be contraindicated because they can potentially affect electrolyte balance, and in some cases, they might not be suitable for clients with chronic kidney disease. The use of diuretics should be carefully evaluated and managed by the healthcare provider.
Correct Answer is D
Explanation
While it is essential to prioritize the client's confidentiality and autonomy, it is also important to provide the client with information and education about the available options. In this case:
A. Telling the client how to receive free oral contraceptives from the clinic without addressing the client's need for information and counseling is not an adequate response. It's essential to ensure the client is well-informed about her choices.
B. Encouraging the client to discuss her need for contraceptives with her parents is a valid suggestion, but it may not always be practical or possible for every individual, and the client has already expressed her desire for confidentiality. The nurse should respect the client's autonomy and right to make her own healthcare decisions.
C. Explaining that parental approval is needed to receive contraceptives may discourage the client from seeking essential contraceptive services and may not align with the laws and regulations in many places that allow minors to access contraceptives confidentially.
D. Counseling the client about the risks and benefits of using oral contraceptives is an important step. This allows the client to make an informed decision about her sexual health and contraceptive options. The nurse should also discuss safer sex practices, regular healthcare check-ups, and the importance of open communication with healthcare providers.
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