The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

Showing the child pictures of the heart and the surgical repair

Allowing the child to view a cartoon video of the procedure

Using a doll with a sternal incision and dressing to explain post-surgical care

Avoiding the mention of post-operative discomfort and interventions

Answer and Explanation

The Correct Answer is C

A. Showing pictures may not be as effective for a 4-year-old to understand the procedure and what to expect.
B. A cartoon video may not accurately depict the procedure and could create unrealistic expectations.
C. Using a doll with a sternal incision and dressing helps the child visualize and understand what will happen, making the experience less frightening.
D. Avoiding the mention of post-operative discomfort and interventions can lead to mistrust and anxiety; it's important to provide age-appropriate explanations.

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Correct Answer is B

Explanation

A. This statement is incorrect as children with CF can receive hepatitis vaccines.
B. Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.
C. This statement is incorrect and misleading. Children with CF should receive all required immunizations.
D. This statement is incorrect as children with CF can receive the polio vaccine.

A. “Typically, daycare will not allow children back until after the recheck appointment." B. "Your child can return after 24 to 48 hours of antibiotic use. depending on your school." C. "Once the eyes are no longer red or draining, your child will be able to return to school." D. "Your child will need to complete the course of antibiotics before returning to school.”

Correct Answer is B

Explanation

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

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The nurse is caring for a 4-year-old female child who is scheduled for the repair of a Ventricular Septal Defect (VSD). Which of the following nursing interventions is MOST appropriate when preparing this child for surgery?

Nursing Test Bank

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