The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?

Give the child syringes or hospital masks to play with at home prior to hospitalization.

Include the child in play therapy with children who are hospitalized for similar surgery.

Provide a family tour of the preoperative unit one week before the surgery is scheduled.

Provide dolls and equipment to re-enact feelings associated with painful procedures.

Answer and Explanation

The Correct Answer is C

A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.

B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.

C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.

D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.

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Correct Answer is A

Explanation

A. Focusing on small achievable tasks helps to build a sense of accomplishment and reduce anxiety by breaking down overwhelming problems into manageable steps.

B. Analyzing past hurts may be useful in therapy, but for immediate coping, focusing on small tasks is more practical.

C. Relaxing and reducing effort might lead to avoidance rather than addressing anxiety.

D. Ventilating emotions is important but focusing on small tasks is more directly actionable for coping with anxiety and improving daily functioning.

A. Apply heat to the infiltrated site. B. Document a delay in the administration of the antibiotic. C. Start a new IV at a different site to administer the antibiotic. D. Remove the infiltrated IV catheter.

Correct Answer is D

Explanation

A. Applying heat may be indicated later, but the first action should be to address the infiltration.

B. Documenting the delay is important but not the immediate priority.

C. Starting a new IV site is necessary for continued medication administration but should be done after addressing the infiltration.

D. Removing the infiltrated IV catheter is the first priority to prevent further tissue damage and start appropriate treatment for infiltration.

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The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with generalized anxiety disorder does not want to communicate with friends, smokes 2 to 3 packages of cigarettes a day, and describes difficulty concentrating at work. Which coping strategy should the nurse include in the plan of care?

Correct Answer is A

Explanation

Before administering an IV antibiotic, the nurse observes that the skin above the client's IV site is cool, swollen, and painful to touch. Which action should the nurse implement first?

Correct Answer is D

Explanation

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