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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While some older adults may have physiologic or benign murmurs, murmurs are not considered universally normal and require further assessment to rule out pathology.
B. Absent heart sounds would be abnormal and could indicate severe underlying issues such as cardiac arrest or severe hypovolemia.
C. A normal heart auscultation in an older adult includes S1 and S2 heart sounds without extra or abnormal sounds. While some older adults may develop benign murmurs due to age-related changes in valve structure, the absence of abnormal or adventitious sounds (such as S3, S4, or pathological murmurs) is considered a normal finding.
D. Adventitious sounds (such as crackles or wheezes) are not normal in heart auscultation and would suggest potential pathologies.
Correct Answer is A
Explanation
A. Maintaining strict intake and output is crucial in managing septic shock as it helps to monitor fluid balance, which is essential for managing hypovolemia and ensuring adequate perfusion.
B. While assessing warmth of extremities is important, it is not as directly related to the immediate management of septic shock as monitoring intake and output.
C. Monitoring blood glucose levels is important, especially in septic patients, but it is not the primary focus in the initial management of septic shock.
D. Keeping the head of the bed raised 45 degrees can help with breathing but is not the most critical intervention in the immediate management of septic shock.
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