Which intervention should be implemented for a school-age client admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident?

Keep alarm levels low.

Keep the lights dimmed at night.

Encourage the same nurses to take care of the patient on consecutive days.

Facilitate visits from school friends.

Answer and Explanation

The Correct Answer is C

Choice A reason: Keeping alarm levels low is important to reduce stress and promote a healing environment, but it is not the most impactful intervention for personalized care.

Choice B reason: Dimming the lights at night helps maintain a normal sleep-wake cycle, which is beneficial but not as specific to the client's individual needs as continuity of care.

Choice C reason: Having the same nurses care for the patient on consecutive days can provide consistency and build trust, which is especially important for a child in critical condition.

Choice D reason: While visits from school friends can be uplifting, they may not be feasible or appropriate for a client in critical condition in the PICU. The priority is ensuring stable and consistent care.

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Correct Answer is C

Explanation

Choice A reason: Maintaining the child NPO is not necessary unless there are other medical reasons for doing so.
Choice B reason: Encouraging fluids is contraindicated in SIADH as it can exacerbate fluid overload.
Choice C reason: This is the correct choice. Fluid restriction is a key component of managing SIADH to prevent further dilutional hyponatremia.
Choice D reason: Turning frequently is important for all hospitalized patients to prevent pressure ulcers but is not specific to the management of SIADH.

A. 8 oz of apple or orange juice, three times per day. B. 24-32 oz of whole cow’s milk per day. C. Meats, eggs, and green vegetables. D. Fruits, whole grains, and rice.

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.

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Which intervention should be implemented for a school-age client admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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