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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: It is crucial to assess for fever, as a fever over 100°F after exposure to the flu may indicate an active infection, necessitating the postponement of immunizations.
Choice B reason: Administering vaccinations without assessing the child's health status, especially after known exposure to the flu, could be risky.
Choice C reason: Giving only the flu vaccination ignores the potential risk of the infant currently incubating the flu virus, which could be exacerbated by vaccination.
Choice D reason: While withholding all vaccinations is a cautious approach, it is not necessary unless the infant shows signs of illness, such as a fever over 100°F.
Correct Answer is C
Explanation
Choice A reason: A recent streptococcal infection is not a symptom of Kawasaki disease.
Choice B reason: Kawasaki disease typically presents with a high fever, not a low-grade fever.
Choice C reason: This is the correct choice. Dry, peeling skin and a patchy rash are common symptoms of Kawasaki disease.
Choice D reason: Conjunctivitis in Kawasaki disease typically does not have exudates.
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