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.
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Correct Answer is D
Explanation
Choice A reason: Massage can be helpful but may not be the most effective method for reducing joint pain in rheumatoid arthritis.
Choice B reason: Ice can help reduce inflammation but is typically used for acute injuries rather than chronic conditions like rheumatoid arthritis.
Choice C reason: Video games are not a pain management strategy and can potentially exacerbate joint pain due to repetitive motions.
Choice D reason: This is the correct choice. Moist heat can help relieve stiffness and pain in the joints, making it a suitable non-pharmacological measure for rheumatoid arthritis.
Correct Answer is C
Explanation
Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.
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