A nurse is caring for a school-aged child who is hospitalized. Which of the following actions should the nurse take to promote the client's engagement and general well-being?
Enforce strict bed rest without allowing any physical activity.
Allow the child to decorate their hospital room with personal items.
Limit visits to reduce the child's emotional dependency.
Use medical terms to explain procedures.
The Correct Answer is B
A. Enforcing strict bed rest without any physical activity can lead to feelings of isolation and boredom, which may negatively affect the child's well-being and engagement.
B. Allowing the child to decorate their hospital room with personal items fosters a sense of ownership and comfort, helping to promote emotional well-being and engagement during hospitalization.
C. Limiting visits can increase feelings of loneliness and anxiety in the child, which is not conducive to their emotional health; maintaining social connections is important for well-being.
D. Using medical terms may confuse the child and does not support their understanding or engagement; explanations should be age-appropriate and easily understood.
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Correct Answer is B
Explanation
A. Using a booster seat until the child reaches the appropriate height for a seatbelt is correct and aligns with safety guidelines for child passengers.
B. Allowing a child to ride in the front seat while still using a booster seat is unsafe; children should remain in the back seat until they are at least 13 years old.
C. Ensuring that the child wears a helmet while riding a bicycle is an important safety measure and demonstrates understanding of injury prevention.
D. Teaching the child to avoid running into the street without looking shows awareness of pedestrian safety and the need for supervision and education about traffic safety.
Correct Answer is C
Explanation
A. Bradycardia is not typically expected in toddlers with heart failure; instead, tachycardia (increased heart rate) is more common as the body compensates for decreased cardiac output.
B. Weight loss is generally not a typical finding in toddlers with heart failure; rather, they often experience weight gain due to fluid retention.
C. Orthopnea, or difficulty breathing when lying flat, is a common symptom of heart failure and would be expected in a toddler due to fluid overload affecting respiratory function.
D. Increased urine output is usually not expected in heart failure; rather, fluid retention often leads to decreased urine output as the kidneys respond to the body's fluid balance needs.