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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?

A.

Enforce strict bed rest without allowing any physical activity.

B.

Allow the child to decorate their hospital room with personal items.

C.

Limit visits to reduce the child's emotional dependency.

D.

Use medical terms to explain procedures.

Answer and Explanation

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 A

Explanation

A. It is recommended to replace the child's toothbrush after 24 hours of starting antibiotics to prevent reinfection or spreading the bacteria.

B. A child with acute group A B-hemolytic streptococci should remain home from school until they have been on antibiotics for at least 24 hours, not for a full week, to reduce the risk of spreading the infection.

C. Warm compresses may be used to alleviate discomfort associated with sore throats or swollen glands; there is no contraindication to their use in this context.

D. Intramuscular injections are not a standard treatment for this condition; antibiotics are typically administered orally unless there are complications requiring different management.

Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

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