Question

1. A 5 year old boy is being admitted to your unit. The physician has ordered IV fluids along with lab work including a CBC, electrolytes, and urine culture. As his nurse, how will you prepare him and his family before the procedure and support them during and after the procedure, to promote best outcome and to ensure atraumatic care?

2. What is included in a CBC? What test would be ordered to reveal electrolytes?

3. An 8 year old is admitted to your unit. Please describe the steps the nurse should take to provide health care teaching to this child.

4. How do children sometimes express fear?

Answer 1

1. As a nurse , to promote best outcome and to ensure a traumatic care the following steps would be followed :-

- making a therapeutic relationship

- explaining the procedure

- use of PPE

- following standard precautions

- making child comfortable

- documentation of procedure

- providing emotional support to the parents

2. CBC is complete blood count . It includes mainly :-

Hemoglobin

Platelets

WBC'S

Differential neutrophils :-

Neutrophils

Lymphocytes

Monocytes

Basophils

Eosinophils

PT ,PTT ,INR if needed

To reveal electrolytes ,LFT and RFT would be ordered .

3. The steps of health teaching include :-

Teaching Process

- Identify a patient's need for information

- set learning objectives

- convey message using intrapersonal skills

- and get feedback from patient

4. Children express fear by Protest, Despair, Regression, negativism, temper tantrums, resistance to new caretakers and procedures, and physical and verbal aggressiveness