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Chapter 34: Problem 588

An 11-year-old boy is admitted to the hospital unit following a bicycle accident. A fractured femur is diagnosed and the child is placed in traction. The best room assignment for this child would be a room: A. with other boys of the same age as roommates. B. near the nurse's station so the child can be closely supervised. C. away from other children so that the child can rest adequately. D. with an alert adult roommate who can respond to the child's needs.

Short Answer

Expert verified
B. Near the nurse's station.

Step by step solution

01

Identify the Options

Read the provided options and understand what each one suggests for room assignment.
02

Consider the Needs of the Child

Think about the specific needs of an 11-year-old with a fractured femur in traction: medical supervision, safety, and comfort.
03

Analyze Each Option

A. With other boys of the same age might provide companionship but not necessarily supervision.B. Near the nurse's station means close supervision, which is crucial for medical needs and safety.C. Away from other children might ensure rest but lack needed supervision.D. With an alert adult might ensure some level of support but not professional medical supervision.
04

Select the Best Option

Considering the need for close supervision and safety, the best option is B. Near the nurse's station.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Child Safety
Child safety is of the utmost importance, especially when a child is in the hospital. Ensuring safety involves both preventing accidents and responding quickly to any issues.
In the case of the 11-year-old boy with a fractured femur, being close to the nurse's station is critical. This positioning guarantees immediate medical attention if needed.
  • Helps in preventing further injuries or complications
  • Ensures that help is always nearby
  • Allows for prompt response to emergencies
Therefore, choosing a room near the nurse's station would prioritize safety by providing swift access to medical care.
Medical Supervision
Medical supervision is essential for any hospitalized child, more so for one in traction. The correct level of supervision ensures that healthcare professionals can monitor the child's status frequently and make adjustments as needed.
With the child near the nurse's station, nurses and doctors can:
  • Conduct regular checks without long delays
  • Monitor vital signs and traction equipment consistently
  • Intervene quickly if the child experiences pain or discomfort
Such supervision is vital for managing the child's treatment plan and ensuring a smooth recovery process.
Patient Comfort
Patient comfort greatly influences the recovery experience of a child in the hospital. Comfort can be achieved through both physical and emotional means.
For an 11-year-old boy in traction, comfort may include:
  • Proper bed positioning and support to reduce pain
  • Access to entertainment or activities to distract from discomfort
  • Frequent checks and reassurance from the healthcare team
Comfort aids in faster healing and can reduce the child's stress and anxiety related to the hospital stay.
Traction Care
Traction care involves managing the equipment and ensuring it functions correctly, which is essential for healing a fractured femur. When a child is in traction, the following must be monitored carefully:
  • The alignment of the bone to ensure it heals properly
  • The traction weights and pulleys to maintain the correct tension
  • The skin and circulation in the affected area to prevent complications
By placing the child near the nurse's station, healthcare professionals can easily and frequently check the traction setup, minimizing the risk of issues arising.
Hospital Room Assignment
Assigning the right hospital room for a child involves considering several factors including safety, supervision, and comfort.
The best choice from the options provided is room assignment near the nurse's station.
  • Ensures close supervision and immediate medical intervention
  • Prioritizes the child鈥檚 overall safety and well-being
  • Allows quick traction care checks and patient comfort measures
This choice integrates all important aspects of pediatric nursing, making it the most suitable for ensuring the effective care and recovery of the child.

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Most popular questions from this chapter

A client with polycystic kidney disease needs a kidney transplant. Which action will the physician take prior to another family member being considered as a suitable donor? A. Discuss with the client feelings about the donor. B. Instruct the client to take over the counter drugs for pain C. Screen the family member for evidence of polycystic kidney disease D. Stop dialysis treatment so that the client's kidney function can be adequately evaluated

During discharge teaching, a client asks the nurse how the prescribed antacids relieve heart burn. The nurse鈥檚 response should be based on the knowledge that antacids work by A. decreasing the secretion of gastric acid. B. coating the stomach lining. C. thickening the mucus secreted by the stomach wall. D. neutralizing the acid present in the stomach.

Which of the following would the nurse identify as normative signs of aging, as opposed to pathologic signs? A. Increase in diastolic blood pressure B. Decrease in glomerular filtration rate C. Reduced lens elasticity D. Reduced vital capacity E. Dulled sense of taste F. Pressure ulcers

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The nurse is comparing laboratory results on admission with laboratory results following treatment of a client with DIC. Which change in laboratory values from admission indicates a positive response to therapy? A. Decrease in platelet count B. Increase in fibrinogen level C. D-dimer assay increase D. Decreased bleeding time
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