The 6-year-old client who has undergone abdominal surgery is attempting to make a pinwheel spin by blowing on it with the nurse’s assistance. The child starts crying because the pinwheel won’t spin. Which action should the nurse implement first?1. Praise the child for the attempt to make the pinwheel spin.2. Notify the respiratory therapist to implement incentive spirometry. 3. Encourage the child to turn from side to side and cough.4. Demonstrate how to make the pinwheel spin by blowing on it.
The action that the nurse should implement first in this situation is option 1: Praise the child for the attempt to make the pinwheel spin
The action that the nurse should implement first in this situation is option 1: Praise the child for the attempt to make the pinwheel spin.
Explanation:
The key in this scenario is to prioritize the emotional and psychological well-being of the child. The 6-year-old client has undergone abdominal surgery, which can be a very stressful and potentially painful experience for them. It is important to acknowledge and validate their efforts in trying to make the pinwheel spin. By praising the child for their attempt, the nurse can boost their self-confidence and encourage them to keep trying.
Options 2 and 3 are not the most appropriate actions to implement first. Incentive spirometry and coughing exercises are typically recommended after surgery to prevent respiratory complications, such as atelectasis or pneumonia. However, it is important to address the child’s emotional distress before engaging them in any physical activities.
Option 4, demonstrating how to make the pinwheel spin, may be helpful but should not be the first action taken. The child is already upset and it is essential to address their emotional state first. Once the child has been comforted and reassured, the nurse can proceed to demonstrate how to make the pinwheel spin, if appropriate and if the child is still interested.
Overall, by praising the child for their effort, the nurse can provide emotional support and create a positive and encouraging environment for the child’s recovery.
More Answers:
Prioritizing Tasks: What Should a Nurse Instruct a UAP to Do First When Caring for a 3-Year-Old Client on the Pediatric Unit?Prioritizing Medication Administration: A Guide for Nurses in Urgent Situations
Prioritizing Pediatric Assessment: Pneumonia Symptoms in a Child with Compromised Respiratory Health