Pediatric ATI Practice Exam

What intervention should a nurse include in the plan of care for a school-age child who has lost vision post-surgery?

1. Assign an assistive personnel to feed the child.

2. Explain sounds the child is hearing.

3. Have the child use a cane when ambulating.

4. Rotate nurses caring for the child.

The correct answer is: Explain sounds the child is hearing.

The most appropriate intervention for a school-age child who has lost vision post-surgery is to explain the sounds the child is hearing. This approach provides the child with sensory orientation and helps them understand their environment better, fostering a sense of safety and security. By identifying and explaining the various sounds, the nurse aids the child in processing their new reality, which can reduce anxiety and encourage the development of other senses, such as auditory skills. In this context, it's crucial to engage the child in their surroundings actively and help them maintain a connection with the world despite the loss of vision. This communication promotes an understanding of their environment, enabling the child to gain confidence in navigating it, even when they cannot see. Though the other choices may have some merit in specific scenarios, they do not directly support the immediate emotional and psychological needs of the child. Assigning assistive personnel to feed the child could ensure that their basic needs are met but might not address the child’s need for orientation and understanding. Encouraging the use of a cane for ambulation can be beneficial in the long term but would not be as helpful in the initial stages post-surgery. Rotating nurses caring for the child could lead to inconsistency in the information and comfort provided, potentially increasing the