The healthcare provider is preparing to suture a 10-year-old child with a lacerated forehead. Both parents and a 12-year-old sibling are present at the child's bedside. Which instruction best supports family involvement?

Correct Answer: D

Rationale: The correct answer is option D: "Please decide who will stay when the healthcare provider begins suturing." This answer promotes family-centered care by involving the family in the decision-making process, respecting their preferences, and allowing them to determine who will stay with the child during the procedure. This approach recognizes the family as an essential part of the child's care team and respects their role in providing emotional support. Option A is incorrect as it restricts family involvement by limiting the number of visitors, potentially causing distress to the child and family. Option B is inappropriate as it excludes the family from being present during the procedure, missing an opportunity for emotional support and involvement. Option C is not the best choice as it separates the sibling from the family unit, potentially causing anxiety and feelings of exclusion. In a pediatric nursing context, involving families in decision-making and care processes is crucial for promoting positive outcomes, reducing anxiety for both the child and the family, and fostering a supportive environment. By empowering families to make decisions about their involvement, healthcare providers can enhance communication, trust, and collaboration, leading to better overall care for pediatric patients.

Correct Answer: C

Rationale: Using a barrier cream like zinc oxide forms a protective layer on the skin, creating a barrier against irritants and moisture, thus helping to prevent diaper rash. Unlike other options, barrier creams do not need to be completely removed at each diaper change, allowing the skin to remain protected between changes.

Correct Answer: A

Rationale: The correct answer is A. Duchenne muscular dystrophy is an inherited X-linked recessive disorder that primarily affects male children in the family. Since it is X-linked, sons inherit the mutation from their mothers who are carriers of the abnormal gene. Therefore, the nurse should explain to the parents that any future sons they have would have a 50% chance of inheriting the mutation and having DMD, while daughters would have a 50% chance of being carriers like the mother.

Correct Answer: D

Rationale: The most crucial information for the nurse to obtain in this scenario is how often the metered-dose inhaler (MDI) is used daily. This information will help assess if the symptoms of insomnia, shakiness, and palpitations are potentially related to overuse of the inhaler, which can cause side effects such as tremors and palpitations. Monitoring the frequency of MDI usage is essential in managing asthma and ensuring appropriate medication administration.

Correct Answer: B

Rationale: Administering the scheduled dose is appropriate in this scenario since the heart rate of 128 bpm is within an acceptable range for a 2-year-old child with heart failure. Monitoring for signs of digoxin toxicity is important; however, the immediate action required is to administer the scheduled dose as prescribed based on the heart rate assessment.