A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?
- Providing him with books, challenging puzzles, and games as diversionary activities
- Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
- Having a volunteer come in to sit with the client and to read him stories
- Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position frequently
Answer(s): B
Explanation:
(A) These activities could be frustrating for the client if he is having difficulty with problem solving and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation or breakdown related to immobility but will not help to prevent behavioral changes related to immobility.
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