A 14-year-old adolescent with moderate cognitive impairment is admitted for knee surgery. During the rehabilitation period, the nurse's first nursing action is to

assess the child's usual daily routine at home

Explanation

• Obtaining information about the adolescent's usual routine at home helps in providing suggestions in modifying the hospital routine (when in doubt and without risks to ABCs, consider the assessment option).

• Maintaining a normal routine in the hospital helps minimize the amount of stress to which the adolescent is exposed and helps her adjust to hospitalization.

Incorrect options:

• Using the child’s own personal-care items is important to help promote a more familiar environment for self-care. However, the child's normal routine needs to be assessed first to adapt the hospital routine appropriately and determine what would be appropriate to bring in.

• Discharge planning begins on admission, but discharge teaching is left until the patient is ready to go home.

• Encouraging the mother to have family members and friends visit is important, but assessments are a higher priority.

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