A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Tell the child that it will not hurt.

Have the parent hold tightly onto the child during the procedure.

Allow the child to operate the equipment.

Defer taking the blood pressure until the next visit.

Answer and Explanation

The Correct Answer is C

A.   Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B.   Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C.   Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D.   Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

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Correct Answer is A

Explanation

A) The client should hold the cane on the unaffected side to provide support for the affected side, which is weaker. Holding the cane on the affected side does not offer the necessary support and balance needed during ambulation, indicating a need for further teaching.
B) Keeping two points of support on the ground, such as one foot and the cane or both feet, is a safe practice that ensures stability while ambulating, so no further teaching is necessary for this action.
C) Advancing the cane before moving the unaffected leg is the correct technique. The cane should be moved first, followed by the affected leg, and then the unaffected leg, to maintain balance and support.
D) Supporting weight on both legs when moving the cane forward is appropriate as it provides a stable base and prevents the client from falling, indicating that the client understands the correct use of the cane.

A. "While your child is in this phase, feed him anything that he will eat." B. "Your child's change in eating habits must concern you." C. "As long as your child appears healthy, no intervention is necessary." D. "Increase the amount of calories and water your child consumes."

Correct Answer is C

Explanation

A. Encouraging feeding anything the child will eat might lead to poor nutrition. It's important to ensure a balanced diet.
B. Acknowledging the concern is valid, but the nurse should provide guidance rather than just expressing concern.
C. This response acknowledges the concern but reassures the parent that, if the child appears healthy, no immediate intervention is necessary, promoting a balanced approach.
D. Increasing calories and water without a specific reason or assessment may not address the underlying issue and is not the initial recommended intervention.

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A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?

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Explanation

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Correct Answer is C

Explanation

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