A nurse is assisting with preparing a toddler for an intravenous procedure.
Which of the following actions should the nurse take? (Select all that apply)
Ask the guardians to leave during the procedure.
Assist with performing the procedure with the child in his bed.
Reinforce the procedure using the child’s favorite toy.
Apply lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites.
Allow the child to make one choice regarding the procedure.
Correct Answer : B,C,D,E
Choice A rationale
Asking the guardians to leave during the procedure is not recommended. The presence of a familiar person can provide comfort and reduce anxiety for the toddler during a stressful procedure.
Choice B rationale
Performing the procedure with the child in his bed can provide a sense of security and familiarity, which can help reduce anxiety and fear.
Choice C rationale
Using the child’s favorite toy to explain or distract during the procedure can help the child understand what to expect and provide a sense of control.
Choice D rationale
Applying lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites can help numb the area and reduce pain during the procedure.
Choice E rationale
Allowing the child to make one choice regarding the procedure can provide a sense of control and cooperation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While the genitourinary system can be affected in individuals with Down syndrome, it is not the most commonly affected body system. Down syndrome is a genetic condition where a person is born with an extra chromosome. This can affect how their brain and body develop, leading to both physical and mental challenges.
Choice B rationale
The reproductive system is not the most commonly affected body system in individuals with Down syndrome. While individuals with Down syndrome can have reproductive health issues, these are not as common as issues with other body systems.
Choice C rationale
The gastrointestinal system can be affected in individuals with Down syndrome, but it is not the most commonly affected body system. Some individuals with Down syndrome may experience gastrointestinal issues such as constipation or gastroesophageal reflux disease.
Choice D rationale
The cardiovascular system is the most commonly affected body system in individuals with Down syndrome. Almost half of babies with Down syndrome have congenital heart disease (CHD), the most common type of congenital anomaly. CHD can lead to high blood pressure in the lungs, an inability of the heart to effectively and efficiently pump blood, and cyanosis (blue-tinted skin caused by reduced oxygen in the blood)3.
Correct Answer is D
Explanation
Choice A rationale
Removing elbow restraints while the infant is sleeping is not a recommended intervention following cleft palate repair. Elbow restraints are used to prevent the infant from touching the surgical site and potentially causing injury or infection. Therefore, they should not be removed while the infant is sleeping.
Choice B rationale
Keeping the infant in a side-lying position is not a specific recommended intervention following cleft palate repair. The position of the infant following surgery will depend on various factors, including the infant’s comfort and the surgeon’s instructions.
Choice C rationale
Feeding the infant half-strength formula for the first 48 hours is not a specific recommended intervention following cleft palate repair. The infant’s feeding regimen following surgery will depend on various factors, including the infant’s age, weight, and overall health, as well as the surgeon’s instructions.
Choice D rationale
Administering pain medication PRN (as needed) for the first 48 hours is a recommended intervention following cleft palate repair. Pain management is an important part of postoperative care, and appropriate pain medication can help ensure the infant’s comfort and promote healing.
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