A nurse is assisting with the collection of a bone marrow specimen from a preschooler.Which of the following actions should the nurse take?
Place the child supine with legs flexed outward into a frog-like position.
Position the child sitting with their buttocks at the edge of the table.
Position the child side-lying to expose the vertebrae.
Place the child in prone position to expose the posterior iliac crest.
The Correct Answer is D
Choice A rationale
Placing the child supine with legs flexed outward into a frog-like position is appropriate for certain procedures but not for bone marrow aspiration. This position is more commonly used for procedures involving the genital or lower abdominal areas and does not provide optimal access to the posterior iliac crest.
Choice B rationale
Positioning the child sitting with their buttocks at the edge of the table is not suitable for bone marrow aspiration. This position may cause discomfort and instability for the child and does not expose the posterior iliac crest, the typical site for bone marrow collection in children.
Choice C rationale
Positioning the child side-lying to expose the vertebrae is used for lumbar punctures or procedures involving the spinal column. This position does not provide access to the posterior iliac crest, which is the preferred site for bone marrow aspiration in children. It is important to use the correct position to ensure a successful procedure.
Choice D rationale
Placing the child in prone position to expose the posterior iliac crest is the correct method for bone marrow aspiration. This position allows the healthcare provider to easily access the iliac crest, a common site for obtaining bone marrow samples. Ensuring the child is in the correct position helps minimize discomfort and facilitates the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Worrying about physical body changes is more typical of older children or adolescents who have a greater understanding of body image and self-concept. Preschoolers are usually not as concerned about changes in their physical appearance in relation to death, as their cognitive development is not yet at that level of comprehension.
Choice B rationale
Feelings of isolation are more commonly associated with older children and adolescents who have a better understanding of social relationships and separation. Preschoolers are more focused on immediate relationships and may not fully grasp the concept of isolation as it relates to death.
Choice C rationale
Preschoolers often perceive death as a punishment due to their egocentric thinking and limited understanding of cause and effect. They may believe that their actions or behavior have directly caused the death or that it is a form of retribution. This perception is a normal part of their cognitive and emotional development.
Choice D rationale
Understanding that death is permanent is a cognitive milestone that typically develops in later childhood. Preschoolers generally do not comprehend the finality of death and may see it as a temporary or reversible state. Their thinking is more concrete and influenced by their immediate experiences and observations. .
Correct Answer is C
Explanation
Choice A rationale
Peanut allergies are typically lifelong, and it is uncommon for children to outgrow them. Research indicates that only about 20% of children with peanut allergies will outgrow them over time. Hence, it is important for the guardian to be prepared for managing the allergy throughout the child's life.
Choice B rationale
While it is essential for the child to avoid peanuts, advising against all types of nuts is not necessary unless the child has been diagnosed with allergies to other nuts as well. Cross-reactivity is possible, but it is not a given for all nut types.
Choice C rationale
An epinephrine auto-injector is a critical tool for managing severe allergic reactions (anaphylaxis) in children with peanut allergies. Immediate administration of epinephrine can be life-saving, and carrying an auto-injector ensures that the child is prepared in case of accidental exposure to peanuts.
Choice D rationale
The severity of peanut allergies typically remains consistent over time, though the risk of severe reactions upon exposure persists. The focus should be on prevention and preparedness rather than expecting an increase in severity with prolonged exposure.
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