A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)
Have a parent stay with the child during procedures.
Allow the child to keep a toy from home with her.
Cluster invasive procedures whenever possible.
Perform the procedure as quickly as possible.
Use mummy restraints during painful procedures
Correct Answer : A,B,C,D
Allowing a parent to be present provides comfort and reassurance to the child. The familiar presence of a parent can help reduce anxiety and fear.
Allowing the child to have a familiar toy from home can provide a sense of security and distraction during procedures. It can help redirect the child's attention and provide a comforting element.
If there are multiple invasive procedures that need to be done, it is best to schedule them close together rather than spreading them out over a longer period. Clustering procedures reduces the number of times the child needs to go through the distressing experience and minimizes the overall stress and anxiety.
Minimizing the duration of the procedure helps reduce the child's discomfort and anxiety. Swift and efficient execution of the procedure can help make it less distressing for the child.
Using mummy restraints during painful procedures is not a recommended strategy.
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Related Questions
Correct Answer is D
Explanation
The hepatitis B vaccine is typically administered to newborns shortly after birth, usually within 24 hours.
The measles, mumps, rubella (MMR) vaccine is typically given between 12 and 15 months of age, not at 6 months.
The first dose of the diphtheria, tetanus, pertussis (DTaP) vaccine is usually given at 2 months of age, not at the 2-week visit.
The pneumococcal conjugate vaccine (PCV) is typically given in a series, starting at 2 months of age, and is completed by the age of 12-15 months. It is not given specifically on the first birthday.
Correct Answer is B
Explanation
a.Imaginary playmates are more common in the preschool years, typically around ages 3 to 5, rather than during the toddler stage.
b.Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, they strive for independence and autonomy, often exhibiting negative behaviors such as saying "no" frequently as they assert their independence. Theyare often in the stage of asserting their independence, leading to behaviors like tantrums, stubbornness, and defiance.
c.Sexual curiosity is more commonly seen in preschool and school-age children, not typically in toddlers.
d.This stage applies to preschool-aged children (approximately 3 to 6 years old), where they begin to assert power and control over their environment through directing play and other social interactions.
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