A nurse is caring for a 5 year old and needs to measure their temperature using an electronic oral thermometer. Which intervention will provide the child with an increased sense of control?
Allow the child to hold the thermometer in their mouth until it beeps.
If the child protests tell them you will come back later.
Have the parents wait outside the room.
Ask the child if it is ok to take their temperature.
Correct Answer : A,D
A. Allow the child to hold the thermometer in their mouth until it beeps:
Allowing the child to hold the thermometer can provide a sense of control and involvement in the process. It may help reduce anxiety and make the experience less intimidating for the child. The beeping sound indicates when the temperature measurement is complete.
B. If the child protests, tell them you will come back later:
This choice is not recommended because it ignores the child's immediate needs and concerns. It may increase anxiety or fear, and delaying the process may not be in the best interest of the child's well-being.
C. Have the parents wait outside the room:
While it's common to have parents present during medical procedures for emotional support, in this case, involving the parents may not directly address the child's need for control during the temperature measurement.
D. Ask the child if it is ok to take their temperature:
Asking the child for permission respects their autonomy and involves them in the decision-making process. It promotes a sense of control and may reduce any potential resistance or fear the child might have.
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Related Questions
Correct Answer is D
Explanation
A. Provide a coloring book so they can color within the lines.
Coloring within the lines is a fine motor skill that is not typically developed at 12 months. Fine motor activities like coloring may become more suitable as the child grows, but at this age, the emphasis is generally on gross motor skills.
B. Provide a stick horse to develop gross motor coordination.
While a stick horse may be a fun toy, it may not be the most appropriate choice for a 12-month-old who is still working on basic motor skills. Gross motor coordination can be better encouraged with toys that support standing, walking, and pushing.
C. Place a cradle gym across the crib to facilitate fine motor skills.
A cradle gym can be appropriate for visual and sensory stimulation, but it is more related to visual tracking and reaching than fine motor skills. Fine motor skills typically involve more intricate hand movements, which may not be fully developed at 12 months.
D. Give large push-pull toys for kinesthetic stimulation.
For a 12-month-old child, appropriate play activities should focus on promoting gross motor skills, coordination, and exploration. Giving large push-pull toys encourages the development of kinesthetic skills, allowing the child to practice standing, walking, and moving. It also supports the development of coordination and balance.
Correct Answer is C
Explanation
A. Serum calcium:
- Serum calcium levels are not typically used to diagnose cystic fibrosis. Calcium levels are more related to bone health, neuromuscular function, and various metabolic processes. While electrolyte imbalances can occur in CF, serum calcium alone is not specific for its diagnosis.
B. Urine creatinine:
- Urine creatinine is not a diagnostic test for cystic fibrosis. Creatinine is a waste product produced by muscles and excreted by the kidneys. Monitoring creatinine levels is more related to assessing kidney function and is not specific to CF diagnosis.
C. Sweat chloride test:
- The sweat chloride test is considered the gold standard for diagnosing cystic fibrosis. Individuals with CF have higher than normal levels of chloride in their sweat. This test measures the amount of chloride in the sweat, and a high level is indicative of CF. It is a noninvasive and reliable diagnostic test for CF.
D. Bronchoscopy:
- Bronchoscopy is not used as a primary diagnostic test for cystic fibrosis. While it may be performed for other reasons, such as assessing airway abnormalities or obtaining samples for culture, it is not the primary method for diagnosing CF.
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