A nurse is contributing to the plan of care for a school-aged child who is scheduled for a biopsy.
Which of the following interventions should the nurse recommend?
Explain the procedure to the child 1 week prior to the biopsy.
Use simple diagrams and photographs to explain the procedure to the child.
Plan to spend 45 minutes explaining the procedure to the child.
Explain the possible long-term consequences of the procedure to the child.
The Correct Answer is B
Choice A rationale
Explaining the procedure a week prior is not ideal for school-aged children. At this developmental stage, attention spans are limited, and providing information too early can result in anxiety or forgetfulness. Preparing children 1 to 2 days prior is more effective to ensure comprehension and reduce anticipatory stress.
Choice B rationale
Using simple diagrams and photographs aligns with the cognitive development of school-aged children, who benefit from visual aids. This approach promotes understanding by bridging abstract concepts with concrete visual representations, thus reducing fear and uncertainty about the procedure.
Choice C rationale
Spending 45 minutes explaining the procedure exceeds the attention span of school-aged children. Such prolonged sessions may overwhelm or disengage them. Instead, concise and focused explanations are recommended to match their developmental needs and learning capacity.
Choice D rationale
Discussing long-term consequences may not be suitable for a child’s developmental stage. This information can induce unnecessary fear, as school-aged children typically focus on immediate rather than long-term outcomes. Tailoring the explanation to their level is essential for effective communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The center of the heel contains dense tissue and lacks capillary beds required for adequate blood sampling. Puncturing this area increases the risk of causing trauma without yielding sufficient blood flow, making it an inappropriate site for a heel stick.
Choice B rationale
The lateral side of the heel is the optimal site for a heel stick as it contains capillary-rich tissue and avoids major nerves and bones. Using this site minimizes pain while ensuring adequate blood flow for sampling. It is the recommended location for newborn blood tests.
Choice C rationale
The arch of the foot is unsuitable for blood sampling due to low capillary density and proximity to sensitive nerves. Puncturing this area can result in significant discomfort with insufficient blood yield, making it an inappropriate choice for a heel stick.
Choice D rationale
The ball of the foot is not recommended for heel sticks because it is primarily used for weight-bearing and contains dense tissue unsuitable for adequate capillary blood flow. Puncturing this area increases the risk of unnecessary trauma while yielding suboptimal blood samples. .
Correct Answer is A
Explanation
Choice A rationale
Drying clothing in a hot dryer for at least 20 minutes effectively kills head lice and nits, which are sensitive to high temperatures. Heat disrupts the lipid membranes of lice and dehydrates the eggs, preventing further infestation. This intervention ensures that both live organisms and their offspring are eradicated.
Choice B rationale
Nonwashable items should be sealed in a plastic bag for 14 days, not 7, to ensure the life cycle of lice is interrupted completely. Lice can survive for up to 10 days without a host. This extended duration ensures that any eggs present hatch and the lice perish in the sealed environment.
Choice C rationale
Antibacterial solutions are ineffective against lice and nits, as these organisms are not bacteria. Proper disinfection requires soaking combs and brushes in very hot water or specific insecticidal solutions that target lice. This method disrupts their cellular structure, leading to death.
Choice D rationale
Washing clothing and bed linens in water at 100°F (37.7°C) is insufficient to kill lice, as they can withstand this temperature. Water temperatures should be at least 130°F (54.4°C) to be effective. This ensures complete eradication through thermal inactivation of both adult lice and nits.
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