A nurse is planning care for a preschooler who has neutropenia.
Which of the following interventions should the nurse include in the plan?

The correct answer is Choice B.

Choice A rationale

This statement is nontherapeutic because it shifts the focus away from the patient and onto the nurse’s personal experience. It can minimize the patient’s feelings and is not helpful in providing support.

Choice B rationale

Asking the patient to demonstrate how they give themselves insulin is a therapeutic communication technique. It shows interest in the patient’s self-care practices and provides an opportunity for the nurse to offer guidance and support.

Choice C rationale

This statement is nontherapeutic because it offers false reassurance. It does not address the patient’s concerns or provide any real support.

Choice D rationale

This statement is also nontherapeutic because it offers false reassurance and does not address the patient’s specific concerns or needs.

The correct answer is Choice D.

Choice A rationale

Asking the child’s parent to leave the room during the procedure may increase the child’s anxiety and make the procedure more traumatic. Parental presence can provide comfort and reduce anxiety.

Choice B rationale

Performing the procedure in the unit’s playroom may not provide the necessary equipment and sterile environment required for a venipuncture. It is important to perform the procedure in a controlled and sterile environment.

Choice C rationale

Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic. It is better to explain the procedure closer to the time of the procedure.

Choice D rationale

Applying a topical anesthetic cream 1 hour prior to the procedure helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. This approach minimizes the child’s pain and anxiety.