A nurse is preparing a school-age child for an invasive procedure.
Which of the following actions should the nurse plan to take?
Use vague language to describe the procedure.
Plan for a 30 min teaching session about the procedure.
Explain the procedure to the child when they are in the playroom.
Demonstrate deep-breathing and counting exercises.
The Correct Answer is D
The correct answer is choice d. Demonstrate deep-breathing and counting exercises.
Choice A rationale:
Using vague language to describe the procedure can increase anxiety and fear in the child. Clear and age-appropriate explanations help the child understand what to expect.
Choice B rationale:
A 30-minute teaching session may be too long for a school-age child, leading to loss of attention and increased anxiety. Short, focused sessions are more effective.
Choice C rationale:
Explaining the procedure in the playroom can associate a place of comfort with stress and anxiety. It’s better to explain the procedure in a neutral or medical setting.
Choice D rationale:
Demonstrating deep-breathing and counting exercises helps the child manage anxiety and pain during the procedure. These techniques are effective coping strategies for children undergoing medical procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
D.
Choice A rationale:
Fever is a common sign of acute otitis media, indicating an infection. Elevated body temperature is a natural response to infection as the body tries to fight off the invading pathogens.
Choice B rationale:
Crying is a common symptom in infants with acute otitis media due to ear pain and discomfort caused by the infection. It is a way for the infant to express distress.
Choice C rationale:
Enlarged subclavicular lymph node is not a typical finding in acute otitis media. Enlarged lymph nodes can indicate an immune response but are not specific to this condition.
Choice D rationale:
Restlessness can be a symptom of acute otitis media. Infants may become irritable and have difficulty sleeping due to ear pain and discomfort.
Choice E rationale:
Increased appetite is not a typical finding in acute otitis media. Illnesses often cause a decreased appetite rather than an increased one.
Correct Answer is A
Explanation
Choice A rationale:
Acute acetylsalicylic acid (aspirin) poisoning can lead to hyperpyrexia, which is an extremely high fever, often above 106°F (41.1°C) This hyperpyrexia occurs due to the toxic effects of salicylates on the hypothalamus, the part of the brain that regulates body temperature. Aspirin poisoning can disrupt the body's ability to regulate temperature, leading to a dangerously high fever.
Choice B rationale:
Neck vein distention is not a common symptom of acute acetylsalicylic acid poisoning. This finding is more indicative of issues related to the cardiovascular system, such as heart failure or fluid overload.
Choice C rationale:
Polyuria (excessive urination) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity is more likely to cause dehydration due to increased respiratory rate and metabolic acidosis.
Choice D rationale:
Jaundice, the yellowing of the skin and eyes, is not a characteristic symptom of acute acetylsalicylic acid poisoning. Jaundice typically occurs in conditions affecting the liver, such as hepatitis or liver failure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.