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 D
Explanation
Choice A rationale:
Staying under a beach umbrella during morning hours provides some protection from direct sunlight but does not offer comprehensive coverage, especially when the sun's rays are strong. It is not the best option for protecting a toddler from sun exposure.
Choice B rationale:
SPF (Sun Protection Factor) 10 sunscreen is relatively low and may not provide adequate protection, especially for a toddler. Higher SPF sunscreens are recommended, typically SPF 30 or higher, to effectively block harmful UV rays.
Choice C rationale:
Loose-weave clothing may allow sunlight to penetrate, leading to sunburn. Tight-knit, dark-colored clothing offers better protection. Loose-weave clothing is not the most effective choice for sun protection.
Choice D rationale:
Wearing a wide-brimmed hat provides shade to the face, neck, and ears, offering additional protection from direct sunlight. This choice indicates a good understanding of the need for comprehensive sun protection for the toddler.
Correct Answer is C
Explanation
Choice A rationale:
Allowing the child to adjust their bedtime might promote autonomy, but in a hospital setting, routine and familiarity are essential for reducing anxiety in school-age children. Disrupting their home sleep routine may increase stress and hinder the child's ability to rest properly.
Choice B rationale:
Leaving the lights on in the child's room contradicts the principles of creating a sleep-conducive environment. Adequate sleep hygiene involves a dark and quiet room. Leaving lights on could interfere with the child's ability to fall asleep, potentially leading to sleep disturbances and increased anxiety.
Choice C rationale:
Following the child's home sleep routine is the most appropriate intervention. Maintaining consistency with the child's usual bedtime routine provides a sense of familiarity and security, reducing anxiety and promoting better sleep. This approach aligns with the principles of pediatric nursing, ensuring the child's emotional well-being while in the hospital.
Choice D rationale:
Providing the child with video games prior to bedtime is not recommended, especially in a hospital setting. Screen time, especially before sleep, can disrupt sleep patterns due to the blue light emitted by electronic devices. Additionally, video games may stimulate the child, making it harder for them to relax and fall asleep. This choice can exacerbate the child's stress and hinder their ability to achieve adequate sleep.
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