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
The correct answer is choiced. Human papillomavirus (HPV).
Choice A rationale:
Varicella (chickenpox) vaccine is typically administered to younger children, usually between 12-15 months and again at 4-6 years of age.
Choice B rationale:
The Diphtheria, Tetanus, and Pertussis (DTaP) vaccine is also given to younger children in a series of shots starting at 2 months and continuing until 4-6 years of age.At 12 years, a booster called Tdap (Tetanus, diphtheria, and pertussis) is recommended instead.
Choice C rationale:
Hepatitis A vaccine is generally given to children at 12-23 months of age in two doses, six months apart.It is not typically administered at 12 years old unless the child missed the earlier doses.
Choice D rationale:
The Human papillomavirus (HPV) vaccine is recommended for preteens aged 11-12 years to protect against cancers caused by HPV. This is the appropriate age for the first dose of the HPV vaccine.
Correct Answer is D
Explanation
Choice A rationale:
The nurse does not need to report the heart rate as it falls within the normal range for a school-age child, which is typically between 70-100 beats per minute.
Choice B rationale:
The WBC count is 9,600/mm3, which is within the normal range for a school-age child (4,500 to 13,500/mm3) Therefore, this finding does not warrant reporting to the provider.
Choice C rationale:
HbA1c level is 8.5%, indicating poor blood sugar control. However, this finding is related to the child's cystic fibrosis and not an immediate concern. The nurse should address this issue but does not need to urgently report it to the provider.
Choice D rationale:
Oxygen saturation is 95%, which is within the normal range (typically 95-100%) However, for a child with cystic fibrosis who may have respiratory issues, a lower oxygen saturation level might be concerning. Therefore, the nurse should report this finding to the provider for further evaluation and intervention.
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