A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?

Give the child a pacifier that has been dipped in an oral sucrose solution during the procedure.

Apply a eutectic mixture of local anesthetics cream to the intended puncture site 1 hr before the procedure.

Instruct the parent how to perform kangaroo care during the procedure.

Administer aspirin to the child 1 hr before the procedure.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Using a pacifier dipped in an oral sucrose solution can help provide comfort and alleviate pain during the procedure, making it a suitable option for blood specimen collection in preschoolers.

Choice B reason:

Applying a eutectic mixture of local anesthetics cream may not be the most appropriate option for blood specimen collection in preschoolers, as it may not provide sufficient pain relief for the procedure.

Choice C reason:

Kangaroo care involves skin-to-skin contact between an infant and a parent, which is beneficial for bonding and comfort but may not be directly applicable to a blood specimen collection procedure.

Choice D reason:

Placing the infant in a prone position for sleeping is not related to blood specimen collection and may not be appropriate immediately postoperatively.

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Correct Answer is A

Explanation

Choice A reason:

Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.

Choice B reason:

While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.

Choice C reason:

Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.

Choice D reason:

Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.

A. Hypersomnia B. Hypotension C. Rapid weight loss D. Rounded facial features

Correct Answer is D

Explanation

Choice A reason:

Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.

Choice B reason:

Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.

Choice C reason:

Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.

Choice D reason:

Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.

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A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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