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:

Diminished pulses can be indicative of decreased cardiac output, as it suggests that there may be a reduction in the volume of blood being pumped by the heart.

Choice B reason:

Extremities warm to touch is not necessarily indicative of decreased cardiac output. It may be related to other factors, such as ambient temperature or local blood flow.

Choice C reason:

Capillary refill of 2 seconds is within the normal range for a preschooler, and it is not a strong indicator of decreased cardiac output.

Choice D reason:

A blood pressure of 112/66 mm Hg is within the normal range for a preschooler and is not a strong indicator of decreased cardiac output.

A. Uses four words in a sentence B. Ties shoelaces C. Skips on alternate feet D. Names the days of the week

Correct Answer is A

Explanation

Choice A reason:

Using four words in a sentence is an appropriate developmental milestone for a 3-year-old child. By this age, children typically have a vocabulary that allows them to form short sentences and express themselves.

Choice B reason:

Tying shoelaces is a fine motor skill that is typically developed later, around 5-6 years of age.

Choice C reason:

Skipping on alternate feet is a gross motor skill that is typically developed around 4-5 years of age.

Choice D reason:

Naming the days of the week is a cognitive skill that is typically developed later, around 5-6 years of age. It involves not only memory but also an understanding of the concept of days and their order.

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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?

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