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 C

Explanation

Choice A reason:

Connecting a bulb attachment to the syringe is not a standard method for administering a tube feeding and can potentially lead to complications.

Choice B reason:

Heating the formula to body temperature is not typically necessary and can be potentially dangerous if it leads to overheating.

Choice C reason:

Positioning the child with the head of the bed elevated at 15° helps to prevent aspiration during tube feeding.

Choice D reason:

Instilling the feeding based on pH alone is not a sufficient criterion for administration. Other factors, such as radiographic confirmation of tube placement, should also be considered.

A. Muehrcke lines on the nails B. Hypertension C. Dehydration D. Hypokalemia

Correct Answer is B

Explanation

Choice A reason:

Muehrcke lines on the nails are associated with certain medical conditions but are not indicative of acute glomerulonephritis.

Choice B reason:

Correct. Hypertension is a common manifestation of acute glomerulonephritis due to the impaired filtration function of the kidneys.

Choice C reason:

Dehydration is not a typical manifestation of acute glomerulonephritis. Instead, fluid retention and edema are more common.

Choice D reason:

Hypokalemia (low potassium levels) is not a typical finding in acute glomerulonephritis. Instead, hyperkalemia (high potassium levels) may occur.

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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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