A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?
Perform the most invasive assessment first.
Separate the child from the caregiver during the examination.
Allow the child to role-play using miniature equipment.
Use medical terminology to describe what happened.
The Correct Answer is C
Choice A rationale
Performing the most invasive assessment first can cause distress and fear in a preschooler. It’s generally recommended to start with less invasive procedures to build trust and cooperation.
Choice B rationale
Separating a child from their caregiver during an examination can cause anxiety and fear. It’s often beneficial to have the caregiver present during the examination to provide comfort and reassurance.
Choice C rationale
Allowing a child to role-play using miniature equipment can help alleviate fears and anxieties about the examination. It gives the child a sense of control and understanding of what to expect.
Choice D rationale
While it’s important to explain procedures to a child, using medical terminology can confuse and scare them. It’s better to use simple, age-appropriate language that the child can understand.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale
While assistance may be needed to comfort the toddler during the procedure, holding the toddler in a prone position is not the recommended position for a lumbar puncture.
Choice B rationale
Placing the toddler in a side-lying, knee-chest position is the correct position for a lumbar puncture. This position helps to open up the spaces between the vertebrae, making it easier to access the spinal canal.
Choice C rationale
Restraining the toddler for 1 hour after the procedure is not necessary and could cause distress to the toddler.
Choice D rationale
While swaddling the toddler in a warm blanket may provide comfort, it is not a necessary step in the administration of a lumbar puncture.
Correct Answer is A
Explanation
Choice A rationale
Maintaining elbow restraints on the toddler after a cleft palate repair is a common practice. This is done to prevent the child from touching the surgical site and causing damage to the delicate repair.
Choice B rationale
Providing soft foods for the toddler after a cleft palate repair may seem like a good idea, but it is not the most appropriate intervention immediately after surgery. The surgical site in the mouth needs time to heal, and introducing foods too soon could disrupt the healing process.
Choice C rationale
Suctioning the toddler’s nose and mouth every hour after a cleft palate repair is not typically recommended. This could potentially damage the surgical site and disrupt the healing process.
Choice D rationale
Giving the toddler a hard-tipped sippy cup to drink liquids after a cleft palate repair is not typically recommended. The hard tip could potentially damage the surgical site and disrupt the healing process.
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