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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.
Correct Answer is B
Explanation
Choice A rationale
Measuring from the back of the head to the forehead is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice B rationale
Placing the measuring tape above the eyebrows and around the widest part of the head is the correct method for measuring head circumference in an infant. The tape should be wrapped around the head at the points just above the eyebrows, above the ears, and around the back where the head slopes up prominently from the neck.
Choice C rationale
Measuring from the chin to the top of the head is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
Choice D rationale
Wrapping the measuring tape tightly around the neck is not the correct method for measuring head circumference in an infant. The measurement should be taken around the widest part of the head, which is typically above the eyebrows and ears.
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