A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure?
Limit teaching sessions about the procedure to 20 min.
Ask the parents to wait outside the room during the procedure.
Instruct the child in deep-breathing methods prior to the procedure.
Explain in simple terms how the procedure will affect the child.
The Correct Answer is D
Rationale:
A. Limit teaching sessions about the procedure to 20 min: While preschoolers have limited attention spans, the focus should be on using age-appropriate language and explanations rather than strictly timing the teaching session. The quality and clarity of instruction are more important.
B. Ask the parents to wait outside the room during the procedure: Preschoolers often feel safer and more cooperative when a parent is present. Removing parents can increase anxiety and resistance, so parental presence is encouraged.
C. Instruct the child in deep-breathing methods prior to the procedure: Deep-breathing exercises can help with relaxation, but preschoolers may have difficulty understanding or performing them effectively. Simple explanations and reassurance are more appropriate.
D. Explain in simple terms how the procedure will affect the child: Providing a clear, age-appropriate explanation helps the preschooler understand what to expect, reduces fear, and promotes cooperation. Using simple terms tailored to the child’s developmental level is the most effective preparation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "I will remove gluten from my diet.": Gluten is not associated with latex cross-reactivity. Gluten sensitivity is related to celiac disease, which involves an immune response to wheat proteins, not latex allergens.
B. "I will remove peanuts from my diet.": Peanuts are not part of the common cross-reactive foods for latex allergy. While peanuts are a frequent cause of food allergies, they do not share similar protein structures with latex that trigger cross-sensitivity reactions.
C. "I will remove bananas from my diet.": Bananas share similar protein allergens with natural rubber latex, which can trigger cross-reactive allergic responses. Individuals with latex allergy often react to foods such as bananas, avocados, kiwis, and chestnuts, making avoidance of these foods advisable.
D. "I will remove dairy products from my diet.": Dairy products do not have protein structures similar to those found in latex and are not linked to latex-related cross-reactivity. Removing them from the diet provides no benefit in managing latex allergies.
Correct Answer is B
Explanation
Calculation:
- Identify the client's weight in kilograms (kg) and height in meters (m).
Weight = 75 kg
Height = 1.8 m
- Calculate the square of the height in meters (m squared).
Height squared = 1.8 m x 1.8 m
= 3.24 m squared.
- Calculate the BMI.
BMI = Weight (kg) / Height (m squared)
= 75 kg / 3.24 m squared
= 23.148
- Round the answer to the nearest tenth.
= 23.1
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