A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Ask the child's parent to leave the room during the procedure.
Perform the procedure in the unit's playroom.
Apply a topical anesthetic cream 1 hr prior to the procedure.
Explain the procedure in detail to the child 3 hr prior to the procedure.
The Correct Answer is C
A. Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic.
B. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture.
C. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care.
D. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B. Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.
Correct Answer is D
Explanation
A) Neck vein distention is not typically associated with acetylsalicylic acid poisoning.
B) Jaundice is not typically associated with acetylsalicylic acid poisoning.
C) Polyuria is not typically associated with acetylsalicylic acid poisoning.
D) Hyperpyrexia, or extremely high fever, is a common symptom of severe acetylsalicylic acid poisoning due to its effects on the central nervous system and metabolism.
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