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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Setting the water heater to 60°C (140°F) increases the risk of scalding burns, so it is not a recommended safety measure.
B. Toddlers are curious and may try to pull or chew on electrical wires, which can cause electrocution or fire hazards. The nurse should advise parents to keep electrical wires out of reach or secured with cord covers or tape.
C. Encouraging outdoor activities between 1100 and 1300 exposes toddlers to excessive sun exposure and heat, which can cause sunburns or heatstroke. The nurse should recommend avoiding outdoor activities during peak sun hours and applying sunscreen and protective clothing when outdoors.
D. Turning pot handles toward the front of the stove is a dangerous practice that can cause toddlers to reach for them and spill hot liquids or food on themselves. The nurse should instruct parents to turn pot handles toward the back of the stove or use rear burners when possible.
Correct Answer is B
Explanation
A. The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord.
B. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine.
C. The nurse should assess the pin sites for infection at least once a day, not every other day.
D. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage. Only a provider can adjust the screws on the halo device.
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