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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.

A. Visual analog B. FACES C. FLACC D. CRIES

Correct Answer is C

Explanation

Rationale:
A. Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.
B. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.
C. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled.
D. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

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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?

Nursing Test Bank

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