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. No head lag when pulled to a sitting position is a normal finding at 4 months of age.
B. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage.
C. The presence of tears when crying is a normal finding at 4 months of age.
D. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.
Correct Answer is B
Explanation
A. Placing the child prone (face down) is not appropriate for a lumbar puncture.
B. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area.
C. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.
D. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.
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