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.

Explain the procedure in detail to the child 3 hours prior to the procedure.

Apply a topical anesthetic cream 1 hour prior to the procedure.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D.

Choice A rationale

Asking the child’s parent to leave the room during the procedure may increase the child’s anxiety and make the procedure more traumatic. Parental presence can provide comfort and reduce anxiety.

Choice B rationale

Performing the procedure in the unit’s playroom may not provide the necessary equipment and sterile environment required for a venipuncture. It is important to perform the procedure in a controlled and sterile environment.

Choice C rationale

Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic. It is better to explain the procedure closer to the time of the procedure.

Choice D rationale

Applying a topical anesthetic cream 1 hour prior to the procedure helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. This approach minimizes the child’s pain and anxiety.

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Free Nursing Study Resources

Correct Answer is ["12.5"]

Explanation

Step 1 is to convert the child’s weight from pounds to kilograms. 55 lb × 0.4536 kg/lb = 24.948 kg

Step 2 is to calculate the total dose of ibuprofen needed. 24.948 kg × 10 mg/kg = 249.48 mg

Step 3 is to determine the volume of ibuprofen solution to administer. (249.48 mg ÷ 100 mg) × 5 mL = 12.474 mL

Step 4 is to round the answer to the nearest tenth. 12.474 mL ≈ 12.5 mL

The nurse should administer 12.5 mL of ibuprofen solution to the child. .

A. The child’s throat pain increases. B. The child swallows frequently. C. The child refuses clear liquids. D. The child cries often.

Correct Answer is B

Explanation

The correct answer is Choice B.

Choice A rationale

Increased throat pain is common after a tonsillectomy and can be managed with pain relief measures. It is not the most critical finding.

Choice B rationale

Frequent swallowing can indicate bleeding at the surgical site, which is a serious complication that requires immediate attention.

Choice C rationale

Refusal to drink clear liquids is concerning for dehydration but is not as immediately critical as signs of bleeding.

Choice D rationale

Crying often can be due to pain or discomfort but is not as critical as signs of bleeding.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["12.5"]

Explanation

A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?

Correct Answer is B

Explanation

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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?