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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. This ensures that the parents are aware of the risks, benefits, and alternatives to the procedure and have given their permission for it to be carried out.
Choice B rationale: Encouraging the parents to inspect toys for easily removable parts is an important preventive measure to avoid future incidents. However, this is not the immediate priority in this emergency situation. The primary focus should be on addressing the current issue, which involves obtaining informed consent for the necessary procedure.
Choice C rationale: Monitoring the child closely for the return of the gag reflex is important to ensure the child’s safety, especially after the procedure. However, this step is relevant after the endoscopy has been performed. The immediate priority is to obtain informed consent to proceed with the endoscopy.
Choice D rationale: Obtaining informed consent is the first priority in this scenario. Before any medical procedure can be performed, it is crucial to ensure that the parents are fully informed about the procedure, its risks, benefits, and alternatives, and have given their permission. This step is essential to respect the parents’ rights and to proceed with the necessary medical intervention safely and legally.
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale
Engaging in parallel play is a normal developmental behavior for an 18-month-old toddler. It indicates that the child is beginning to interact with peers, even if they are not yet playing cooperatively.
Choice B rationale
Walking with assistance at 18 months may indicate a potential developmental delay. By this age, most toddlers should be able to walk independently. If a child is still requiring assistance, it may warrant further evaluation.
Choice C rationale
Speaking at least 10 words is within the expected developmental range for an 18-month-old. This milestone indicates that the child is developing language skills appropriately.
Choice D rationale
Building a tower of 3 blocks is a typical developmental milestone for an 18-month-old. It demonstrates fine motor skills and cognitive development. .
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