An adolescent is scheduled to receive a required immunization injection. The client reports being afraid of injections because "shots hurt.” Which action should the nurse take?

Offer assurance that this particular immunization is less painful than imagined.

Use distraction to redirect the client's attention while the nurse gives the injection.

Review the importance of receiving the immunization as a protection from disease.

Invite the client to use the syringe on a dummy before receiving the immunization.

Answer and Explanation

The Correct Answer is B

A. Offer assurance that this particular immunization is less painful than imagined: Minimizing the client’s fear may come across as dismissive and does not address the adolescent’s expressed concern about pain, which may increase anxiety rather than reduce it.

B. Use distraction to redirect the client's attention while the nurse gives the injection: Distraction techniques are effective in reducing perceived pain and anxiety during injections. Shifting the client’s focus away from the procedure helps manage the emotional response and improves the overall experience.

C. Review the importance of receiving the immunization as a protection from disease: Providing education is important, but focusing solely on the rationale does not address the immediate emotional distress related to fear of pain. It may seem unempathetic in the moment.

D. Invite the client to use the syringe on a dummy before receiving the immunization: This action might heighten the adolescent's anxiety by drawing more attention to the needle and procedure. It is not a standard or effective strategy for managing fear of injections.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. A semiprivate room with a roommate who has the same diagnosis and airborne precautions: Although same-diagnosis cohorting may be allowed in some settings, varicella requires strict airborne and contact precautions. A private room is preferred due to the high transmissibility of the virus via airborne droplets and direct contact.

B. A semiprivate room with a roommate who has the same diagnosis and contact precautions: Contact precautions alone are insufficient for varicella. The virus is airborne, and a semiprivate setup without full precautions increases the risk of transmission to staff and others in the unit.

C. A private room with both standard and droplet precautions: Droplet precautions are not adequate for preventing airborne transmission of varicella. The virus spreads through aerosolized particles, requiring airborne precautions in addition to contact isolation.

D. A private room with both contact and airborne precautions: Varicella zoster virus (chickenpox) spreads via airborne droplets and direct contact with lesions. A private room with negative airflow and both contact and airborne precautions is essential to prevent transmission.

A. Methods used to practice safe sex. B. Information about alternative ways to express sexuality. C. Intercourse positions that can help prevent tears. D. The importance of using vaginal lubricants.

Correct Answer is A

Explanation

A. Methods used to practice safe sex: Safe sex practices are essential to prevent sexually transmitted infections (STIs), especially in older adults who may underestimate their risk. Teaching about protection methods like condoms is critical, particularly after unprotected intercourse and a physical injury.

B. Information about alternative ways to express sexuality: While helpful for enhancing intimacy and reducing physical strain, this is not the priority teaching point given the client’s report of unprotected sex and risk of STI exposure.

C. Intercourse positions that can help prevent tears: Positioning may help reduce discomfort or injury, but it does not address the broader and more urgent issue of safe sex practices, especially after reported trauma.

D. The importance of using vaginal lubricants: Lubricants can prevent tissue damage in postmenopausal women, but the primary concern here is the client’s safety related to unprotected sex and STI prevention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An adolescent is scheduled to receive a required immunization injection. The client reports being afraid of injections because "shots hurt.” Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being admitted to the unit with a varicella zoster virus infection. Which room should the charge nurse assign to the client?

Correct Answer is D

Explanation

An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?

Correct Answer is A

Explanation

A client requests heat therapy for lower back pain. Which action should the nurse take?

The nurse observes the unlicensed assistive personnel (UAP) securing a client's wrist restraints to the bedside rails. Which action is most important for the nurse to implement?

A surgical incision that is healing by secondary intention develops a thick tan exudate. Which action should the nurse take first?

The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment(s) should the nurse include while assisting the client with personal care? Select all that apply.

A client arrives to the clinic describing concerns to the nurse about mood swings, insomnia, and a lack of focus. Which information should the nurse obtain first?

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

A client is in contact isolation due to a stage IV coccyx wound infected with methicillin resistant Stephylococcus aureus (MRSA). The nurse plans interventions to prevent multiple reentries to the client's room. In which order should the nurse perform the interventions?

While preparing to obtain a stool specimen for occult blood, the nurse observes that the client's feces is soft, solid, and light brown. Which action should the nurse implement?