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.

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Correct Answer is B

Explanation

A. Wait for notification that the system has been rebooted: Waiting passively may delay documentation and care coordination. Immediate action should be taken to report the issue and initiate contingency plans.

B. Notify information services department of the situation: Reporting the shutdown ensures that technical staff are aware of the problem and can begin troubleshooting. Prompt notification is essential to minimize disruption and initiate recovery protocols.

C. Print electronic medical record (EMR) from backup server: Accessing backup records may be useful once the issue is addressed, but printing should not be the first action before the issue is officially reported and assessed by IT.

D. Identify information as late entry in the record: This action is appropriate once the system is restored. However, it is not the initial step in responding to the unexpected system failure.

A. Picks up an item on the far side of the bed by stretching over the mattress. B. Pushes the lower drawer of the medication cart closed using one's hip. C. Stands erect with knees bent to pull a draw sheet and move the client in bed. D. Bends at the waist to hang a urinary bedside unit on the bed frame.

Correct Answer is C

Explanation

A. Picks up an item on the far side of the bed by stretching over the mattress: Reaching across the bed places strain on the back and shoulders, increasing the risk for musculoskeletal injury due to improper body mechanics.

B. Pushes the lower drawer of the medication cart closed using one's hip: Using the hip to close drawers may seem efficient but increases the risk for imbalance and injury over time, especially to joints and the lower back.

C. Stands erect with knees bent to pull a draw sheet and move the client in bed: This demonstrates proper body mechanics by maintaining a straight back and using leg muscles rather than the back, reducing the risk of injury during lifting or repositioning tasks.

D. Bends at the waist to hang a urinary bedside unit on the bed frame: Bending at the waist instead of the knees places stress on the lower back. Proper technique requires bending at the knees and maintaining a straight spine.

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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?

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Naxlex Comprehensive Predictor Exams

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