In consideration of the patient's body image, the nurse should take which action when performing venipuncture in a preschool-aged child?
Show the patient the needle and the syringe to be used for the venipuncture.
Have the patient help to cleanse the site chosen for the venipuncture.
After the venipuncture, encourage the patient to show the site to adults in the area.
After the venipuncture, help the patient apply a small dressing to the venipuncture site.
The Correct Answer is D
Choice D rationale:
Preschool-aged children may fear pain and bleeding, and applying a small dressing after venipuncture helps alleviate anxiety. It provides a sense of control and comfort, as the child perceives their active participation in caring for the site.
Choice A rationale:
Showing the needle and syringe might intensify anxiety in the child, making venipuncture more distressing. It's important to minimize any distress during the procedure.
Choice B rationale:
Allowing the child to help cleanse the site could lead to more anxiety as the child might interpret it as their own responsibility for the procedure.
Choice C rationale:
Encouraging the child to show the site to adults may not be reassuring for the child and could potentially exacerbate their apprehension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.
Choice B rationale:
Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.
Choice C rationale:
A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.
Choice D rationale:
Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.
Correct Answer is A
Explanation
Choice A rationale:
Stomatitis, inflammation of the oral mucosa, can make eating painful, leading to inadequate nutritional intake. The discomfort caused by stomatitis can discourage the patient from eating, potentially resulting in malnutrition. Ensuring adequate nutritional intake is crucial to support the patient's immune system and healing during antineoplastic therapy.
Choice B rationale:
Dental caries are not directly related to stomatitis. Stomatitis is inflammation of the oral mucosa, whereas dental caries involve decay of tooth structure due to bacterial action on food debris and sugars.
Choice C rationale:
Diarrhea is unrelated to stomatitis. Diarrhea involves frequent, loose, or watery stools, often caused by gastrointestinal infections, certain medications, or dietary intolerances.
Choice D rationale:
Gingival hyperplasia is an overgrowth of gum tissue and is not a likely result of stomatitis. It can be associated with some medications like anticonvulsants.
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