The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

Have the parent stand near and/or rub the child's feet during the procedure.

Use restraint or "holding down" of the child during the procedure to prevent injury.

Insert a saline lock if the child will require multiple doses of parenteral medications.

Avoid using numbing techniques for multiple blood draws or IV insertion.

Answer and Explanation

The Correct Answer is C

A.   Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B.   Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C.   A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D.   Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.

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Correct Answer is A

Explanation

A. Health supervision for children as their primary medical contact is a key function of a pediatric practice, where comprehensive healthcare services for children are provided.
B. Dermatology practices focus on skin-related issues rather than comprehensive healthcare for children.
C. Urgent care centers primarily handle acute medical issues on a walk-in basis rather than serving as a primary medical contact.
D. Mobile outreach immunization programs focus specifically on immunization services rather than comprehensive healthcare for children.

A. birthweight of 7 lb, 14 oz (3,572 g) B. strong, brisk motor skills C. difficulty in arousing to a quiet alert state D. wasted appearance of extremities

Correct Answer is C

Explanation

A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

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The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?

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Naxlex Comprehensive Predictor Exams

A large portion of the nurse's efforts is dedicated to health supervision for children who use the facility as their primary medical contact. At which facility does the nurse work?

Correct Answer is A

Explanation

The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

Correct Answer is C

Explanation

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

The nurse is caring for children in a healthcare provider's office where health supervision is practiced. Which are some points of focus of health supervision? Select all that apply.

Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?

A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

When assessing adolescents for health risks, the nurse must keep in mind the factors related to the prevalence of adolescent injuries. What accurately describes these factors? Select all that apply.

The nurse is helping parents prepare a healthy meal plan for their toddler. Which guidelines for promoting nutrition should be followed when planning meals? Select all that apply.