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","D","E"]

Explanation

A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

A. Wanting their friends to visit them in the hospital more than their parents B. Being very concerned with implications of the Affordable Care Act regarding healthcare benefits C. Wanting to make decisions about health care independently D. Difficulty understanding the implications their diagnosis might present E. Reporting that he smokes marijuana occasionally.

Correct Answer is ["A","B","C"]

Explanation

A. Wanting friends to visit more than parents is more indicative of this stage, as they reflect the client's interest in social relationships.
B. Being very concerned with implications of laws or regulations demonstrates abstract thinking and consideration of complex societal issues, characteristic of middle formal operational thinking.
C. Wanting to make decisions about healthcare independently reflects increasing autonomy and ability to think abstractly.
D. Difficulty understanding implications of a diagnosis may indicate cognitive limitations rather than middle formal operational thinking.
E. Reporting occasional marijuana use may indicate behavior but does not necessarily reflect cognitive development according to Piaget's theory.

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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 preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

The nurse is performing a cognitive assessment on a 16-year-old client. Which behaviors demonstrated will the nurse identify as middle formal operational, according to Piaget's theory? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

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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