The nurse is preparing to give an injection to a 3-year-old child. Which of the actions by the nurse is appropriate? (Select all that apply)

Allow the child to wait until later that afternoon after a trip to the playroom to receive the injection.

Provide comfort measures after the procedure, such as touching, holding, or providing a favorite toy.

Accept aggressive behavior, within reasonable limits, as a normal response, and provide healthy outlets for the child.

Offer a brief, concrete explanation of the procedure and then perform it.

Answer and Explanation

Correct Answer : B,C,D

A. Delaying the injection may increase the child's anxiety and fear regarding the procedure; it is better to proceed without unnecessary delays.

B. Providing comfort measures after the injection helps to ease the child's distress and provides reassurance during recovery.

C. Accepting and acknowledging the child’s aggressive behavior as a normal reaction to fear helps the child process their feelings, while offering healthy outlets helps manage these feelings.

D. Offering a brief, concrete explanation helps prepare the child for what to expect, reducing anxiety and making the procedure more manageable.

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Correct Answer is C

Explanation

A. A urine collection bag may lead to contamination of the sample, which is not suitable for obtaining a sterile specimen.

B. Indwelling Foley catheters are unnecessary for this one-time sample collection and increase the risk of infection.

C. Using a straight catheter is the recommended method to obtain a sterile urine sample in infants. It is minimally invasive, and the catheter is removed immediately after collecting the sample to reduce the risk of infection.

D. Placing a sterile cotton ball in the diaper may result in contamination and does not provide a truly sterile sample.

A. follows one-step directions B. enjoys looking at and recognizing self in the mirror C. Builds a collection of cards D. Participates in associative play

Correct Answer is D

Explanation

A. Following one-step directions is more characteristic of toddlers, while preschoolers can follow multi-step directions.

B. Recognizing oneself in a mirror typically occurs in infants or toddlers.

C. Collecting items is usually a hobby or behavior observed in older children, not preschoolers.

D. Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.

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The nurse is preparing to give an injection to a 3-year-old child. Which of the actions by the nurse is appropriate? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives an order from the provider to obtain a sterile urine specimen from an eight-month-old infant to rule out a urinary tract infection (UTI), Which is the best way to obtain the sterile urine specimen?

Correct Answer is C

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is D

Explanation

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