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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement is correct as the harness straps should fit snugly and be positioned at or above the child's shoulders for proper safety.
B. The middle of the back seat is indeed considered the safest position for a car seat.
C. Checking the security of the car seat before every trip is essential for ensuring the child’s safety.
D. Placing thick padding or blankets under the child is not recommended as it can interfere with the proper fit of the harness and increase the risk of injury in case of a collision.
Correct Answer is ["562.5"]
Explanation
To calculate the safe dosage for the patient, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms (33 / 2.2). According to the drug guide, the safe dosage is 75 mg/kg/day. For a child weighing 15 kg, the total safe daily dosage would be 1125 mg (15 kg * 75 mg/kg). Since the medication is to be divided into two doses per day (every 12 hours), the safe single dose would be half of the daily dosage, which is 562.5 mg.
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