What intervention should the nurse implement when a 4 year old asks for a band-aid after an injection?
Show them that the bleeding has stopped.
Ask why they want a band-aid.
Apply a band-aid.
Explain that a band-aid is not needed.
The Correct Answer is C
A. Show them that the bleeding has stopped.
While showing that the bleeding has stopped is informative, it might not address the child's emotional response or desire for comfort. Applying a band-aid can provide a tangible and comforting solution.
B. Ask why they want a band-aid.
While understanding the child's reasons is important, in this situation, a direct question might not be necessary. The child's request for a band-aid is likely a common response to the perception of an injury or discomfort.
C. Apply a band-aid.
This is the most appropriate intervention in this situation. Applying a band-aid responds to the child's request, provides a tangible form of comfort, and can make the overall experience more positive.
D. Explain that a band-aid is not needed.
While it's true that a band-aid may not be medically necessary, providing one is a simple and kind gesture that can help ease the child's anxiety and contribute to a positive experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Respirations: Monitoring respiratory rate and pattern is crucial when a child is receiving narcotics, as these medications can depress the respiratory system. Rapid or shallow breathing may indicate respiratory distress.
B. Level of consciousness: This is important to assess for any signs of sedation or altered mental status, which can be a side effect of narcotics.
C. Oxygen saturations: Monitoring oxygen saturations is essential, especially if there are concerns about respiratory depression. A decrease in oxygen saturations could indicate inadequate ventilation.
D. Bowel sounds: While bowel sounds are important to assess for gastrointestinal function, they are not the top priority when monitoring a child receiving narcotics. Respiratory and central nervous system status take precedence.
Correct Answer is D
Explanation
A. Productive cough, rales
A productive cough with rales (crackling or bubbling sounds in the lungs) is more indicative of conditions like pneumonia or bronchitis, not necessarily asthma.
B. Fever, general malaise
Fever and general malaise are more consistent with infections and not specific to asthma.
C. Stridor, suprasternal retractions
Stridor (high-pitched sound during breathing) and suprasternal retractions (visible sinking of the area just above the breastbone during inhalation) can be associated with upper airway obstruction but are not typical findings in asthma.
D. Nonproductive cough, wheezing
Asthma often presents with a nonproductive cough and wheezing. Wheezing is a common characteristic of asthma due to narrowed airways.
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