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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Developmental delays occur because of hospitalizations.

This statement implies that the hospitalization itself causes developmental delays, which is not accurate. Hospitalization might disrupt routines, but it does not directly cause developmental delays.

B. The child is too young to be potty trained.

The child was previously "potty-trained," so age is not the primary factor. Regression in toilet training can occur for various reasons.

C. Regression is sometimes seen during hospitalization.

This statement is correct. Regression, including reverting to behaviors like wearing diapers, can occur in response to stress, illness, or changes in routine, such as hospitalization.

D. The child is experiencing urinary urgency as a result of the hospitalization.

While urinary urgency can be a possibility, the given scenario emphasizes the regression to wearing diapers, which is more indicative of behavioral regression rather than a physical issue like urgency.

A. Document B/P not obtained because child was in the playroom. B. Take the child back to their room, take their B/P and then take them back to the playroom. C. Take the child to the treatment room. D. Take the B/P in the playroom.

Correct Answer is D

Explanation

A. Document B/P not obtained because the child was in the playroom.

This is not the best option. The nurse should attempt to obtain the blood pressure as part of routine monitoring.

B. Take the child back to their room, take their B/P and then take them back to the playroom.

This may disrupt the child's play and is not the most efficient approach for routine blood pressure monitoring.

C. Take the child to the treatment room.

This might be unnecessary for a routine blood pressure check and could cause unnecessary anxiety for the child.

D. Take the B/P in the playroom.

This is the best intervention. If possible, taking the blood pressure in the playroom allows the child to remain in a familiar and comfortable environment, reducing anxiety and promoting cooperation.

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What intervention should the nurse implement when a 4 year old asks for a band-aid after an injection?

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Naxlex Comprehensive Predictor Exams

A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:

Correct Answer is C

Explanation

The nurse needs to take a B/P on a 3 year old who is in the playroom. What is the best intervention?

Correct Answer is D

Explanation

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