Which nursing action is the best way to prepare a 4-year-old client for a bone marrow aspiration?

Have a child life specialist explain the procedure using a doll.

Give the client color handouts explaining the procedure.

Tell the client that a lot of children have this procedure.

Allow the patient to watch a video of the procedure on another child.

Answer and Explanation

The Correct Answer is A

Have a child life specialist explain the procedure using a doll.

Choice A rationale:

Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.

Choice B rationale:

Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.

Choice C rationale:

Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.

Choice D rationale:

Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.

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Correct Answer is C

Explanation

Choice A rationale:

Threat to body image is not the primary concern for an 8-year-old patient undergoing diagnostic testing for seizures. Seizures are primarily neurological in nature.

Choice B rationale:

Fear of bodily injury might be a concern, but for an 8-year-old patient undergoing diagnostic testing for seizures, the more immediate concern would likely be related to their social interactions and acceptance among peers.

Choice C rationale:

Loss of peer acceptance is the most likely psychological concern for an 8-year-old patient during diagnostic testing. Children at this age are highly conscious of fitting in with their peers, and a medical condition might make them worry about being different.

Choice D rationale:

Separation from parents could be a concern for younger children, but 8-year-olds are generally more independent and less likely to experience extreme separation anxiety.

A. The parent collects the specimen when the child reports itching. B. The parent collects the specimen in the evening before the child goes to bed. C. The parent collects the specimen after the child has had a bowel movement. D. The parent collects the specimen in the morning when the child awakens.

Correct Answer is D

Explanation

Choice A rationale:

The statement "The parent collects the specimen when the child reports itching”. is incorrect. The scotch tape test for pinworms involves placing clear tape on the perianal area in the morning to collect eggs that may have been laid during the night, not based on itching.

Choice B rationale:

The statement "The parent collects the specimen in the evening before the child goes to bed”. is incorrect. The test is most effective in the morning when the child wakes up, as this is when pinworms are most active and lay their eggs.

Choice C rationale:

The statement "The parent collects the specimen after the child has had a bowel movement”. is incorrect. The test doesn't involve collecting a specimen after a bowel movement but rather in the morning using transparent tape to catch pinworm eggs.

Choice D rationale:

The statement "The parent collects the specimen in the morning when the child awakens”. is correct. This is the correct time for the scotch tape test, as it maximizes the chance of detecting pinworm eggs laid during the night.

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Which nursing action is the best way to prepare a 4-year-old client for a bone marrow aspiration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 8-year-old patient suspected of having seizures is admitted to the hospital for a diagnostic workup. Which psychological concern is the patient most likely to have during diagnostic testing?

Correct Answer is C

Explanation

The nurse provides a parent with instructions on how to perform the scotch tape test to collect a specimen for ova and parasites in the perineal region of a child suspected of having pinworms. Which action by the parent indicates the test was done at the correct time?

Correct Answer is D

Explanation

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