A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

Tell the child that it will not hurt.

Have the parent hold tightly onto the child during the procedure.

Allow the child to operate the equipment.

Defer taking the blood pressure until the next visit.

Answer and Explanation

The Correct Answer is C

A.   Telling the child that it will not hurt may not be effective, as children may still have anxiety or fear related to the unknown.

B.   Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure.
C.   Allowing the child to operate the equipment can give the child a sense of control and involvement, increasing cooperation.
D.   Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.

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Correct Answer is C

Explanation

A. TENS does not primarily work by providing distraction from pain.

B. While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C. TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D. TENS does not primarily work by promoting increased circulation to the painful area.

A. Right task B. Right communication C. Right person D. Right circumstance

Correct Answer is A

Explanation

A. The right task involves ensuring that the delegated task is appropriate for delegation. In this case, obtaining an oral temperature should have been the correct task; however, the AP
performed the axillary temperature, indicating a deviation from the right task.
B. Right communication involves clear and effective communication between the nurse and the assistive personnel but is not directly related to the task performed.
C. Right person involves ensuring that the task is delegated to a competent and qualified

individual. The issue in this scenario is with the task itself, not the competency of the individual.

D. Right circumstance involves ensuring that the conditions are appropriate for delegation. While the circumstance is important, the primary concern in this case is the mismatch between the task and the method of temperature measurement.

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A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to receive transcutaneous electrical nerve stimulation (TENS) for pain management. The nurse should inform the client that TENS relieves pain by

Correct Answer is C

Explanation

A nurse is delegating obtaining the collection of a client's oral temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature. Which of the following rights of delegation should have prevented this situation from occurring?

Correct Answer is A

Explanation

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