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. Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.

B. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D. Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.

A. providing distraction from the pain. B. eliciting a relaxation response. C. modulating the transmission of the pain impulse. D. promoting increased circulation to the painful area.

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.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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

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