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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B. Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.
C. Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D. Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.
Correct Answer is D
Explanation
A. A client with diminished vision ambulating in well-lit areas may be at risk for falling but is not at the greatest risk among the options provided.
B. A client who received a diuretic 30 min ago may experience orthostatic hypotension, which can increase the risk of falling, but it is not the highest risk.
C. A client who requires assistance with ambulation is generally at a lower risk than a client who has recently experienced a tonic-clonic seizure.
D. A client who had a tonic-clonic seizure 2 hr ago is at the greatest risk for falling due to potential residual weakness, disorientation, or postictal state following the seizure.
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