A nurse is assisting with preparing a toddler for an intravenous procedure.
Which of the following actions should the nurse take? (Select all that apply)
Ask the guardians to leave during the procedure.
Assist with performing the procedure with the child in his bed.
Reinforce the procedure using the child’s favorite toy.
Apply lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites.
Allow the child to make one choice regarding the procedure.
Correct Answer : B,C,D,E
Choice A rationale
Asking the guardians to leave during the procedure is not recommended. The presence of a familiar person can provide comfort and reduce anxiety for the toddler during a stressful procedure.
Choice B rationale
Performing the procedure with the child in his bed can provide a sense of security and familiarity, which can help reduce anxiety and fear.
Choice C rationale
Using the child’s favorite toy to explain or distract during the procedure can help the child understand what to expect and provide a sense of control.
Choice D rationale
Applying lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites can help numb the area and reduce pain during the procedure.
Choice E rationale
Allowing the child to make one choice regarding the procedure can provide a sense of control and cooperation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
At 10 months, it is normal for an infant to not be able to recognize objects by name. Language development varies greatly among children, and many do not start to understand and respond to simple requests and recognize common objects until around 12 months.
Choice B rationale
The ability to turn pages in a book is a fine motor skill that typically develops around 12 to 18 months. Therefore, it is normal for a 10-month-old infant to not have this ability.
Choice C rationale
Peek-a-boo is a common game that many infants enjoy. However, not all infants may show interest in this game. Lack of interest in peek-a-boo is not necessarily a cause for concern.
Choice D rationale
By 10 months, most infants can sit without support. If a 10-month-old infant does not sit steadily without support, it could indicate a delay in motor development and should be reported to the provider.
Correct Answer is B
Explanation
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
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