A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)
Have a parent stay with the child during procedures.
Allow the child to keep a toy from home with her.
Cluster invasive procedures whenever possible.
Perform the procedure as quickly as possible.
Use mummy restraints during painful procedures
Correct Answer : A,B,C,D
Allowing a parent to be present provides comfort and reassurance to the child. The familiar presence of a parent can help reduce anxiety and fear.
Allowing the child to have a familiar toy from home can provide a sense of security and distraction during procedures. It can help redirect the child's attention and provide a comforting element.
If there are multiple invasive procedures that need to be done, it is best to schedule them close together rather than spreading them out over a longer period. Clustering procedures reduces the number of times the child needs to go through the distressing experience and minimizes the overall stress and anxiety.
Minimizing the duration of the procedure helps reduce the child's discomfort and anxiety. Swift and efficient execution of the procedure can help make it less distressing for the child.
Using mummy restraints during painful procedures is not a recommended strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The inability to raise the head when in a prone position is a finding that the nurse should report to the provider. By 6 months of age, infants should typically be able to raise their head and chest off the surface when placed in a prone position. This is an important milestone in motor development and is known as "head control." The nurse should report this finding to the provider to ensure further assessment and appropriate intervention if necessary.
Correct Answer is D
Explanation
DDH refers to an abnormal development or alignment of the hip joint, which can lead to instability or dislocation of the hip. An asymmetric thigh fold is a common physical finding in DDH, where there is a difference in the skin fold between the affected and unaffected sides of the thigh. This occurs due to the malposition or displacement of the femoral head within the acetabulum.
While other findings may also be present in DDH, such as an inwardly turned foot on the affected side (also known as a positive Ortolani or Barlow test), absent plantar reflexes, or a lengthened thigh on the affected side, the asymmetric thigh fold is a key indicator of hip dysplasia in a newborn.
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