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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The MCV4 vaccine is recommended for individuals aged 11-12 years, with a booster dose recommended at age 16. It helps protect against meningococcal disease, which is caused by bacteria and can lead to serious infections such as meningitis or bloodstream infections.
Correct Answer is A
Explanation
This is an evidence-based recommendation to reduce the risk of SIDS. The American Academy of Pediatrics (AAP) recommends placing infants on their back for sleep as the safest sleep position. This position has been shown to significantly reduce the incidence of SIDS. The nurse should emphasize the importance of following safe sleep practices, including placing the baby on their back, providing a firm and safe sleep surface, keeping the sleep area free of soft bedding or objects, and avoiding overheating.
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