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
According to Erikson's theory, the psychosocial task for this age group is industry versus inferiority, where children develop a sense of competence and accomplishment through mastering tasks. By supporting the child's educational activities and encouraging them to complete school work, the nurse helps promote a sense of industry and competence.
Correct Answer is A
Explanation
The nurse should include information that growth spurts in height occur toward the end of mid puberty. Gynecomastia is not a common change in boys during puberty, but it might occur in some cases. Changes in the voice and pubic hair growth signal the beginning of puberty. If scrotal changes have not occurred by the age of 14 years, puberty might be considered delayed.
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