A nurse is preparing a toddler for a procedure. Which of the following actions should the nurse plan to take?
Use a direct approach.
Explain the procedure using simple diagrams.
Prepare the toddler 1 day in advance.
Demonstrate use of the equipment.
The Correct Answer is B
Choice A reason: A direct approach may overwhelm a toddler, who needs simple, visual explanations like diagrams to reduce fear. Assuming a direct approach is best risks anxiety, critical to avoid in ensuring a toddler’s emotional comfort and cooperation during preparation for medical procedures.
Choice B reason: Explaining the procedure with simple diagrams is age-appropriate for toddlers, reducing fear and enhancing understanding through visuals. This is critical for cooperation, supporting emotional well-being, ensuring effective preparation, and promoting a positive experience during medical procedures in young children.
Choice C reason: Preparing a toddler 1 day in advance may increase anxiety due to limited time comprehension; same-day preparation is better. Assuming advance preparation is ideal risks distress, critical to prevent in ensuring emotional readiness and cooperation for toddlers undergoing medical procedures.
Choice D reason: Demonstrating equipment may scare toddlers without context; simple diagrams are more effective for preparation. Assuming demonstration is best risks increasing fear, critical to avoid in ensuring a toddler’s comfort and understanding during preparation for medical procedures in healthcare settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A temperature of 37.6°C is normal post-surgery, not requiring reporting; low urinary output is urgent. Assuming temperature is concerning risks overlooking renal issues, potentially delaying intervention, critical to avoid in ensuring comprehensive postoperative monitoring and client safety after abdominal surgery.
Choice B reason: Serous drainage is expected post-abdominal surgery, indicating normal healing, not requiring reporting. Low urinary output is priority. Assuming drainage is urgent risks misprioritizing, potentially neglecting renal complications, critical to prevent in ensuring proper postoperative care and recovery in surgical clients.
Choice C reason: Urinary output of 20 mL/hr is below normal (30-50 mL/hr), indicating potential renal impairment or dehydration post-surgery, requiring immediate reporting. This ensures timely intervention, critical for preventing kidney injury, maintaining fluid balance, and supporting recovery in clients post-abdominal surgery.
Choice D reason: Blood pressure of 100/70 mm Hg is low but not critical unless symptomatic; low urinary output is more urgent. Assuming blood pressure requires reporting risks overlooking renal issues, critical to avoid in ensuring prioritized monitoring and intervention in postoperative abdominal surgery clients.
Correct Answer is D
Explanation
Choice A reason: Aspirin is contraindicated in peptic ulcer disease due to its antiplatelet and gastric irritant effects, risking bleeding or ulcer exacerbation. Acetaminophen is safer. Administering aspirin risks gastrointestinal hemorrhage, critical to avoid in ensuring safe pain management for clients with a history of peptic ulcers.
Choice B reason: Ibuprofen, an NSAID, irritates the gastric mucosa, worsening peptic ulcers and increasing bleeding risk, making it unsuitable. Acetaminophen is preferred. Administering ibuprofen risks ulcer perforation or bleeding, critical to prevent in ensuring safe headache relief for clients with a peptic ulcer history.
Choice C reason: Ketorolac, an NSAID, is contraindicated in peptic ulcer disease due to its potent gastric irritant effects, risking ulcer aggravation or bleeding. Acetaminophen is safe. Administering ketorolac risks severe gastrointestinal complications, critical to avoid in providing safe pain management for clients with peptic ulcer history.
Choice D reason: Acetaminophen is safe for headache relief in peptic ulcer clients, lacking gastric irritant effects, avoiding risks of bleeding or ulcer worsening. Administering it ensures effective pain management, critical for client comfort, preventing gastrointestinal complications, and supporting safe care in clients with a history of peptic ulcers.
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