A nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which of the following actions should the nurse take? (Select all that apply.)
Apply lidocaine and prilocaine cream to three potential insertion sites.
Explain the procedure using the child's favorite toy.
Allow the child to make one choice regarding the procedure.
Ask the parents to leave during the procedure.
Perform the procedure with the child in his bed.
Correct Answer : A,B,C,E
Choice A reason: Applying lidocaine and prilocaine cream can help numb the area, reducing pain and discomfort during catheter insertion, which aligns with atraumatic care principles.
Choice B reason: Explaining procedures using familiar objects can help reduce anxiety and fear in children, making the experience less traumatic⁷.
Choice C reason: Allowing the child to make choices can provide a sense of control, which is important for reducing stress during medical procedures⁷.
Choice D reason: Asking parents to leave is not recommended as their presence can be comforting to the child and is part of atraumatic care.
Choice E reason: Performing the procedure in a familiar environment, such as the child's bed, can help minimize stress and fear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
Choice A reason: Increased urinary output is not typically associated with heart failure. In fact, reduced urinary output may be expected due to decreased kidney perfusion.
Choice B reason: Nasal flaring is a sign of respiratory distress and can be expected in infants with heart failure as they struggle to maintain oxygenation.
Choice C reason: Peripheral edema is a common finding in heart failure due to fluid retention and poor circulation.
Choice D reason: Bradycardia is not a typical sign of heart failure in infants; tachycardia is more common. However, bradycardia can occur in advanced stages due to poor cardiac output.
Choice E reason: Cool extremities are indicative of poor perfusion, which is a consequence of decreased cardiac output in heart failure.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: An oxygen saturation of 95% is within the normal range and does not indicate respiratory deterioration.
Choice B reason: Warm extremities are not an indication of respiratory status deterioration; they are generally a sign of good circulation.
Choice C reason: Wheezing is a common sign of airway obstruction in asthma and can indicate a deterioration in respiratory status.
Choice D reason: Nasal flaring is a sign of increased work of breathing and can indicate respiratory distress in a child with asthma.
Choice E reason: Retraction of sternal muscles is a sign of respiratory distress and can indicate a worsening condition in a child with asthma.
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