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 A
Explanation
Choice A reason: Albuterol is a short-acting beta-2 agonist that is used as a quick-relief medication to prevent exercise-induced bronchoconstriction.
Choice B reason: Prednisone is a corticosteroid used for long-term control, not for immediate relief before exercise.
Choice C reason: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not typically for immediate pre-exercise use.
Choice D reason: Fluticasone/salmeterol is a combination of a corticosteroid and a long-acting beta-2 agonist, used for long-term control, not for quick relief before exercise.
Correct Answer is ["B","C"]
Explanation
Choice A reason: Clubbing of the fingers is not typically associated with coarctation of the aorta; it is more commonly seen in chronic hypoxia conditions.
Choice B reason: Weak femoral pulses are expected in coarctation of the aorta due to the narrowing of the aorta, which can reduce blood flow to the lower extremities.
Choice C reason: Cool skin of the lower extremities can be a result of decreased blood flow due to the narrowed aorta in coarctation.
Choice D reason: High blood pressure is more commonly associated with coarctation of the aorta, especially in the upper body, due to the narrowing of the aorta increasing resistance to blood flow⁷.
Choice E reason: Severe cyanosis can occur in coarctation of the aorta if there is a significant obstruction to blood flow, leading to poor oxygenation.
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