A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?

Give the child a pacifier that has been dipped in an oral sucrose solution during the procedure.

Apply a eutectic mixture of local anesthetics cream to the intended puncture site 1 hr before the procedure.

Instruct the parent how to perform kangaroo care during the procedure.

Administer aspirin to the child 1 hr before the procedure.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Using a pacifier dipped in an oral sucrose solution can help provide comfort and alleviate pain during the procedure, making it a suitable option for blood specimen collection in preschoolers.

Choice B reason:

Applying a eutectic mixture of local anesthetics cream may not be the most appropriate option for blood specimen collection in preschoolers, as it may not provide sufficient pain relief for the procedure.

Choice C reason:

Kangaroo care involves skin-to-skin contact between an infant and a parent, which is beneficial for bonding and comfort but may not be directly applicable to a blood specimen collection procedure.

Choice D reason:

Placing the infant in a prone position for sleeping is not related to blood specimen collection and may not be appropriate immediately postoperatively.

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Correct Answer is B

Explanation

Choice A reason:

Administering iron dextran subcutaneously into the vastus lateralis is not the recommended route for this medication. It is typically administered intramuscularly.

Choice B reason:

Correct. The preferred method for administering iron dextran is intramuscularly using the Z-track method. This technique helps prevent leakage of the medication into the subcutaneous tissue.

Choice C reason:

Administering iron dextran subcutaneously into the deltoid is not the preferred route for this medication. It is typically administered intramuscularly.

Choice D reason:

While a 20-gauge needle may be appropriate for intramuscular injections, the Z-track method is the preferred technique for administering iron dextran intramuscularly. The gauge of the needle may vary depending on the specific circumstances and patient characteristics.

A. Administer digoxin for a pulse of 70/min. B. Allow for frequent rest periods. C. Ensure the infant bottle feeds for min. D. Maintain the infant in a supine position.

Correct Answer is B

Explanation

Choice A reason:

Administering digoxin should be based on the infant's specific heart rate and the healthcare provider's prescription, rather than a specific pulse value.

Choice B reason:

Allowing for frequent rest periods is important for an infant with heart failure, as it helps conserve energy and reduce cardiac workload.

Choice C reason:

Feeding duration should be based on the infant's tolerance and ability to feed effectively, rather than a specific time frame.

Choice D reason:

Maintaining the infant in a supine position can help with respiratory function but should be balanced with appropriate positioning to prevent aspiration and promote comfort. It is not the sole action to include in the plan of care.

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A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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