A nurse is preparing to examine a preschooler during a well-child visit.
Which of the following actions should the nurse take to prepare the child?
Perform the most invasive assessment first.
Separate the child from the caregiver during the examination.
Allow the child to role-play using miniature equipment.
Use medical terminology to describe what happened.
The Correct Answer is C
Choice A rationale
Performing the most invasive assessment first can cause distress and fear in a preschooler. It’s generally recommended to start with less invasive procedures to build trust and cooperation.
Choice B rationale
Separating a child from their caregiver during an examination can cause anxiety and fear. It’s often beneficial to have the caregiver present during the examination to provide comfort and reassurance.
Choice C rationale
Allowing a child to role-play using miniature equipment can help alleviate fears and anxieties about the examination. It gives the child a sense of control and understanding of what to expect.
Choice D rationale
While it’s important to explain procedures to a child, using medical terminology can confuse and scare them. It’s better to use simple, age-appropriate language that the child can understand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Lethargy in a child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt could indicate a serious problem such as shunt malfunction or infection, and should be the priority.
Choice B rationale
A respiratory rate of 20/min is within the normal range for a 4-year-old child and is not typically a cause for concern.
Choice C rationale
Lying flat on the unaffected side is not typically a cause for concern following ventriculoperitoneal shunt surgery.
Choice D rationale
A urine output of 50 mL in 2 hr is within the normal range for a 4-year-old child and is not typically a cause for concern.
Correct Answer is C
Explanation
The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.
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