A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure?

Limit teaching sessions about the procedure to 20 min.

Ask the parents to wait outside the room during the procedure.

Instruct the child in deep-breathing methods prior to the procedure.

Explain in simple terms how the procedure will affect the child.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Limit teaching sessions about the procedure to 20 min: While preschoolers have limited attention spans, the focus should be on using age-appropriate language and explanations rather than strictly timing the teaching session. The quality and clarity of instruction are more important.

B. Ask the parents to wait outside the room during the procedure: Preschoolers often feel safer and more cooperative when a parent is present. Removing parents can increase anxiety and resistance, so parental presence is encouraged.

C. Instruct the child in deep-breathing methods prior to the procedure: Deep-breathing exercises can help with relaxation, but preschoolers may have difficulty understanding or performing them effectively. Simple explanations and reassurance are more appropriate.

D. Explain in simple terms how the procedure will affect the child: Providing a clear, age-appropriate explanation helps the preschooler understand what to expect, reduces fear, and promotes cooperation. Using simple terms tailored to the child’s developmental level is the most effective preparation.

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Correct Answer is A

Explanation

Rationale:
A. "I know it will be a couple of weeks before the medication helps me feel better.": Tricyclic antidepressants like amitriptyline require 1–3 weeks to begin showing therapeutic effects. Understanding the delayed onset helps the client maintain adherence and avoid premature discontinuation due to perceived lack of efficacy.

B. "I can continue to take St. John's wort while taking this medication.": Combining amitriptyline with St. John’s wort can increase the risk of serotonin syndrome. Clients should avoid herbal supplements that may interact with antidepressants.

C. "I expect this medication to raise my blood pressure.": Amitriptyline more commonly causes orthostatic hypotension rather than hypertension. Clients should be aware of potential dizziness and fall risk associated with blood pressure drops.

D. "I should take this medication on an empty stomach": Incomplete statement, but typically, amitriptyline is taken at bedtime to minimize daytime sedation and anticholinergic side effects. Timing should be clarified to optimize safety and adherence.

A. Advise the adolescent to place the newborn for adoption. B. Refer the adolescent to a local mental health clinic. C. Contact the adolescent's parent for assistance. D. Assist the adolescent in applying for Medicaid.

Correct Answer is D

Explanation

Rationale:
A. Advise the adolescent to place the newborn for adoption: Suggesting adoption may be perceived as judgmental and does not address the adolescent’s immediate concern about accessing resources and caring for the baby.

B. Refer the adolescent to a local mental health clinic: While emotional support can be beneficial, referral to mental health services alone does not address practical concerns about affording and caring for the baby. Immediate assistance with resources is a priority.

C. Contact the adolescent's parent for assistance: Confidentiality and the adolescent’s autonomy must be respected unless there is a safety concern. The nurse should not contact parents without the adolescent’s consent.

D. Assist the adolescent in applying for Medicaid: Helping the adolescent apply for Medicaid directly addresses her concerns about affording prenatal care and infant needs. This action provides practical support, empowers her to access healthcare and resources, and promotes positive maternal and fetal outcomes.

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A nurse is preparing to perform a dressing change on a preschooler. Which of the following actions should the nurse take to prepare the child for the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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