A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Ask the child's parent to leave the room during the procedure.

Perform the procedure in the unit's playroom.

Apply a topical anesthetic cream 1 hr prior to the procedure.

Explain the procedure in detail to the child 3 hr prior to the procedure.

Answer and Explanation

The Correct Answer is C

A.   Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic.
B.   Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture.
C.   Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care.
D.   Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.

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Correct Answer is A

Explanation

A. This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B. Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.

A. Hemoglobin 6.8 g/dL (9.5 to 14 g/dL) B. Platelet count 98,000/mm3 (150,000 to 400,000/mm3) C. RBC count 5/mm3 (4 to 5.5/mm3) D. WBC count 15,000/mm3 (5,000 to 10,000/mm3)

Correct Answer is C

Explanation

A. A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.

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A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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