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 C

Explanation

A) Inhalation of gasoline is more likely to cause hyperthermia due to its effects on the central nervous system and metabolic rate.
B) Hyperactive reflexes are not typically associated with gasoline inhalation but rather with stimulant use such as amphetamines or cocaine.
C) Ataxia, or lack of coordination, is a common neurological symptom of gasoline inhalation due to its toxic effects on the brain and nervous system.
D) Pinpoint pupils are more commonly associated with opioid overdose, not gasoline inhalation.

A. Assess both eyes together first, then each eye separately. B. Position the child 4.6 meters (15 feet) from the chart. C. Test the child without glasses before testing with glasses. D. Use a tumbling E chart for the assessment.

Correct Answer is D

Explanation

A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.

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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

A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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?

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A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?

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