A nurse on a pediatric unit is preparing to insert an IV catheter for a 7-year-old child who is dehydrated. Which of the following actions should the nurse take?
Use a mummy restraint to hold the child during the catheter insertion.
Perform the procedure in the child's room.
Require the parents to leave the room during the procedure.
Tell the child there will be discomfort during the catheter insertion.
The Correct Answer is D
Rationale:
A. Use a mummy restraint to hold the child during the catheter insertion: Physical restraints should be used only as a last resort, as they can increase anxiety and trauma. Non-pharmacologic methods and parental support are preferred for safely holding a child during procedures.
B. While IV insertion can be done in the room, this is not the priority teaching point or best answer here. Environmental choice alone does not address the child’s psychological preparation and cooperation.
C. Require the parents to leave the room during the procedure: Removing parents can increase the child’s anxiety and reduce emotional support. Parental presence is generally encouraged to help the child feel safe during invasive procedures.
D. A 7-year-old child (school-age) benefits from honest, simple, and age-appropriate explanations. The nurse should provide truthful preparation using developmentally appropriate language, such as explaining that the IV insertion may hurt or feel like a quick pinch. This builds trust, reduces anxiety, and promotes cooperation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Polyuria can be caused by using antidepressants.": Antidepressants are more commonly associated with urinary retention or hesitancy rather than polyuria, so this statement reflects a misunderstanding of the typical causes.
B. "Polyuria can be caused by enlargement of the prostate gland.": Prostate enlargement usually causes urinary retention, difficulty initiating urination, or nocturia, rather than excessive urine output.
C. "Polyuria can be caused by drinking too much fluid.": Excessive fluid intake increases urine production, which is a common and direct cause of polyuria. This reflects an accurate understanding of one of the typical mechanisms leading to increased urine output.
D. "Polyuria can be caused by trauma to the lower urinary tract.": Trauma is more likely to result in hematuria, pain, or retention, not necessarily polyuria. This statement does not accurately reflect a common cause of excessive urination.
Correct Answer is B
Explanation
A. Hypotension: Methamphetamines are central nervous system stimulants that typically cause hypertension and tachycardia due to increased sympathetic activity, rather than low blood pressure.
B. Weight loss: Methamphetamines suppress appetite and increase metabolism, which can lead to significant weight loss. This is a common adverse effect associated with chronic use.
C. Somnolence: Stimulant effects of methamphetamines generally cause insomnia and hyperactivity rather than excessive sleepiness. Somnolence is not a typical adverse effect.
D. Lethargy: Methamphetamine use initially produces energy and euphoria. Lethargy may occur only during withdrawal, not as a direct adverse effect of active use.
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