A parent asks the nurse if there is anything that can be done to reduce the pain that his 2-year-old experiences each morning when blood is drawn for lab studies. Which intervention is the best choice for the nurse to implement based on the parent's concern?
Provide the child with an iPad with a guided meditation and relaxation app running.
A bumblebee-shaped device with a vibrating sensation placed proximally to the blood draw site.
Intravenous sedation 15 minutes prior to the procedure.
EMLA cream applied immediately before the procedure.
The Correct Answer is D
Choice A reason: While distraction can be helpful, it may not be sufficient to reduce the pain of a needle stick for a 2-year-old.
Choice B reason: The vibrating device may distract from the pain, but it does not provide actual analgesia.
Choice C reason: Intravenous sedation is not practical or safe for daily blood draws in a 2-year-old.
Choice D reason: This is the correct choice. EMLA cream is a topical anesthetic that can effectively numb the skin and reduce pain from needle sticks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Applying a heat pack to the bridge of the nose is not recommended as it may increase blood flow and worsen the bleeding.
Choice B reason: Lightly suctioning blood from nares and mouth is not typically necessary and could be uncomfortable for the child.
Choice C reason: This is one of the correct choices. Tilting the head forward prevents blood from flowing down the throat, which can cause nausea or vomiting.
Choice D reason: This is one of the correct choices. Sitting upright reduces blood pressure in the veins of the nose and may help slow the bleeding.
Correct Answer is C
Explanation
Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.
Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.
Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.
Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.
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