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.

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Explaining body changes to a toddler may not be effective due to their limited understanding at this developmental stage.

Choice B reason: Maintaining normal routines provides a sense of security and normalcy, which is crucial for a toddler's emotional well-being, especially during a serious illness.

Choice C reason: Allowing the child to talk about the illness can be therapeutic, but toddlers may not have the verbal skills to express complex emotions or understand their condition.

Choice D reason: While encouraging friends to visit can provide social support, it is not as fundamental as maintaining daily routines that offer stability in the child's life. Maintaining normal routines is the most comforting and beneficial intervention for a toddler in this situation.

A. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L). B. Fasting blood sugar of 200 mg/dL (11.1 mmol/L). C. Serum creatinine of 1.9 mg/dL (169 mmol/L). D. Glycosylated hemoglobin A1c of 8%.

Correct Answer is C

Explanation

Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention will assist a toddler-age client in end-stage renal failure the most?

Correct Answer is B

Explanation

The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?

Correct Answer is C

Explanation

After surgery for the correction of bilateral congenital clubfeet, an infant returns with bilateral long-leg casts. The toes on both feet are edematous, yet there is color, sensitivity, and movement. What is the most appropriate action by the nurse?

The nurse obtains a fingerstick blood glucose level using bedside lancet/glucose meter equipment from a client with a prescribed sliding scale insulin protocol. The meter indicates 56 mg/dL (3.12 mmol/L). At this time, which intervention should the nurse implement first?

A nurse is conducting a postoperative assessment on an infant who has just had a ventriculoperitoneal shunt placed for hydrocephalus. Which assessment finding would indicate a malfunction in the shunt?

Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?

The nurse is performing the initial assessment of a child newly diagnosed with Kawasaki disease. Which symptoms would the nurse expect to assess with this child?

Which is the most appropriate nursing action for a school-age child who has sustained a head injury and multiple fractures after being thrown from a horse and whose level of consciousness is variable?

Which intervention should be implemented for a school-age client admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident?

When admitting a child with suspected type 1 diabetes mellitus (DM), which of the following questions should the nurse ask the parents?