The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. How will the nurse provide atraumatic care for this child?
Have the parent stand near and/or rub the child's feet during the procedure.
Use restraint or "holding down" of the child during the procedure to prevent injury.
Insert a saline lock if the child will require multiple doses of parenteral medications.
Avoid using numbing techniques for multiple blood draws or IV insertion.
The Correct Answer is C
A. Having the parent stand near and providing comfort measures, is not correct because it may not be enough to comfort the child or reduce anxiety during the procedure.
B. Using restraint or holding down the child during a procedure can increase anxiety, distress, and trauma, and is not recommended.
C. A saline lock is a device that allows access to a vein without having to insert a needle each time. This can reduce the number of painful procedures and lower the risk of infection or inflammation.
D. Numbing techniques can help reduce pain and discomfort during procedures and are typically used to enhance atraumatic care, especially for repeated procedures like blood draws or IV insertion. Therefore, avoiding them may not be beneficial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.
Correct Answer is D
Explanation
A. A height of 47 inches would indicate excessive growth.
B. A height of 41 inches would indicate insufficient growth.
C. A height of 45 inches would be slightly above the normal range.
D. The normal range of growth for a preschooler varies, but typically, a child will grow approximately 2-3 inches per year. Given that the girl was 40 inches tall at age 4, a height of 43 inches at age 5 would be within the expected range of growth.
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