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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Toddlers are typically not yet focused on peer approval as a developmental task.
B. While safety and security are important for toddlers, they are not the primary focus driving the behavior described.
C. Toddlers are asserting their need for independence and control over their environment, leading to behaviors such as tantrums when limits are set.
D. Love and belonging are important for all ages but are not the primary focus driving the behavior described.

A. Surgery to correct the joint and muscle alignment B. Immobilization of the shoulder and arm C. Physical therapy to the joint and extremity D. Nothing but time and let nature take its course

Correct Answer is C

Explanation

A. Surgery may be considered in severe cases or if conservative treatments fail, but it is not typically the first-line treatment for Erb's palsy.
B. Immobilization may be part of the treatment plan in some cases, but it is usually accompanied by physical therapy rather than being the sole treatment.
C. Physical therapy is often the initial treatment for Erb's palsy, focusing on gentle stretching exercises, range of motion activities, and strengthening exercises to improve muscle function and joint mobility.
D. While Erb's palsy may improve over time for some infants, early intervention with physical therapy is generally recommended to optimize outcomes and prevent long- term complications.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse observing toddlers in a daycare center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?

Correct Answer is C

Explanation

A neonate is diagnosed with Erb's palsy after birth. The parents are concerned about their neonate's limp arm. The nurse explains the neonate will be scheduled to receive what recommended treatment for this condition first?

Correct Answer is C

Explanation

The father of a 13-year-old boy reports his family has a strong history of depression. He questions screening for his son. What information should be provided by the nurse?

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While reviewing a newborn's medical record, the nurse notes that the chest X-ray shows a ground glass pattern. The nurse interprets this as indicative of.

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