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 D

Explanation

A. While acknowledging the father's concerns is important, this response doesn't provide guidance on addressing potential depression in the son.
B. Offering to refer the son for evaluation with a therapist if mood issues are noticed is important and provides proactive support and guidance for addressing potential depression but screening children with a risk factor for depression from the age of 11 is the best choice.
C. While regular screening may be indicated for at-risk teens, waiting until age 14 may miss opportunities for early intervention in some cases.
D. Screening for depression is recommended for all children aged 11 and older, especially those who have a family history of depression or other risk factors. The nurse should inform the father that screening his son for depression is important and can help identify any signs or symptoms early. This is based on the recommendations of the American Academy of Pediatrics, which state that pediatric primary care providers should screen all children and adolescents for depression at least once a year, starting from age 11.

A. Conduction heat loss is a problem in the baby. B. Axillary temperatures are not accurate. C. This is a normal temperature. D. The supply of brown adipose tissue is not developed.

Correct Answer is D

Explanation

A. Conduction heat loss typically occurs through direct contact with a cooler surface, but in this scenario, the baby is under a radiant warmer, reducing the likelihood of conduction heat loss.
B. Axillary temperatures are generally accurate for newborns when measured properly.
C. A normal temperature for a neonate is between 97 and 99 degrees F (36 to 37 degrees C).
D. Brown adipose tissue is a specialized type of fat that generates heat by metabolizing fatty acids. It is abundant in full-term neonates, but scarce in preterm neonates, especially those born before 34 weeks' gestation. Therefore, preterm neonates have less ability to maintain their body temperature and are prone to hypothermia.

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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 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?

Correct Answer is D

Explanation

A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F (35 degrees C). What could explain the assessment finding?

Correct Answer is D

Explanation

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