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 A

Explanation

A. Adolescents' tendency to take risks can influence how the information on sexuality and birth control is presented, emphasizing the importance of addressing risk-taking behaviors and promoting responsible decision-making.
B. While understanding consequences is important, adolescents' risk-taking behavior may outweigh their consideration of consequences in certain situations.
C. Body image concerns may influence adolescents' attitudes toward sexuality but may not have as direct an impact on how information is presented.
D. While abstract thinking abilities develop during adolescence, it may not be the primary factor influencing the presentation of information on sexuality and birth control.

A. Only inpatient consultations with families B. Emergency room interventions for children and families C. Activities to support normal growth and development D. Grief and bereavement support E. Medical preparation for tests, surgeries, and other medical procedures F. Support before and after, but not during, medical procedures

Correct Answer is ["B","C","D","E"]

Explanation

A. Child life specialists (CLS) provide support not only to inpatients but also to children and families across various healthcare settings, including outpatient clinics, emergency rooms, and specialty care centers.
B. CLSs provide interventions and support in emergency room settings to help minimize stress and anxiety for children and families during medical emergencies.
C. CLSs organize activities and interventions tailored to the developmental needs of children to promote normal growth and development during hospitalization.
D. CLSs offer grief and bereavement support to children and families coping with loss or end-of-life situations.
E. CLSs provide medical preparation, including age-appropriate explanations and coping strategies, to help children understand and cope with medical procedures, tests, and surgeries.
F. CLSs offer support not only before and after medical procedures but also during them, providing emotional support, distraction techniques, and coping strategies to help children cope with stress and discomfort.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is preparing a program on sexuality and birth control for a class of 14 to 16 year olds. Which behavior will have the most influence on how the information is presented?

Correct Answer is A

Explanation

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?

A 30 weeks' gestation neonate born with low Apgar scores is in the neonatal intensive care unit with respiratory distress syndrome and underwent an exchange transfusion for anemia. Which factors place the neonate at risk for necrotizing enterocolitis? Select all that apply

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?

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

When assessing adolescents for health risks, the nurse must keep in mind the factors related to the prevalence of adolescent injuries. What accurately describes these factors? Select all that apply.

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl what number would the nurse document measurement?