The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

Stimulation methods

Therapeutic hugging

Distraction methods

Therapeutic touch

Answer and Explanation

The Correct Answer is C

A.   Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B.   Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C.   Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D.   Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

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

Explanation

A. In small-for-gestational age infants, kangaroo care may increase heat loss due to evaporation, conduction, or convection from the parent's skin or clothing. The nurse should minimize kangaroo care and use other methods of warming such as radiant warmers, incubators, or swaddling.
B. Assessing the axillary temperature regularly helps monitor the infant's temperature and response to interventions.
C. Encouraging skin-to-skin contact helps promote thermal regulation and bonding between the infant and parents. Unlike kangaroo care, skin-to-skin contact does not involve covering the infant with clothing or blankets, which can reduce heat loss by radiation or convection. The nurse should encourage skin-to-skin contact when possible and monitor the infant's temperature closely.
D. Assessing the environment for sources of heat loss is important for minimizing heat loss and promoting thermal regulation.
E. Reviewing maternal history can provide insights into potential risk factors or contributing factors to the infant's condition, such as maternal age, parity, weight, height, nutrition, smoking, alcohol, drug use, chronic diseases, infections, placental abnormalities, fetal anomalies, or complications during pregnancy or delivery.
F. Bathing the neonate with warmer water may increase the risk of overheating and should be avoided in infants at risk of thermal instability.

A. Before answering questions, find out what the child thinks about the subject. B. Expand upon the topic when answering questions to prevent further confusion. C. Provide a less than honest response to shelter the child from knowledge that is too advanced. D. Be prepared to thoroughly cover a topic before the child asks about it.

Correct Answer is A

Explanation

A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.

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The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

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Naxlex Comprehensive Predictor Exams

A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.

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

Explanation

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Correct Answer is A

Explanation

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