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"]

Explanation

A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

A. Screening for abuse B. Screening for congenital defects C. Screening for infectious diseases D. Screening for childhood illnesses

Correct Answer is C

Explanation

A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

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

Explanation

The nurse is examining a 2-year-old child who was adopted from Guatemala. What would be a priority screening for this child?

Correct Answer is C

Explanation

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

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