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Using knowledge of child development, what approach is best when preparing a toddler for a procedure?
- A. Avoid asking the child to make choices.
- B. Plan for a teaching session to last about 20 minutes.
- C. Demonstrate on a doll how the procedure will be done.
- D. Show the necessary equipment without allowing child to handle it.
Correct Answer: C
Rationale: Demonstrating the procedure on a doll engages a toddler?s preoperational thinking through play, reducing fear. Avoiding choices limits participation, 20-minute sessions are too long for a toddler?s attention span, and showing equipment without handling increases anxiety.
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A 7-year-old is identified as being at risk for skin breakdown. What intervention should the nursing care plan include?
- A. Massaging reddened bony prominences
- B. Teaching the parents to turn the child every 4 hours
- C. Ensuring that nutritional intake meets requirements
- D. Minimizing use of extra linens, which can irritate the childs skin
Correct Answer: C
Rationale: Adequate nutrition prevents skin breakdown by supporting tissue health, especially in NPO children. Massaging bony prominences risks tissue damage, turning should occur every 2 hours by the nurse, and linens don?t typically cause irritation if managed properly.
The nurse gives an injection in a patients room. How should the nurse dispose of the needle?
- A. Remove the needle from the syringe and dispose of it in a proper container.
- B. Dispose of the syringe and needle in a rigid, puncture-resistant container in the patients room.
- C. Close the safety cover on the needle and return it to the medication preparation area for proper disposal.
- D. Place the syringe and needle in a rigid, puncture-resistant container in an area outside of the patients room.
Correct Answer: B
Rationale: Disposing of the syringe and needle in a rigid, puncture-resistant container in the patient?s room ensures safe, immediate disposal near the point of use. Removing the needle, transporting it, or disposing outside the room increases risk of injury or contamination.
The nurse needs to take the blood pressure of a preschool boy for the first time. What action would be best in gaining his cooperation?
- A. Tell him that this procedure will help him get well faster.
- B. Take his blood pressure when a parent is there to comfort him.
- C. Explain to him how the blood flows through the arm and why the blood pressure is important.
- D. Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place.
Correct Answer: D
Rationale: Allowing a preschooler to handle the blood pressure equipment and see the cuff in action reduces fear of bodily harm by familiarizing him with the procedure. Explaining complex blood flow is too advanced, claiming it aids recovery is inaccurate, and while parental presence helps, it?s less effective than hands-on engagement.
A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
- A. Use an 18-gauge needle if possible.
- B. Show the child the equipment to be used before the procedure.
- C. If not successful after four attempts, have another nurse try.
- D. Restrain the child completely.
Correct Answer: B
Rationale: Showing the child the equipment before the procedure reduces fear and supports atraumatic care. An 18-gauge needle is too large, a two-try policy (four attempts total) is preferred, and full restraint is unnecessary, favoring therapeutic hugging instead.
A toddler is being sent to the operating room for surgery at 9 AM. As the nurse prepares the child, what is the priority intervention?
- A. Administering preoperative antibiotic
- B. Verifying that the child and procedure are correct
- C. Ensuring that the toddler has been NPO since midnight
- D. Informing the parents where they can wait during the procedure
Correct Answer: B
Rationale: Verifying the correct child and procedure is the priority to ensure safety and prevent errors. Administering antibiotics is secondary, clear liquids can be given up to 2 hours before surgery, and informing parents about waiting areas is important but not the priority.