The clinical nurse specialist is concerned about children's reactions to painful invasive procedures such as intravenous starts. The nurse has decided to use distraction as a means to comfort the school-age child

Depending on the age of the school-age child, which technique might the nurse use to distract the child? Standard Text: Select all that apply. 1. Blowing bubbles
2. Music therapy
3. Guided imagery
4. Hypnosis
5. Sucrose solution


1,2,3
Rationale 1: Blowing bubbles or popping bubbles can be a distraction for a young school-age child.
Rationale 2: Listening to music or singing can be used as distraction for this age group.
Rationale 3: Guided imagery is a means of encouraging relaxation and mental images to manage pain.
Rationale 4: Under hypnosis, the child is an altered state of awareness; this is not a form of distraction.
Rationale 5: Sucrose solution is used for infants up to 12 months of age. It has not been found to be effective in the school-age child.
Global Rationale:

Nursing

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The nurse is assessing the muscle stretch reflexes on a client who has repeatedly demonstrated 3+ responses. The nurse recognizes the implication of this data to mean that:

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A student is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?

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Nursing

Breathing is slow, shallow, and sometimes irregular. This is:

a. Bradypnea b. Tachypnea c. Hypoventilation d. Hyperventilation

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