The student nurse is preparing to perform an assessment on a 5-year-old Arab American client who is hospitalized for dehydration. The nurse preceptor accompanies the student nurse to the client's room
Which statements by the student nurse indicate that further education is required?
Select all that apply.
1. "It would be best to have the child sit in his mom's lap if we have to give him a shot."
2. "Before I listen to the child's lungs, I can let him play with my stethoscope."
3. "I will be able to see the tympanic membrane more clearly if I pull the tragus down and back."
4. "It really doesn't matter what his culture is; mommies always make the decisions about children's health care issues."
5. "I'm going to have to be firm but friendly with my approach to the child."
Correct Answer: 1, 3, 4
Painful procedures should not be performed while a child is seated on a parent's lap. Children need to know they are safe from painful experiences when they are with their parents. The student nurse should pull the pinna up and back because the child is older than 4 years of age. Arab Americans have patriarchal hierarchies where the father must be consulted prior to any professional healthcare decisions. Whenever possible, play should be incorporated into nursing procedures. It is helpful to allow children to touch and manipulate equipment. Nurses should use a caring, supportive, yet firm approach with children.
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