The nurse is caring for a 7-year-old boy in respiratory distress who is to undergo diagnostic tests. Which intervention would most important for the nurse to include in the child's plan of care?
A) Preparing the child for obtaining a blood sample
B) Assisting the child to lie still during the chest x-ray
C) Accompanying the child to continue observation
D) Advising the lab about medications the child takes
B
Response:
Chest x-rays can disclose alterations in normal anatomy or lung expansion or evidence of pneumonia, tumor, or foreign body and are commonly performed for respiratory emergencies. Therefore, the nurse would need to assist the child in remaining still during the procedure. Blood samples are taken for a variety of different emergencies. Accompanying the child to continue observation would be necessary if the child was to undergo a CT scan. Advising the lab about medications the child takes is important for urinalysis.
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