A nurse explains to an 11-year-old boy that he will be receiving an IV. The boy is concerned about the pain of the needle. What can the nurse do to decrease the pain of the IV insertion?
1. Let the child assist with the decision on where to place the IV.
2. Apply EMLA cream at least 45 minutes prior to the insertion.
3. Apply lidocaine to the area.
4. Have the child focus on playing a game with a family member while the IV is inserted.
5. Insert the IV into a teddy bear to demonstrate the procedure to the child.
1, 2, 4
Feedback
1. The child is old enough to make some decisions and comprehend the process. By giving the child a choice, the anxiety may be reduced.
2. EMLA cream will help reduce pain and decrease the anxiety of the procedure.
3. Lidocaine is not commonly used in IV insertions for children.
4. Divisional techniques may help reduce the anxiety of the insertion.
5. This technique should be used for younger children.
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