An 8-year-old girl asks the nurse how the blood pressure apparatus works. The most appropriate nursing action is which?
a. Ask her why she wants to know.
b. Determine why she is so anxious.
c. Explain in simple terms how it works.
d. Tell her she will see how it works as it is used.
ANS: C
School-age children require explanations and reasons for everything. They are interested in the functional aspect of all procedures, objects, and activities. It is appropriate for the nurse to explain how equipment works and what will happen to the child so that the child can then observe during the procedure. The nurse should respond positively for requests for information about procedures and health information. By not responding, the nurse may be limiting communication with the child. The child is not exhibiting anxiety in asking how the blood pressure apparatus works, just requesting clarification of what will occur.
You might also like to view...
A nurse is caring for a client admitted to the health care facility. The client is receiving a cholinergic blocking drug as treatment for bladder overactivity
Which intervention would be most appropriate for the nurse to include as part of the client's ongoing assessment? A) Assessment of the client's medical history B) Evaluation of symptoms related to the client's diagnosis C) Monitoring of the client's vital signs every 24 hours D) Observation for behavioral changes in the client
You can protect yourself from a charge of assault and battery by:
a. Explaining to the person what you are going to do and getting consent b. Getting the person's informed consent in writing c. Refusing to perform a task that involves touching the person d. Making sure the task was delegated by a nurse
A patient taking fluoxetine (Prozac) complains of decreased sexual interest. A prescriber orders a "drug holiday." What teaching by the nurse would best describe a drug holiday?
a. "Cut the tablet in half anytime to reduce the dosage." b. "Discontinue the drug for 1 week." c. "Don't take the medication on Friday and Saturday." d. "Take the drug every other day."
The nurse plans to use a trochanter roll when repositioning a patient. Where should the nurse place the trochanter roll?
a. Under the small of the back b. Behind the knees when supine c. Alongside the ilium to mid-thigh d. In the palm of the hand with fingers flexed