The nurse needs to take the blood pressure of a preschool boy for the first time. What action would be best in gaining his cooperation

a. Tell him that this procedure will help him get well faster.
b. Take his blood pressure when a parent is there to comfort him.
c. Explain to him how the blood flows through the arm and why the blood pressure is important.
d. Permit him to handle the equipment and see the cuff inflate and deflate before putting the cuff in place.


ANS: D
A preschooler is at the stage of preoperational thought. The nurse needs to explain the procedure in simple terms and allow the child to see how the equipment works. This will help allay fears of bodily harm. Blood pressure measurement is used for assessment, not therapy, and will not help him get well faster. Although the parent will be able to support the child, he may still be uncooperative. Also, the assessment of blood pressure may be needed before the parent is available. Explaining to a preschooler how the blood flows through the artery and why the blood pressure is important is too complex.

Nursing

You might also like to view...

Which nursing diagnosis is most appropriate for the patient who returns from the postanesthesia care unit after undergoing right hemicolectomy surgery for colon cancer?

a. Acute Pain secondary to surgery b. Acute Pain (abdominal) secondary to surgery for colon cancer c. Chronic Pain secondary to cancer diagnosis d. Chronic Pain (abdominal) secondary to abdominal surgery

Nursing

The nurse is concerned that a patient is at risk for developing cancer of the penis. What did the nurse assess to make this clinical determination?

Select all that apply. 1. phimosis 2. human papilloma virus (HPV) 3. HIV infection 4. excessive ultraviolet light exposure 5. being Jewish or Muslim

Nursing

Which health problem must the nurse be specifically alert for in pregnant women who are prescribed any nucleoside analogue reverse transcriptase inhibitor (NRTI)?

a. Headache b. Lactic acidosis c. Diabetes mellitus d. Nausea and vomiting

Nursing

The nurse is working in a clinic where children from several cultures are seen. What should the nurse do as a first step toward the goal of personal cultural competence?

1. Enhance cultural skills. 2. Gain cultural awareness. 3. Seek cultural encounters. 4. Acquire cultural knowledge.

Nursing