A 5-year-old child comes to the healthcare provider for cast removal. Which of the following should the nurse implement to minimize the child's fears of the cast saw?
a. Premedicate with an opioid analgesic.
b. Encourage the caregiver to leave the room.
c. Instruct the caregiver to avoid restraint.
d. Show that the saw does not cut into skin.
D
The nurse demonstrates that the saw does not cut into skin to help minimize the child's fear of the noisy saw and provide first-hand evidence of how the saw functions. The nurse avoids ad-ministration of an opioid because the procedure is unlikely to cause pain. The nurse encourages the caregiver to remain with the child during cast removal to provide the child with the security of the caregiver's presence and to be available immediately after successful cast removal. The caregiver is advised to restrain the child gently to maintain patient safety during the cast removal.
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