A hospitalized three-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is the most appropriate nursing diagnosis?
1. Knowledge deficit of the procedure
2. Fear related to the unfamiliar environment
3. Anxiety related to anticipated painful procedure
4. Ineffective individual coping related to an invasive procedure
3
Rationale 1: The question stem indicates that the child has been through this before, so Knowledge deficit is not the most appropriate diagnosis.
Rationale 2: The child's fear is related not to the unfamiliar environment but to the anticipated pain of the IV stick.
Rationale 3: This child is not old enough to understand the need for an IV infusion. The question stem indicates that the child has been through this painful procedure before, and his reaction to entering the treatment room is based on anticipation of repeat discomfort.
Rationale 4: The child's behavior is appropriate for coping in this age child.
Global Rationale:
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