Several blood tests are ordered for a preschool child with severe anemia. The child is crying and upset because of memories of the venipuncture done at the clinic 2 days ago. The nurse should explain:
a. venipuncture discomfort is very brief.
b. only one venipuncture will be needed.
c. topical application of local anesthetic can eliminate venipuncture pain.
d. most blood tests on children require only a finger puncture because a small amount of blood is needed.
ANS: C
Preschool children are concerned with both pain and the loss of blood. When preparing the child for venipuncture, the nurse will use a topical anesthetic to eliminate any pain. This is a traumatic experience for preschool children. They are concerned about their bodily integrity. A local anesthetic should be used, and a bandage should be applied to maintain bodily integrity. The nurse should not promise one attempt in case multiple attempts are required. Both finger punctures and venipunctures are traumatic for children. Both require preparation.
You might also like to view...
When planning care for patients on the mental health unit, which statement will the nurse consider as using principles associated with the humanistic theory?
1. Emotional stress has a holistic relationship to physical symptoms. 2. Patients rely on providers to develop solutions for their problems. 3. The mind-body relationship focuses on biological explanations of illness. 4. Clinical interventions are most effective when they focus on the current actions, feelings, and concerns of clients.
A nursing student is writing a care plan for a newly admitted patient who has been diagnosed with a stroke. What major nursing diagnosis should be included in the patient's plan of care?
A) Fatigue related to abundance of family and visitors B) Ineffective tissue perception C) Alteration in fluid balance related to use of mannitol D) Disturbed sensory perception related to medically imposed restrictions
The nurse is using assertive communication skills to express self rights, when stating:
a. "I shield others from my anger.". c. "I am avoiding di-rect confrontation.". b. "I do not compro-mise.". d. "I am responsible for what I say.".
A nurse develops a nursing care plan for a client with a sealed radiation implant. Which stipulation does the nurse include in the plan?
A. Visitors must be limited to one half-hour per day. B. Visitors must remain at least 2 feet from the client. C. A dosimeter badge must be placed on the client's bedside stand. D. The client may be maintained in a semiprivate room as long as the client uses a commode.