A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
a. Use an 18-gauge needle if possible.
b. Show the child the equipment to be used before the procedure.
c. If not successful after four attempts, have another nurse try.
d. Restrain the child completely.
ANS: B
To provide atraumatic care the child should be able to see the equipment to be used before the procedure begins. Use the smallest gauge needle that permits free flow of blood. A two-try-only policy is desirable, in which two operators each have only two attempts. If insertion is not successful after four punctures, alternative venous access should be considered. Restrain the child only as needed to perform the procedure safely; use therapeutic hugging.
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