A hospitalized 3-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. The most appropriate nursing diagnosis is
1. Ineffective Individual Coping relatedto an invasive procedure.
2. Anxiety related to anticipated painfulprocedure.
3. Fear related to the unfamiliarenvironment.
4. Knowledge Deficit of the Procedure.
Answer:2
Rationale: This age child is not old enough to understand the need for an IV infusion. The 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. The child's behavior is appropriate for this age child.
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