During an assessment of a school-age child, the nurse should:
1. Not speak to the child, as this might frighten them.
2. Speak only to the parents, since they are the only ones who will understand what you are doing.
3. Sing lullabies to soothe the child.
4. Speak directly to the child, giving rationale for all actions.
4
Feedback
1. Not explaining your actions could actually frighten the child, as they will not understand what you are doing and what to expect during the exam.
2. Informing the parents of what is occurring during the exam is appropriate, but the nurse should not ignore the child, who also needs to know and understand.
3. This intervention may be more appropriate for a baby, not a school-age child.
4. It is best to speak directly to the child and explain your actions, as the child will better understand what is happening during the exam, which will decrease fear.
You might also like to view...
A client has been diagnosed with a very large pulmonary embolism (PE) and has a dropping blood pressure. What medication should the nurse anticipate the client will need as the priority?
a. Alteplase (Activase) b. Enoxaparin (Lovenox) c. Unfractionated heparin d. Warfarin sodium (Coumadin)
The major causes of death in the older age group are heart disease, AIDS, and tuberculosis
Indicate whether the statement is true or false
The nurse is performing a neurologic assessment on a newly admitted head injury patient. Which sign does the nurse recognize as that most indicative of a brainstem injury?
a. Nystagmus b. Decerebrate posturing c. Seizure activity d. Glasgow Coma Scale score of 3
The nurse would explain to a client that the most common cause of secondary hypertension is
a. chronic renal disease. b. oral contraceptive use. c. pregnancy. d. primary hyperaldosteronism.