A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective
Which would be the most appropriate action for the nurse to take? 1. Instruct the father to hold the toddler down tightly to complete the examination.
2. Allow the toddler to sit on the parent's lap and begin the assessment.
3. Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
4. Allow the toddler to stand on the floor until the crying stops.
2
Rationale 1: The father should not be asked to restrain the child for the entire examination.
Rationale 2: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way.
Rationale 3: If a child needs to be subdued, then another nurse should be the one to assist. However, in this case the goal is to calm the child so that the assessment can be completed.
Rationale 4: Allowing the toddler to stand on the floor is not going to calm the child so that the assessment can be completed.
Global Rationale:
You might also like to view...
The priority nursing diagnosis related to the care of a patient with chronic pancreatitis with drainage through the skin and abdominal wall is:
A) Disturbed body image B) Impaired skin integrity C) Nausea D) Risk for deficient fluid volume
The nurse is conducting an interview with a new client. Which actions indicate that the nurse is implementing effective communication guidelines?
1. Looking directly at the client to ensure good eye contact 2. Managing the conversation to avoid periods of silence 3. Providing personal experiences to help the client focus 4. Sitting in a chair next to the client who is in bed 5. Keeping arms unfolded and in a relaxed position
After six generations a cancer cell would produce how many cancer cells if chemotherapy is not used?
A. 12 B. 6 C. 64 D. 128
When your patient experiences the signs and symptoms of diabetic ketoacidosis, you understand that the majority of these symptoms are a result of ________?
a. hyperglycemia b. dehydration c. hypoglycemia d. metabolic acidosis