Several blood tests are ordered for a preschool child with severe anemia. She is crying and upset because she remembers the venipuncture done at the clinic 2 days ago. The nurse should explain that:
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 very concerned about both pain and the loss of blood. When preparing the child for venipuncture, a topical anesthetic will be used to eliminate any pain. This is a very 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. A promise that only one venipuncture will be needed should not be made in case multiple attempts are required. Both finger punctures and venipunctures are traumatic for children. Both require preparation.
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