The nurse is preparing a 9-year-old boy before obtaining a blood ...

[Zulu123]

The nurse is preparing a 9-year-old boy before obtaining a blood specimen by venipuncture. The child tells the nurse he does not want to lose his blood. What approach is best by the nurse?
 
  a. Explain that it will not be painful.
  b. Suggest to him that he not worry about losing just a little bit of blood.
  c. Discuss with him how his body is always in the process of making blood.
  d. Tell the child that he will not even need a Band-Aid afterward because it is a simple procedure.

Question 2

Using knowledge of child development, what approach is best when preparing a toddler for a procedure?
 
  a. Avoid asking the child to make choices.
  b. Plan for a teaching session to last about 20 minutes.
  c. Demonstrate on a doll how the procedure will be done.
  d. Show the necessary equipment without allowing child to handle it.

[janieazgirl]

Answer to Question 1

ANS: C
School-age children can understand that blood can be replaced. Explain the procedure to him using correct scientific and medical terminology. The venipuncture will be uncomfortable. It is inappropriate to tell him it will not hurt. Even though the nurse considers it a simple procedure, the boy is concerned. Telling him not to worry will not allay his fears.

Answer to Question 2

ANS: C
Prepare toddlers for procedures by using play. Demonstrate on a doll but avoid the child's favorite doll because the toddler may think the doll is really feeling the procedure. In preparing a toddler for a procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to handle it.