A hospitalized 3-year-old child needs to have an IV restarted. ...

[tatyanajohnson]

A hospitalized 3-year-old child needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is an appropriate nursing diagnosis to address this situation?
 
  1. Knowledge Deficit of the procedure
  2. Fear related to the unfamiliar environment
  3. Anxiety related to anticipated painful procedure
  4. Ineffective Individual Coping related to an invasive procedure

Question 2

During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. Which nursing action is appropriate?
 
  1. Reassess the child in 15 minutes to see if the pain rating has changed.
  2. Administer the prescribed analgesic.
  3. Do nothing, since the child appears to be resting.
  4. Ask the child's parents if they think the child is hurting.

[braelync]

Answer to Question 1

3
Explanation:
1. The scenario indicates that the child has been through this before, so Knowledge Deficit is not the most appropriate diagnosis.
2. The child's fear is related not to the unfamiliar environment but to the anticipated pain of the IV stick.
3. This child is not old enough to understand the need for an IV infusion. The scenario indicates that the child has been through this painful procedure before, and the child's reaction to entering the treatment room is based on anticipation of repeat discomfort.
4. The child's behavior is appropriate for coping in this age child.

Answer to Question 2

2
Explanation:
1. There is no need to reassess, as the child needs pain medication now.
2. School-age children are old enough to report their pain level accurately. A pain score of 6 is an indication for prompt administration of pain medication. The child might be trying to be brave or might be lying still because movement is painful.
3. The child might be lying quietly because movement increases the pain.
4. School-age children can answer for themselves and do not need the parents to answer for them.