The nurse is aware that a 5-year-old child is to have a blood ...

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The nurse is aware that a 5-year-old child is to have a blood specimen drawn in 1 hour. The nurse can perform which of the following interventions to prepare the child and decrease trauma:
 
  a. Apply EMLA cream to the site
  b. Have specimen drawn in the patient's own room
  c. Have the specimen drawn from the heel of the foot
  d. Draw the blood from the external jugular

Question 2

Which of the following is the treatment of choice for the neonate with transposition of the great arteries (TGA)?
 
  a. Fontan procedure c. Norwood procedure
  b. arterial switch d. Glenn shunt

[Toya9913]

Answer to Question 1

A
Applying the cream will decrease the pain from the procedure. The specimen should be drawn in the treatment room if possible, so that the child can feel safe in the patient room. The heel of the foot is not appropriate for the age of the child. A nurse cannot draw blood from this site.

Answer to Question 2

B

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A Incorrect. The Fontan procedure is the final palliative procedure for children with tricuspid atresia.
B Correct. The treatment of choice for the neonate with transposition of the great arteries (TGA) is arterial switch. The aorta is resected from the aortic trunk and the pulmonary artery is resected from the pulmonary trunk. These vessels are then switched, resulting in anatomic correction.
C Incorrect. The Norwood procedure is used for hypoplastic left heart syndrome.
D Incorrect. The Glenn shunt is used in repair of tricuspid atresia.

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