Author Question: The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the following ... (Read 61 times)

jon_i · **on:** Jun 27, 2018

The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the following actions would help reduce her stress related to the procedure? Select all answers that apply.

A) Pretend to perform the procedure on her doll.
B) Explain the procedure to her in medical terms.
C) Do not allow her to see or touch the equipment.
D) Teach her the steps of the procedure.
E) Tell her not to pay attention to any sounds she might hear.
F) Introduce her to the health care personnel.

Question 2

The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which of the following are examples of interventions that nurses perform in the building a trusting relationship stage? Select all answers that apply.

A) Gathering information about the child using the child's own toys
B) Preparing the child for a procedure by playing games
C) Explaining in simple terms what will happen during surgery
D) Allowing the child to devise an exercise plan following surgery
E) Praising the child for how well he is doing following instructions
F) Giving the child a favorite toy to cuddle following a painful procedure

trog · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, D, F
Feedback:
Useful techniques for reducing stress in children include the following: perform nursing care on stuffed animals or dolls and allow the child to do the same, teach the child the steps of the procedure or inform him or her exactly what will happen during the hospital stay, introduce the child to the health care personnel with whom he or she will come in contact, avoid the use of medical terms, allow the child to handle some equipment, show the child the room where he or she will be staying, explain the sounds the child may hear, and let the child sample the food that will be served.

Answer to Question 2

B, C
Feedback:
The introduction phase involves the initial contact with children and their families and it establishes the foundation for a trusting relationship. A trusting relationship can be built by using appropriate language, games, and play such as singing a song during a procedure, preparing the child adequately for procedures, and providing explanations and encouragement. In the decision-making phase, the nurse gives some control over to the child by allowing him to participate in making certain decisions, such as devising an exercise. Finally, the comfort and reassurance phase uses techniques such as praising the child and providing opportunities to cuddle with a favorite toy.