Author Question: The nurse is identifying diagnosis appropriate for a preschool-age child who began to cry after ... (Read 149 times)

ec501234 · **on:** Jun 27, 2018

The nurse is identifying diagnosis appropriate for a preschool-age child who began to cry after learning about needing intravenous fluid therapy. Which diagnosis should the nurse select to address this specific reaction?

A) Fear related to intravenous infusion
B) Discomfort related to intravenous infusion
C) Health-seeking behavior by the child related to the intravenous infusion
D) Deficient knowledge related to actions and effects of intravenous fluid therapy

Question 2

Which technique should the nurse use to administer ear drops to a 4-year-old child?

A) Press the pinna of the ear forward.
B) Pull the pinna of the ear downward.
C) Pull the pinna of the ear up and back.
D) Lift the pinna of the ear down and back.

carlsona147 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
After learning about needing an intravenous infusion, the child began to cry. The most appropriate diagnosis would be fear related to intravenous infusion. The infusion has not started, so the child may or may not experience discomfort related to the infusion. The child did not ask the nurse to explain the infusion or the actions and effects of fluid therapy.

Answer to Question 2

C
Feedback:
When administering ear drops, if the child is older than 2 years of age, pull the pinna of the ear up and back. The pinna should not be pressed forward, pulled downward, or lifted down and back.