The nurse is preparing a 12-year-old girl for a bone marrow ...

[lak]

The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse she wants her mother with her like before. The most appropriate nursing action is to
 
  a. Grant her request.
  b. Explain why this is not possible.
  c. Identify an appropriate substitute for her mother.
  d. Offer to provide support to her during the procedure.

Question 2

When assessing a child for possible congenital heart defects (CHDs), where should the nurse measure blood pressure?
 
  a. The right arm
  b. The left arm
  c. All four extremities
  d. Both arms while the child is crying

[Ksh22]

Answer to Question 1

A
Feedback
A The parents' preferences for assisting, observing, or waiting outside the room
should be assessed as well as the child's preference for parental presence. The
child's choice should be respected.
B If the mother and child are agreeable, then the mother is welcome to stay.
C An appropriate substitute for the mother is necessary only if the mother does not
wish to stay.
D Support is offered to the child regardless of parental presence.

Answer to Question 2

C
Feedback
A Blood pressure measurements for upper and lower extremities are compared
during an assessment for CHDs.
B Discrepancies in blood pressure between the upper and lower extremities cannot
be determined if blood pressure is not measured in all four extremities.
C When a CHD is suspected, the blood pressure should be measured in all four
extremities while the child is quiet. Discrepancies between upper and lower
extremities may indicate cardiac disease.
D Blood pressure measurements when the child is crying are likely to be elevated;
thus the readings will be inaccurate. Also, all four extremities need to be
measured.

[lak]

TYSM

[triiciiaa]

Gracias!