Author Question: The clinical nurse specialist is concerned about children's reactions to painful invasive procedures ... (Read 39 times)

krzymel · **on:** Jun 28, 2018

The clinical nurse specialist is concerned about children's reactions to painful invasive procedures such as intravenous starts. The nurse has decided to use distraction as a means to comfort the school-age child.

Depending on the age of the school-age child, which technique might the nurse use to distract the child? Standard Text: Select all that apply. 1. Blowing bubbles
2. Music therapy
3. Guided imagery
4. Hypnosis
5. Sucrose solution

Question 2

A child with hemophilia plans on participating in a bicycling club. Which of the following recommendations should the nurse give to the child?

1. Consider a swim club instead of the bicycling club.
2. Wear kneepads, elbow pads, and a helmet while bicycling.
3. Participate only in the social activities of the club.
4. Do not join the club.

ebe · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1,2,3
Rationale 1: Blowing bubbles or popping bubbles can be a distraction for a young school-age child.
Rationale 2: Listening to music or singing can be used as distraction for this age group.
Rationale 3: Guided imagery is a means of encouraging relaxation and mental images to manage pain.
Rationale 4: Under hypnosis, the child is an altered state of awareness; this is not a form of distraction.
Rationale 5: Sucrose solution is used for infants up to 12 months of age. It has not been found to be effective in the school-age child.
Global Rationale:

Answer to Question 2

2
Rationale:
1. Biking is an acceptable sport as long as protective equipment is worn, and the child should be encouraged to make choices when possible.
2. Children with hemophilia should be encouraged to participate in non-contact sports activities. Bicycling is an excellent option, and is recommended, along with swimming. However, the child should always use kneepads, elbow pads, and a helmet when participating in any physical sport.
3. Participating only in the social aspects of the club would not encourage physical activity.
4. Discouraging a child from joining a club would not foster growth and development.