In order to prepare a six-year-old client for an intravenous ...

[ghost!]

In order to prepare a six-year-old client for an intravenous catheter insertion, the nurse's best response would be:
 
  1. If I were you, I would hold very still so that it will only take one stick.
  2. It is okay to cry. I know that this hurts.
  3. Why are you crying? I thought that you were a tough kid.
  4. Don't worry a bit; this is just like a little mosquito bite.

Question 2

When a child is experiencing acute pain, the pain stimulates which system?
 
  1. Adrenergic nervous system
   2. Limbic system
   3. Autonomic nervous system
   4. Reticular system

[aadams68]

Answer to Question 1

2
Rationale 1: This statement may be confusing to the six-year-old child. In addition, it is telling the child what to do.
Rationale 2: This statement is an accepting response that lets a child know that it is okay to express feelings.
Rationale 3: This statement belittles the child's expressed feelings. Children should not be told to not cry. Children and adults should be able to express their feelings.
Rationale 4: In order to maintain trust, it is important to be honest. To a child, an IV stick is not a mosquito bite. Telling a child not to worry will not make the child feel better.
Global Rationale:

Answer to Question 2

1
Rationale:
1. Acute pain stimulates the adrenergic nervous system and results in physiology changes, including tachycardia, tachypnea, hypertension, pupil dilation, pallor, increased perspiration, and increased secretion of catecholamine and adrenocorticoid hormones.
2. The limbic system is not stimulated with acute pain.
3. The autonomic nervous system, or the fight-or-flight system, is not stimulated with acute pain.
4. The reticular system is not stimulated with acute pain.

[ghost!]

Excellent

[dantucker]

Thanks for the timely response, appreciate it