A venipuncture will be performed on a 7-year-old girl. She wants ...

[saraeharris]

A venipuncture will be performed on a 7-year-old girl. She wants her mother to hold her during the procedure. The nurse should recognize that this behavior is:
 
  a. unsafe.
  b. helpful to relax the child.
  c. against hospital policy.
  d. unnecessary because of child's age.

Question 2

An 8-month-old infant is restrained to prevent interference with the IV infusion. The nurse's action is to:
 
  a. remove the restraints once a day to allow movement.
  b. keep the restraints on constantly.
  c. keep the restraints secure so infant remains supine.
  d. remove restraints whenever possible.

[kiamars2010]

Answer to Question 1

ANS: B
The mother's preference for assisting, observing, or waiting outside the room should be assessed along with the child's preference for parental presence. The child's choice should be respected. This will most likely help the child through the procedure. If the mother and child agree, then the mother is welcome to stay. Her familiarity with the procedure should be assessed and potential safety risks identified (mother may sit in chair). Hospital policies should be reviewed to ensure that they incorporate family-centered care. The child should determine whether parental support is necessary.

Answer to Question 2

ANS: D
The nurse should remove the restraints whenever possible. When parents or staff are present, the restraints can be removed and the IV site protected. Restraints must be checked and documented every 1 to 2 hours. They should be removed for range of motion on a periodic basis. The child should not be securely restrained in the supine position because of risks of aspiration.

[saraeharris]

Excellent

[flexer1n1]

Gracias!