The nurse has just given a subcutaneous injection to a preschool ...

[ec501234]

The nurse has just given a subcutaneous injection to a preschool child, and the child asks for a Band-Aid over the site. Which action should the nurse implement?
 
  a. Place a Band-Aid over the site.
  b. Massage the injection site with an alcohol swab.
  c. Show the child there is no bleeding from the site.
  d. Explain that a Band-Aid is not needed after a subcutaneous injection.

Question 2

Parents of a preschool child tell the nurse, Our child seems to have many imaginary fears. What suggestion should the nurse give to the parents to help their child resolve the fears?
 
  a. Ignore the fears; they will go away.
  b. Explain to your child the fears are not real.
  c. Give your child some new toys to allay the fears.
  d. Help your child to resolve the fears through play activities.

[meganlapinski]

Answer to Question 1

ANS: A
Despite the advances in body image development, preschoolers have poorly defined body boundaries and little knowledge of their internal anatomy. Intrusive experiences are frightening, especially those that disrupt the integrity of the skin (e.g., injections and surgery). They fear that all their blood and insides can leak out if the skin is broken. Therefore, preschoolers may believe it is critical to use bandages after an injury. The nurse should place a Band-Aid over the site.

Answer to Question 2

ANS: D
Preschoolers are able to work through many of their unresolved fears, fantasies, and anxieties through play, especially if guided with appropriate play objects (e.g., dolls or puppets) that represent family members, health professionals, and other children. The fears should not be ignored because they may escalate. Preschoolers are not cognitively prepared for explanations about the fears. They gain security and comfort from familiar objects such as toys, dolls, or photographs of family members, so new toys should not be introduced.

[ec501234]

Thank you

[meganlapinski]

No problemo