A preschool-age child has moderate dehydration and needs a rapid ...

[@Brianna17]

A preschool-age child has moderate dehydration and needs a rapid bolus of fluids. To provide atraumatic care and administer fluids most effectively, what action will the nurse take?
 
  a. Apply a eutectic mixture of local anesthetic (EMLA) just before inserting an intravenous line.
  b. Ask the child's parents to restrain the child during venipuncture so fluids may be administered.
  c. Request an order for nasogastric (NG) fluids to avoid the trauma of venipuncture.
  d. Use a powdered lidocaine preparation prior to insertion of the intravenous needle.

Question 2

The nurse is teaching a 15-year-old female patient and her parents about an antibiotic the adolescent will begin taking. The drug is known to decrease the effectiveness of oral contraceptive pills (OCPs). The nurse will
 
  a. ask the adolescent and her parents whether she is taking OCPs.
  b. tell her parents privately that pregnancy may occur if she is taking OCPs.
  c. tell her privately that the medication may decrease the effectiveness of OCPs.
  d. warn her and her parents that she may get pregnant if she is relying on OCPs.

[kkenney]

Answer to Question 1

ANS: D
One method to ensure atraumatic care is through the use of topical analgesics before IV injections. Powdered lidocaine preparations are effective in reducing the pain and fear associated with invasive procedures, such as venipuncture. EMLA is useful only if applied 1 to 2.5 hours prior to IV insertion. Asking parents to restrain the child for a painful procedure can cause stress and anxiety for both the child and the parents. NG fluids are traumatic and are uncomfortable long past the insertion of the NG tube.

Answer to Question 2

ANS: C
When soliciting adolescent health histories, the nurse should consider issues related to sexual practices and should provide privacy when asking sensitive questions or giving sensitive information. The other actions do not allow for patient privacy.

[@Brianna17]

Gracias!

[Joy Chen]

Excellent