the dressing change for a post op pediatric patient that is expected to be very painful and frightening should be performed
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Nursing Elites

ATI RN

Nursing Care of Children ATI

1. When should the dressing change for a post-op pediatric patient that is expected to be very painful and frightening be performed?

Correct answer: B

Rationale: The correct answer is B: 'In the treatment room.' Performing painful procedures in the treatment room helps the child associate their own room with safety and comfort, not pain. Choice A is incorrect because performing the dressing change in the patient’s room may create a negative association with their safe space. Choice C is incorrect as it is important to ensure proper wound care and pain management before discharge. Choice D is incorrect as the playroom may not be equipped for a sterile dressing change.

2. Parents of a child who will need hemodialysis ask the nurse, What are the advantages of a fistula over a graft or external access device for hemodialysis? (Select all that apply.)

Correct answer: A

Rationale: A fistula typically has fewer complications, allows for greater freedom of movement, and involves natural vessel changes that improve dialysis efficiency. However, it is not ready for immediate use, which is why it may take weeks to mature before it can be used.

3. The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?

Correct answer: C

Rationale: The correct answer is C because it acknowledges the child's feelings, provides clear instructions, and offers comfort and rewards to help the child cope with the procedure. Choice A is not appropriate as it may create anxiety about the injection. Choice B uses the term 'magic,' which may confuse the child and lead to fear. Choice D introduces a fantasy element that may not be beneficial in preparing the child for the injection.

4. When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?

Correct answer: A

Rationale: Permissive parenting is characterized by parents exerting little or no control over their children, leading to a lack of boundaries and structure.

5. The nurse is caring for a non-English-speaking child and family. Which should the nurse consider when using an interpreter?

Correct answer: C

Rationale: The nurse should communicate directly with the family members when asking questions, ensuring the interpreter translates accurately without adding or omitting information.

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