70. A nurse prepares to obtain a blood sample from a preschooler who is hospitalized. Which steps should the nurse take to complete this procedure? Select all that apply.
70. A nurse prepares to obtain a blood sample from a preschooler who is hospitalized. Which steps should the nurse take to complete this procedure? Select all that apply.
. Tell the child what will happen in simple terms.
. Use a 25- or 27-gauge needle.
. Have parents gently restrain child if necessary.
. Keep venipuncture equipment hidden from view prior to the procedure.
. Obtain the specimen from the child's dominant side, if possible.
. Allow the child to be distracted in the playroom during the procedure.
Test-Taking Tip
Do not assume that the correct responses are not already in the proper order (1, 2, 3, 4).
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is correct because the child should be informed about the procedure in a way that the child can understand. Answer 2 is correct because a 25- or 27-gauge needle is small, making it best suited for obtaining a blood sample from a preschooler who has small veins. Answer 3 is correct because the parents should be encouraged to participate in the procedure by helping the child to hold still, using gentle restraint such as hugging. Answer 4 is correct because the child will become less anxious if the nurse does not show the needle and other equipment during the preparatory period. Answer 5 is incorrect because the sample should be obtained from the child's nondominant side. Answer 6 is incorrect because painful procedures should not be performed in the playroom.