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NCLEX Question of the Day
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A 6-year-old child is hospitalized and expresses fear about having their blood pressure taken. Which non-pharmacological comfort measure is most appropriate for the nurse to use?
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Ask the parent to firmly hold the child's arm still.
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Promise the child a large toy if they cooperate.
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Correct answer Explain the procedure simply and allow the child to handle the cuff beforehand.
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Perform the procedure quickly without explanation to minimize anxiety time.
Rationale
For a school-aged child (6-12 years), cognitive development allows for understanding simple explanations and participation. Explaining the procedure using age-appropriate language (e.g., "This cuff will give your arm a hug") and allowing the child to touch and handle the equipment can demystify the process and increase cooperation by giving them a sense of control and reducing fear of the unknown. This aligns with providing developmentally appropriate care and promoting comfort.
Promising large rewards can be seen as bribery and may not address the underlying fear. Restraining the child, even by a parent, can increase fear and anxiety and should be avoided unless necessary for safety. Performing procedures without explanation increases fear and distrust, especially in school-aged children who seek understanding.
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