The nurse must start an IV for a toddler in the emergency department. The toddler is accompanied by a parent. The parent asks the nurse, "Can I stay with my child and comfort him?" Which response by the nurse is best?
A)"Yes, it would be helpful for you to stay and comfort your child."
B)"We do this all the time, so don't worry. I will come get you when we are done starting the IV."
C)"Be ready to hold your child down when I tell you to."
D)"It doesn't take long to start an IV, so there's no need for you to stay for the procedure."

Question

Quizplus · Accepted Answer

A)An important part of nurse competency is knowing what procedures to follow when performing skills. For example, when initiating an IV on a pediatric client, procedure dictates that the nurse should always seek assistance from the client's parent if the parent is willing and capable of offering assistance. If the parent agrees to offer assistance, the nurse can then provide appropriate teaching. Instructing the parents to hold down the child without giving them a choice is inappropriate; many parents do not want to participate in activities that cause pain to their child. Telling the parent not to worry is both pointless and dismissive of the parent's concerns. It is also inappropriate for the nurse to say that the procedure won't take long, because the nurse does not know how much time the procedure will actually require.
B)An important part of nurse competency is knowing what procedures to follow when performing skills. For example, when initiating an IV on a pediatric client, procedure dictates that the nurse should always seek assistance from the client's parent if the parent is willing and capable of offering assistance. If the parent agrees to offer assistance, the nurse can then provide appropriate teaching. Instructing the parents to hold down the child without giving them a choice is inappropriate; many parents do not want to participate in activities that cause pain to their child. Telling the parent not to worry is both pointless and dismissive of the parent's concerns. It is also inappropriate for the nurse to say that the procedure won't take long, because the nurse does not know how much time the procedure will actually require.
C)An important part of nurse competency is knowing what procedures to follow when performing skills. For example, when initiating an IV on a pediatric client, procedure dictates that the nurse should always seek assistance from the client's parent if the parent is willing and capable of offering assistance. If the parent agrees to offer assistance, the nurse can then provide appropriate teaching. Instructing the parents to hold down the child without giving them a choice is inappropriate; many parents do not want to participate in activities that cause pain to their child. Telling the parent not to worry is both pointless and dismissive of the parent's concerns. It is also inappropriate for the nurse to say that the procedure won't take long, because the nurse does not know how much time the procedure will actually require.
D)An important part of nurse competency is knowing what procedures to follow when performing skills. For example, when initiating an IV on a pediatric client, procedure dictates that the nurse should always seek assistance from the client's parent if the parent is willing and capable of offering assistance. If the parent agrees to offer assistance, the nurse can then provide appropriate teaching. Instructing the parents to hold down the child without giving them a choice is inappropriate; many parents do not want to participate in activities that cause pain to their child. Telling the parent not to worry is both pointless and dismissive of the parent's concerns. It is also inappropriate for the nurse to say that the procedure won't take long, because the nurse does not know how much time the procedure will actually require.

The Nurse Must Start an IV for a Toddler in the Emergency