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Answer :
Final answer:
In preparing a toddler for intravenous catheter insertion using atraumatic care, the nurse should explain the procedure using a favorite toy, perform the procedure in the child's bed, allow the child to make a choice, and apply lidocaine and prilocaine cream to potential insertion sites.
Explanation:
A nurse preparing a toddler for an intravenous catheter insertion using atraumatic care could take several actions to ensure the procedure causes the least amount of trauma possible to the child. These actions include:
- Explain the procedure using the child's favorite toy, which can help in making the child more comfortable and cooperative by involving an element of familiarity and comfort.
- Perform the procedure with the child in his bed, as this is a familiar environment for the child and can help reduce anxiety associated with the procedure.
- Allow the child to make one choice regarding the procedure, such as which arm to use or which sticker they receive afterward, which can give the child a sense of control in an otherwise uncontrollable situation.
- Apply lidocaine and prilocaine cream to three potential insertion sites to minimize the pain associated with the insertion of the catheter, as this can significantly reduce the procedure-related pain and discomfort for the child.
Asking the parents to leave the room is not generally recommended as their presence can be a source of comfort for the child. Additionally, it's important for the nurse and healthcare team to communicate effectively during the preparation, procedure, and post-procedure care, ensuring safety and minimizing potential for errors or complications.
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