Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A nurse accompanies a physician to the patient’s room. Upon assessment, the patient has an extremely painful, reddened, and enlarged abscess on the right elbow. The physician proceeds to incise the abscess area without anesthetic and the patient cries out loudly in pain. The most appropriate immediate nursing action is to:
  1. Assist in restraining the patient during the procedure
  2. Request that the physician halt the procedure until an anesthetic can be administered
  3. Attempt to distract the patient during the procedure
  4. Provide pain medication after the procedure
Explanation
Answer - C - The most appropriate immediate nursing action is to attempt to distract the patient during the procedure. The nurse needs to be a protector and patient’s advocate. The nurse helps to maintain a safe environment for the patient and takes steps to prevent injury and protect the patient from possible adverse effects of diagnostic or treatment measures.
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