Difficulty: Medium

Average Score: 65%

When drawing blood on a preschooler, the phlebotomist should

Rationale

Explain the procedure to the parent and child.

Communicating the procedure to both the parent and the child helps alleviate anxiety and fosters cooperation during the blood draw. This approach not only prepares the child for what to expect but also empowers the parent to support their child effectively during the process.

A (explain the procedure to the parent and child.) CORRECT

This choice is essential as it builds trust and reduces fear associated with medical procedures. By explaining what will happen, the phlebotomist can help the child feel more comfortable and prepared, which may lead to a smoother experience for both the child and the caregiver.

B (not tell the child when the needle insertion is coming.) YOUR ANSWER

This choice can increase anxiety and fear in the child. Not informing the child about the imminent needle insertion may lead to a surprise element that could cause panic during the procedure, making it more difficult for the phlebotomist to perform the blood draw successfully.

C (obtain a heel stick.) YOUR ANSWER

A heel stick is typically used for infants rather than preschoolers. Preschoolers usually have larger veins that can be accessed more easily with a standard venipuncture technique. Thus, using a heel stick is not appropriate for this age group.

D (obtain a thumb stick.) YOUR ANSWER

Similar to the heel stick, a thumb stick is not a standard practice for preschool-aged children. Blood draws in this age group are usually performed on the arm, where veins are more accessible. This option does not align with best practices for blood collection in preschoolers.

Conclusion

When drawing blood from preschoolers, effective communication is critical. Explaining the procedure to both the parent and the child not only helps mitigate fear but also encourages a cooperative environment, facilitating a successful blood draw. Other options presented do not support the child’s emotional well-being or adhere to appropriate medical practices for this age group.

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