A Nurse Is Attempting to Insert a Needle to Obtain

question 226

Multiple Choice

A nurse is attempting to insert a needle to obtain a blood specimen from a 4-year-old, but the child, who is being held by her mother, is kicking, screaming, and flailing her arms about.Which nursing diagnosis related to this patient is the most critical?

• A)Anxiety and fear related to venipuncture
• B)Risk for injury, bleeding, hematoma, or infection related to venipuncture
• C)Pain related to venipuncture
• D)Risk for impaired skin integrity

---

Definitions:

Sensory Receptors

Specific cells or nerve terminations that react to environmental alterations by creating electrical signals.

Ruffini End Organ

Sensory receptors located in the skin and tendons that detect skin stretch and joint activity, contributing to the sense of proprioception.

Merkel Disks

Slow-adapting tactile receptors in the skin that respond to light touch and pressure.

Cerebral Cortex

The outer layer of the brain's cerebrum, involved in many complex brain functions including memory, attention, perception, cognition, awareness, thought, language, and consciousness.