20. When drawing blood on a preschooler the phlebotomist should

Answer: A

Explanation:

Explain the procedure to the parent and child

It is important for the phlebotomist to explain the procedure to both the parent and the child to alleviate fear and anxiety. This approach helps the child understand what will happen, making the process smoother and more supportive.

A) Explain the procedure to the parent and child

This option is correct because providing an explanation helps to prepare both the parent and the child for the blood draw. It fosters trust and reduces anxiety, which is particularly beneficial in pediatric patients.

B) Not tell the child when the needle insertion is coming

This option is incorrect as withholding information can increase fear and anxiety in a preschooler. It is generally more effective to prepare the child for what to expect during the procedure.

C) Obtain a heel stick

This option is incorrect in the context of preschoolers, as heel sticks are typically used for infants. For preschool-aged children, other methods such as using a vein in the arm are more appropriate.

D) Obtain a thumb stick

This option is also incorrect because thumb sticks are not a standard procedure for drawing blood in preschoolers. Instead, the preferred method involves using a vein, and a heel stick would not be suitable for this age group.

Conclusion

The correct answer emphasizes the importance of communication and preparation when drawing blood from preschoolers. By explaining the procedure, the phlebotomist helps mitigate anxiety and fosters a more positive experience for both the child and the parent, which is crucial in pediatric care. The other options fail to address the need for effective communication and appropriate methods for this age group.