To minimize distress during IV insertion for a child, what should the nurse do?

• A. Have the mother present to soothe the child
• B. Proceed without the parent
• C. Restrain the child
• D. Offer candy after the procedure

Answer: (A)

Having a parent present during IV insertion is a powerful way to reduce a child’s distress. The parent provides familiar comfort, reassurance, and soothing touch, which helps the child feel safe and helps regulate fear and anxiety at the moment the needle is inserted. This supportive presence can lead to less crying, lower heart rate, and a smoother procedure for both child and nurse.

Proceeding without the parent can heighten anxiety and resistance in the child, making the procedure more difficult. Restraining the child increases fear and can damage trust, making future procedures even harder. Offering candy after the procedure doesn’t address the distress during the needle insertion and isn’t an effective coping strategy for the moment. If a parent isn’t available, other comfort measures should be used, such as distraction or child-life techniques and topical anesthetics, to help reduce pain and fear during the procedure.