A nurse is caring for 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?
Tell the child it is candy.
Tell the child he will have to have a shot instead.
Hide the medication in a large dish of ice cream.
Offer the child a choice of taking the medication with juice or water.
The Correct Answer is D
Children can often be resistant to taking medication, but offering them choices and involving them in the process can help promote cooperation. Here's the rationale for each option:
A. Tell the child it is candy: This strategy involves deception and can lead to trust issues if the child discovers the truth. It's not ethical or recommended to lie to a child about medication.
B. Tell the child he will have to have a shot instead: Threatening the child with a shot is coercive and can cause fear and anxiety. It's not an appropriate or therapeutic approach to encourage cooperation.
C. Hide the medication in a large dish of ice cream: While hiding medication in food may work for some children, it's important to ensure that the child consumes the entire dose. Additionally, it's essential to check with the healthcare provider or pharmacist to confirm that the medication can be taken with food. However, this approach may not address the underlying issue of the child's resistance to taking medication.
D. Offer the child a choice of taking the medication with juice or water: Offering the child a choice empowers them and gives them some control over the situation. By allowing the child to choose how they take the medication, they may feel more comfortable and cooperative. This approach respects the child's autonomy and can be an effective way to encourage cooperation while ensuring the medication is taken as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Insert the needle slowly and gently.
This statement is generally true for most injection techniques, including the Z-track method. Slow and gentle insertion helps minimize discomfort for the client and allows for better control over the needle's placement. However, the specific speed of insertion may vary depending on the nurse's technique and the client's skin condition.
B. Pull the skin 1.3 cm (1/2 inch) to the side.
This statement is correct. The Z-track technique involves pulling the skin laterally (to the side) by approximately 1.3 cm (1/2 inch) before inserting the needle. This lateral displacement of the skin creates a zigzag pathway for the medication, which helps prevent leakage or tracking of the medication along the injection site.
C. Aspirate for 5 to 10 seconds.
Aspiration, or pulling back on the plunger of the syringe after needle insertion, is not typically recommended for intramuscular injections, including those using the Z-track method. Aspiration may increase the risk of tissue trauma or damage to blood vessels. Since the Z-track technique is designed to minimize medication leakage into the subcutaneous tissue, aspiration is usually unnecessary.
D. Use a 45° angle of insertion.
The angle of insertion for the Z-track technique is typically 90 degrees (perpendicular) to the skin surface rather than 45 degrees. This angle allows for proper depth penetration into the muscle and ensures adequate delivery of the medication into the muscle tissue.
Correct Answer is ["50"]
Explanation
To calculate the volume of phenytoin oral solution to administer per dose, we'll use the formula:
Volume(mL)=Totaldoseneeded(mg)/Concentrationofthemedication(mg/mL)
Given: Total dose needed per dose = 250 mg
Concentration of phenytoin oral solution = 25 mg/5 mL
(which simplifies to 5 mg/mL)
Substituting the given values into the formula:
Volume(mL)=250 mg/5 mg/mL
Volume(mL)=50 mL
Rounded to the nearest whole number, the nurse should administer 50 mL of phenytoin oral solution per dose.
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