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 A
Explanation
A. "Do not drink alcohol while taking this medication": Disulfiram is a medication used to deter alcohol consumption by producing unpleasant effects, such as nausea, vomiting, and flushing, if alcohol is consumed. Therefore, it is crucial for the client to abstain from alcohol while taking disulfiram to avoid these adverse reactions.
B. "Do not crush this medication before swallowing": While it is generally important not to alter the formulation of medications unless instructed by a healthcare provider or indicated in the medication's instructions, crushing disulfiram is not typically a concern. However, the primary focus of disulfiram therapy is the avoidance of alcohol, rather than specific administration instructions.
C. "Avoid grapefruit juice while taking this medication": Grapefruit juice is known to interact with certain medications by inhibiting cytochrome P450 enzymes in the liver, affecting drug metabolism. However, there is no significant interaction between disulfiram and grapefruit juice. Therefore, this information is not relevant to disulfiram therapy.
D. "Take this medication with food": Disulfiram is typically taken on an empty stomach, as food can interfere with its absorption. Therefore, advising the client to take disulfiram with food is not accurate and may compromise its effectiveness. The primary concern with disulfiram therapy is adherence to abstinence from alcohol.
Correct Answer is B
Explanation
A. Avoid flossing the teeth to prevent gum irritation: There is no evidence to suggest that flossing the teeth increases the risk of gum irritation with phenytoin use. In fact, proper dental hygiene, including flossing, is essential to prevent gum disease, which can be exacerbated by the medication.
B. Alcohol increases the chance of phenytoin toxicity: Consumption of alcohol can increase the risk of phenytoin toxicity by enhancing its effects. Therefore, clients taking phenytoin should avoid alcohol consumption to prevent adverse effects and ensure the medication's efficacy.
C. Take an antacid with the medication if indigestion occurs: Phenytoin can interact with antacids, reducing its absorption and effectiveness. Therefore, clients should not take antacids concurrently with phenytoin unless directed by their healthcare provider.
D. Phenytoin turns urine blue: Phenytoin does not typically cause changes in urine color. This statement is incorrect and not relevant to the client's medication regimen.
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