A nurse is caring for a 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?
Offer the child a choice of taking the medication with juice or water.
Tell the child he will have to have a shot instead.
Hide the medication in a large dish of ice cream.
Tell the child it is candy.
The Correct Answer is A
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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Related Questions
Correct Answer is A
Explanation
A. Investigating the cause of the fear while the child is still attending school helps address the issue promptly while not interrupting the child's routine and social engagement.
B. Threatening to take away privileges might increase the child's anxiety and not address the underlying cause of the fear.
C. Allowing the child to stay home until issues are resolved might exacerbate the fear and create a pattern of avoidance.
D. Moving the child to a new school without addressing the cause of the fear might not resolve the underlying issue and could potentially create new anxieties.
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
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