A nurse is caring for a 5 year old and needs to measure their temperature using an electronic oral thermometer. Which intervention will provide the child with an increased sense of control?

A. Respirations: Monitoring respiratory rate and pattern is crucial when a child is receiving narcotics, as these medications can depress the respiratory system. Rapid or shallow breathing may indicate respiratory distress.

B. Level of consciousness: This is important to assess for any signs of sedation or altered mental status, which can be a side effect of narcotics.

C. Oxygen saturations: Monitoring oxygen saturations is essential, especially if there are concerns about respiratory depression. A decrease in oxygen saturations could indicate inadequate ventilation.

D. Bowel sounds: While bowel sounds are important to assess for gastrointestinal function, they are not the top priority when monitoring a child receiving narcotics. Respiratory and central nervous system status take precedence.

A. Ridiculing their fears so they understand that there is no need to be afraid.

This option is not recommended. Ridiculing a child's fears can be emotionally harmful and may lead to increased anxiety. It's important to approach fears with empathy and support.

B. Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are.

While providing information and reassurance is important, simply dismissing or explaining away a child's fears may not be sufficient. Preschoolers may need more concrete strategies and involvement in managing their fears.

C. Actively involving them in finding practical methods to deal with the frightening experience.

This is the recommended choice. Actively involving preschoolers in finding practical methods allows them to participate in the process, promoting a sense of control and autonomy. It encourages them to develop coping skills.

D. Forcing them to confront the frightening object or experience in the presence of their parents.

Forcing a child to confront their fears may intensify anxiety and is generally not a recommended approach. It's essential to respect a child's pace and provide support as they work through their fears.