A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
"If you don't cry, you can pick out a prize."
"This medicine will fix you to make you feel better."
"You will only feel a little stick."
"You can choose which leg you get your medicine in."
The Correct Answer is D
A. Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
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Related Questions
Correct Answer is D
Explanation
A. While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence.
B. Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses.
C. Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time.
D. Assessing the child's pedal pulses is crucial following a motor-vehicle crash and surgical procedures involving the lower extremities. It helps to evaluate the perfusion and circulation to the extremities, especially after a leg open reduction and fixation surgery.
Correct Answer is C
Explanation
- A: Riding against the flow of traffic is unsafe because it increases the likelihood of an accident. Drivers do not expect to see cyclists coming from the opposite direction and may not have enough time to react if they encounter one.
- B: Keeping the bicycle at least 3 feet from the curb is not always practical or safe. It may place the cyclist in the path of moving traffic, which can be dangerous, especially for children who may not have the experience to navigate around cars safely.
- C: Walking the bicycle through intersections is a safe practice because it allows the child to navigate the intersection without being in the path of cars, giving them time to look for oncoming traffic and proceed when it is safe.
- D: The child's feet should be able to touch the ground when seated on the bicycle. This ensures that the child can maintain balance and control of the bicycle, especially in situations where they need to stop quickly.
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