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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The first dose of inactivated polio virus vaccine (IPV) is typically administered at 2 months of age, not 12 months.
B. The first dose of varicella vaccine is usually given at 12 months of age.
C. Human papillomavirus (HPV) vaccination typically begins around 11-12 years of age, not at 12 months.
D. Hepatitis B vaccination usually starts at birth, not at 12 months of age.
Correct Answer is B
Explanation
A. Injecting the immunizations into the deltoid muscle may be appropriate for older children or adults but not for infants.
B. Providing a pacifier coated with an oral sucrose solution has been shown to reduce pain and distress during injections in infants, promoting atraumatic care.
C. A 20-gauge needle may cause more pain and tissue trauma in infants compared to a smaller gauge needle.
D. EMLA cream is not typically recommended for immunizations in infants as it requires time to take effect and may not provide adequate pain relief during the procedure.
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