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."

Answer and Explanation

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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Correct Answer is C

Explanation

Rationale:
A. Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.
B. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.
C. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled.
D. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

A. Abrasions on the knees B. Front deciduous teeth missing C. Weight in 45th percentile D. Bruising around the wrists

Correct Answer is D

Explanation

A) Abrasions on the knees could result from normal childhood activities and may not indicate physical abuse.
B) Front deciduous teeth missing could be due to normal tooth loss.
C) Weight in the 45th percentile is within a normal range and does not necessarily indicate physical abuse.
D) Bruising around the wrists is concerning for physical abuse, especially in a pattern consistent with restraining or gripping.

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A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is D

Explanation

Nurses' Notes

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Resources

A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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Nurses' Notes

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