A nurse is preparing to administer an IM injection to a preschool-age child.
Which of the following actions should the nurse take?
Tell the child the medicine will make him feel better.
Ask the parents to hold the child.
Allow the child to hold a favorite toy.
Administer the medication in the child’s room.
The Correct Answer is C
Choice A rationale
While it’s important to explain to a child why they are receiving medication, simply telling them that it will make them feel better may not be enough to alleviate their fear or anxiety about receiving an injection.
Choice B rationale
Asking the parents to hold the child during an injection can be traumatic for both the child and the parent. It’s generally recommended to have a trained healthcare professional hold the child in a safe and secure manner.
Choice C rationale
Allowing the child to hold a favorite toy can provide comfort and distraction during the injection.
Choice D rationale
While it might seem like a good idea to administer the medication in the child’s room where they feel safe, this can actually make the child associate their safe space with negative experiences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Inserting medication in the buccal cavity is an appropriate method for administering oral medication to an infant. The buccal cavity is the area between the cheek and gums, and medication placed here is absorbed directly into the bloodstream.
Choice B rationale
Wrapping the infant in a blanket can provide comfort and security during medication administration, making it easier for both the parent and the infant.
Choice C rationale
Positioning the infant in a supine position during oral medication administration is not safe. This position increases the risk of aspiration, which can lead to choking.
Choice D rationale
Administering medication with an oral syringe is an appropriate method for giving oral medication to an infant. It allows for accurate dosing and can be directed towards the cheek to prevent choking.
Correct Answer is B
Explanation
Choice A rationale
Adjusting the harness straps every day is not recommended. The straps should be adjusted only as directed by the healthcare provider or orthopedic specialist to ensure proper positioning and effectiveness of the Pavlik harness.
Choice B rationale
This is the correct answer. Checking the baby’s skin three times a day is important to prevent skin irritation or breakdown under the harness.
Choice C rationale
Massaging lotion on the skin around the harness clasps is not recommended as it can cause skin irritation.
Choice D rationale
The diaper should be placed under the harness to prevent soiling and maintain the effectiveness of the harness.
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