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 B
Explanation
Choice A rationale
Excessive crying is a common symptom of neonatal abstinence syndrome. This is because the baby is experiencing withdrawal symptoms after being exposed to drugs in the womb before birth.
Choice B rationale
Normal sleep patterns are not typically associated with neonatal abstinence syndrome. Infants with this condition often have sleep problems.
Choice C rationale
Decreased muscle tone is not a common symptom of neonatal abstinence syndrome. In fact, these infants often have tight muscle tone and overactive reflexes.
Choice D rationale
Increased appetite is not a typical symptom of neonatal abstinence syndrome. These infants often have poor feeding and sucking, which could lead to poor weight gain.
Correct Answer is ["C","D","E"]
Explanation
Choice A rationale
Avoiding stimulation is not a necessary intervention for a newborn receiving phototherapy. Phototherapy is a treatment for jaundice where the exposure of skin to a light source converts unconjugated bilirubin molecules into water-soluble isomers that can be excreted by the usual pathways. There is no specific need to avoid stimulation during this treatment.
Choice B rationale
Decreasing fluid intake is not a recommended intervention for a newborn receiving phototherapy. In fact, adequate hydration is important during phototherapy to promote the excretion of bilirubin. Therefore, fluid intake should not be decreased.
Choice C rationale
Monitoring skin temperature closely is a necessary intervention for a newborn receiving phototherapy. The lights used in phototherapy can generate heat, so it’s important to monitor the baby’s temperature to prevent overheating.
Choice D rationale
Covering the newborn’s eyes with eye shields or patches is a necessary intervention during phototherapy. This is done to protect the baby’s eyes from the bright lights used in the treatment.
Choice E rationale
Repositioning the newborn every 2 hours is a necessary intervention during phototherapy. This helps to expose different areas of the baby’s skin to the light, which can improve the effectiveness of the treatment.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.