The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

A. “This is a vasomotor response caused by cooling or warming": While vasomotor responses can cause changes in skin color due to temperature changes, acrocyanosis specifically refers to blue discoloration of the hands and feet due to reduced peripheral circulation, not necessarily due to temperature changes.

B. “This is normal her circulatory system will take a few days to adjust”: While it's true that newborns may have transient circulatory changes as their circulatory system adapts after birth, acrocyanosis specifically refers to a benign condition characterized by persistent blue discoloration of the extremities unrelated to circulatory adjustments.

C. "Let's watch her carefully to make sure she does not have a circulatory problem": While it's important to monitor infants for any signs of circulatory problems, acrocyanosis is typically a

benign and self-limiting condition that does not require intervention unless accompanied by other concerning symptoms.

D. "Your daughter has acrocyanosis; this is causing her blue hands and feet.”: This response provides an accurate explanation for the blue discoloration of the infant's hands and feet. Acrocyanosis is a common and benign condition in newborns characterized by blue discoloration of the extremities due to peripheral vasoconstriction, which gradually resolves over the first few days to weeks of life.

A. The nurse checks the documented time of the last dosage administereD. This action ensures that the medication is given at the appropriate frequency and prevents overdosing or underdosing.

B. The nurse calculates the dosage according to the child's weight: Pediatric medication dosages are often calculated based on the child's weight to ensure safe and effective administration.

C. The nurse makes sure the medication is given within the hour of the ordered timE. While

timely administration of medication is important, the specific time interval within which a PRN medication should be given may vary depending on the medication and the healthcare provider's orders. This statement does not necessarily reflect the rules of pediatric medication

administration.

D. The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it: Administering medication against the child's wishes without proper explanation or consent does not adhere to the principles of pediatric medication administration. It is important to provide education about the medication and involve the child and parents in the decision-making process whenever possible.