The nurse caring for a 6-year-old client enters the room to administer an oral medication inthe form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse?
Crush the pill and add it to applesauce.
Ask the child to try swallowing the pill and offer a choice of drinks to take with it.
Call the pharmacy and ask if the pill can be crushed.
Request that the healthcare provider prescribe the medication in liquid form.
The Correct Answer is D
A. Crush the pill and add it to applesaucE. Crushing a pill and mixing it with food or drink without consulting a healthcare provider or pharmacist can alter the medication's efficacy or cause adverse effects. This should only be done under professional guidance.
B. Ask the child to try swallowing the pill and offer a choice of drinks to take with it: While encouraging the child to attempt swallowing the pill with various drinks may be helpful, it may not address the underlying issue of pill-swallowing difficulty.
C. Call the pharmacy and ask if the pill can be crusheD. Contacting the pharmacy to inquire about crushing the pill is a reasonable step, but ultimately, the decision should involve the healthcare provider who prescribed the medication.
D. Request that the healthcare provider prescribe the medication in liquid form: This is the best response because liquid medications are often easier for children to swallow, especially if they have difficulty swallowing pills. The healthcare provider can consider alternative formulations or dosage forms to accommodate the child's needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child whose parents answer questions for the child. This behavior may indicate that the child's parents are controlling or dominating, possibly preventing the child from expressing their own thoughts or feelings. It could be a sign of emotional or psychological abuse, where the child's autonomy and voice are suppressed.
B. A child who has frequent visitors: While frequent visitors may raise concerns about the child's social environment, it does not necessarily indicate abuse. Further assessment would be needed to determine the nature of these visits and their impact on the child's well-being.
C. A child who uses the call light frequently: Frequent use of the call light may indicate physical discomfort, illness, or anxiety, but it does not inherently suggest abuse. It could be related to the child's medical condition or emotional state.
D. A child who has a BMI indicating obesity: Obesity alone is not indicative of abuse. While it may raise concerns about the child's health and well-being, it does not directly point to abuse unless there are additional signs or symptoms suggestive of neglect or mistreatment.
Correct Answer is B
Explanation
A. Use quick deliberate gestures to get your point across.
Using quick gestures may intimidate or overwhelm the child, potentially hindering communication. It's essential to approach the child with patience and attentiveness.
B. Allow the child to control the pace and order of the health history.
Allowing the child to dictate the pace and sequence of the health history empowers them and helps build trust. It allows the child to express themselves comfortably and share relevant
information at their own pace.
C. Do not make physical contact with the child during the interview.
While respecting the child's personal space is important, appropriate physical contact, such as a reassuring touch or handshake, can help establish rapport and comfort during the interview.
D. Wear a white examination coat when conducting the interview.
Wearing a white coat may create a sense of formality and authority that could intimidate the child. Opting for attire that is approachable and friendly can help put the child at ease and facilitate open communication.
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