What is the best action for the nurse to take when a 5-year-old child who requires another 2 days of IV antibiotics cries, screams, and resists having the IV restarted?
a. Exit the room and leave the child alone until he stops crying.
b. Tell the child big boys and girls "don't cry."
c. Let the child decide which color arm board to use with the IV.
d. Administer a narcotic analgesic for pain to quiet the child.
C
Feedback
A Leaving the child alone robs the child of support when a coping difficulty exists.
B Crying is a normal response to stress.
C Giving the preschooler some choice and control, while maintaining boundaries
of treatment, supports the child's coping skills.
D The child needs time to adjust and support to cope with unfamiliar and painful
procedures during hospitalization. Although administration of a topical analgesic
is indicated before restarting the child's IV, a narcotic analgesic is not indicated.
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