The parents of a child diagnosed with pinworms are reluctant to give the prescribed medication. The father says, "We hate to give our child such a toxic medication." What information should the nurse provide?
1. "Very little of the drug is absorbed into the system."
2. "Severe infestations can result in malabsorption."
3. "It is critical that you give this medication."
4. "Many types of pinworms are resistant to treatment."
5. "There is increased risk for bacterial infection when worms are present."
1,2,5
Rationale 1: It may be helpful for the parents to understand that very little of these medications are absorbed systemically. They kill the worms without affecting the patient.
Rationale 2: Severe infestations may alter the function of the bowel. The parents need to understand the disorder in order to make a logical decision about treatment.
Rationale 3: Using a word like "critical" is inappropriate and puts unnecessary pressure on the parents.
Rationale 4: To date, resistance has not been a problem.
Rationale 5: The parents need to understand the disorder in order to make a logical decision about treatment.
Global Rationale: It may be helpful for the parents to understand that very little of these medications are absorbed systemically. They kill the worms without affecting the patient. Severe infestations may alter the function of the bowel. The parents need to understand the disorder in order to make a logical decision about treatment. Using a word like "critical" is inappropriate and puts unnecessary pressure on the parents. To date, resistance has not been a problem.
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