The nurse is interviewing the mother of a 6-month-old being seen at a well-child visit. The mother reports she has used an over-the-counter topical ointment intended for adults on her child for a skin rash
What is the most appropriate response by the nurse?
A) "This is dangerous so please do not do this again."
B) "Why did you do that instead of contacting your doctor?"
C) "Children have thin skin and can absorb medications differently than adults."
D) "How often do you use this medication?"
Ans: C
Children have thinner skin than adults. They will absorb topical medications more rapidly than adults. Medications concentrated for adults should not be used on children. It is important to explain this to the parent. It is confrontational to tell her this is dangerous or to tell her to contact the physician. The frequency of use is information that should be obtained but the education is most important in this scenario.
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