A 4-and-a-half-year-old is crying from pain related to her fractured leg. Which of the following is the most appropriate nursing response to her alteration in comfort?
a. "Please try to not move your leg. That will make it feel better."
b. "I'll give you a shot that will help take the pain away."
c. "It's okay to cry. I'll get you something to make you feel better. Would you like to hold your favourite doll?"
d. "Would you like to hold this needle and tell me where you want me to give you your shot?"
C
The response by the nurse, "It's okay to cry. I'll get you something to make you feel better. Would you like to hold your favourite doll?" informs the child what is okay for him or her to do, and involves an age-appropriate familiar toy to provide comfort. Play is also an excellent way for preschoolers to vent frustration or anger and is a socially acceptable way to deal with stress.
Telling the child not to move when in pain is unlikely to be effective. A preschool child may have difficulty understanding the request.
Telling the child he or she is going to get a shot may increase the anxiety, as the child fears bodily harm.
It would not be appropriate to allow the child to hold a needle. Instead, the child could hold a cotton ball or bandage, or manipulate play medical equipment. If the child is allowed to deter-mine the site for administration of an injection, specific sites should be offered as choices. How-ever, the nurse must avoid allowing procrastination by the child.
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