The parent of a 6-year-old child who will be wearing an eye patch and a bandage around the entire head asks the nurse for suggestions on how to get the child to comply and not remove these items
Which of the following are the best suggestions and are most likely to be successful interventions? a. Encourage the child to pretend to be a pirate, and use rewards to reinforce compliance.
b. Apply tincture of benzoin or glue to the edges of the patch to adhere it to the child's face.
c. Tie cardboard tubes on the elbows, and put mittens on the child's hands.
d. Apply tape across the patch from the forehead to the cheek or jaw, making a big X to secure the patch.
A
Feedback
A Correct. The best suggestion to get the child to comply with wearing the eye patch is to encourage the child to pretend to be a pirate, and use rewards to reinforce compliance.
B Incorrect. Tincture of benzoin, not glue, can be applied around the eye there the sticky part of the patch goes. Tincture of benzoin is not applied to the patch itself.
C Incorrect. For a 6 year old child cardboard tubes secured with gauze longitudinally around the elbows when all else fails to restrict the child's ability to remove the patch. Taping mittens on the hands is appropriate for the younger child.
D Incorrect. Applying tape from the forehead to the cheek is another method to maintain treatment of eye patching. The tape should not be applied across the patch, making a big X to secure the patch.
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