The nurse is preparing to administer an intramuscular medication to a 4-year-old child who starts to cry and screams, "I don't want a shot!" What is the nurse's next action?
a. Acknowledge that shots hurt and tell the child to be brave.
b. Engage the child in a conversation about preschool and favorite activities.
c. Enlist the assistance of another nurse to help restrain the child.
d. Explain to the child that it will only hurt for a few seconds.
ANS: B
Distraction may be used for pain and anxiety control in this age group. Engaging the child in a conversation may distract the child from the anxiety of the imminent injection. It is not correct to tell the child to be brave since this belittles the feelings expressed by the child. Preschool children have a limited sense of time, so telling the child that the pain will only last a few seconds may not be effective. Restraining the child with other staff should be used last after other methods have failed.
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