What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?
a. "You must hold still or I'll have someone hold you down. This is not going to hurt."
b. "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less."
c. "Be a big boy and hold still. This will be over in just a second."
d. "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon."
ANS: B
Honesty is the best approach. Children should be told what sensation they will feel during a procedure. A 5-year-old child should not be expected to hold still, and assistance ensures safety to everyone. Telling the child that "This will be over in just a second" is not supportive or honest. Parents should be encouraged to remain with the child unless they are extremely uncomfortable doing so.
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