Which statement by the nurse is most appropriate prior to giving an intramuscular injection to a 2-1/2-year-old child?
1. "We will give you your shot when your mommy comes back."
2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three . . . go' and give you your shot. Are you ready?"
3. "It is all right to cry, I know that this hurts. After we are done you can go to the box and pick out your favorite sticker."
4. "This is a magic sword that will give you your medicine and make you all better."
Correct Answer: 3
Rationale: The most appropriate response would be to acknowledge the child's feelings and give her something to look forward to (picking out a sticker). Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time. Giving elaborate descriptions and using colorful language are inappropriate. The instructions should not end with a "are you ready" statement because the toddler will say no. You also don't want to frighten and/or confuse the child by using statements such as use of a magic sword.
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