Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most appropriate statement by the nurse would be:
1. "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."
2. "We will give you your shot when your mommy comes back."
3. "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. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?"
4. "This is a magic sword that will give you your medicine and make you all better."
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Rationale 1: The most appropriate response would be to acknowledge the child's feelings and give him something to look forward to.
Rationale 2: Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time.
Rationale 3: Giving elaborate descriptions and using colorful language are inappropriate because the instructions are unclear and lengthy.
Rationale 4: The nurse should not make statements that are not true and might confuse the child.
Global Rationale:
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What statement by a patient's mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?
a. "I will continue using the medication until symptoms are relieved." b. "I will share the medicine with siblings if their symptoms are the same." c. "I will give the medication with a glass of milk." d. "I will administer prescribed doses until all the medication is used."
A nursing student is learning the difference between theoretical and conceptual frameworks. Which statement, if made by the student, indicates the need for further teaching?
1. A theoretical framework presents a broad, general explanation of the relationships between the concepts of interest in a research study. 2. A conceptual framework helps to explain the relationship between concepts. 3. A conceptual framework is a less well-developed structure than a theoretical framework but may serve as the impetus for the formulation of a theory. 4. A theoretical framework is based on many existing theories.
Which of the following are reasons that hospitalized older adults require early and competent discharge planning? (Select all that apply.)
A) To prevent complications B) To reduce the risk of rehospitalization C) To minimize stress to themselves and their caregivers D) So that they can leave the hospital in a sicker, more debilitated state
The nurse has been asked to participate in a program of population-based screening. The nurse should consider which information prior to making a decision about this request?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The clients being screened will have the disorder being studied. 2. A purpose of this screening is to identify persons at high risk for this disorder. 3. This outreach may identify persons who have not yet sought treatment for the disorder. 4. Current population screening recommendations are broad-based. 5. Population-based screening includes an ethical obligation for follow-up and intervention.