Prior to giving an intramuscular injection to a 21/2-year-old child,the most appropriate statement by the nurse would be
1. "We will give you your shot whenyour mommy comes back."
2. "This is medicine that will makeyou 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 thishurts. After we are done you can go to the box and pick out your favorite sticker."
4. "This is a magic sword that will giveyou your medicine and make you all better."
Answer:3
Rationale: The most appropriate response would be to acknowledge the child's feelings and give him 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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