The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
1. "It is all right to cry. 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. "I will wipe your skin with a magic wipe and then hold the needle like this and say ‘one, two, three, go' and give you your shot. Are you ready?"
4. "This is a magic sword that will give you your medicine and make you all better."
1
Explanation:
1. The most appropriate response would be to acknowledge the child's feelings and allow the child to pick out a sticker at the conclusion of the injection.
2. Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time.
3. Giving elaborate descriptions and using colorful language are inappropriate because the instructions are unclear and lengthy.
4. The nurse should not make statements that are not true and might confuse the child.
You might also like to view...
Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?
a. "I have been taking an herbal product of feverfew for my migraines." b. "I exercise for 3 hours a day." c. "I drink 2 glasses of wine a day." d. "I use atropine eyedrops every day."
The client is visually impaired and the nurse delegates client ambulation to the nursing assistant. Which instruction for the client does the nurse provide to the nursing assistant? (Select all that apply.)
1. Hold the nursing assistant's arm. 2. Walk directly behind the client. 3. Speak directly in front of the client. 4. Hold the client's nondominant hand. 5. Stand on the client's nondominant side. 6. Rest hands on nursing assistant's shoulders.
A patient has been taking warfarin (Coumadin), which is highly protein-bound. The patient will begin taking gemfibrozil, which is also highly protein-bound. The nurse will observe the patient closely for
a. decreased effects of warfarin. b. increased effects of warfarin. c. decreased effects of gemfibrozil. d. decreased effects of both drugs.
When teaching a class of pregnant women about the effects of substance abuse during pregnancy, which of the following would the nurse most likely include?
A) Low-birth-weight infants B) Excessive weight gain C) Higher pain tolerance D) Longer gestational periods