What is the best action for the nurse to take when a 5-year-old child cries, screams, and resists having his IV restarted because an IV antibiotic is due?
a. Exit the room and leave the child alone until he stops crying.
b. Tell the child big boys and girls "don't cry.".
c. Let the child decide which color arm board to use with his IV.
d. Proceed quickly with the IV insertion to decrease stress.
C
Giving the preschooler some choice and control, while maintaining boundaries of treatment, supports the child's coping skills. Leaving the child alone robs the child of support when a coping difficulty exists. Crying is a normal response to stress. The child needs time to adjust and support to cope with unfamiliar and painful procedures during hospitalization.
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