Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:
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. 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?"
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."
3
Rationale:
1. Waiting for the mother to come back would be inappropriate because toddlers do not have an understanding of time.
2. Giving elaborate descriptions and using colorful language also are inappropriate, because the instructions are unclear and lengthy.
3. The most appropriate response would be to acknowledge the child's feelings and give him something to look forward to.
4. The nurse should not make statements that are not true and might confuse the child.
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