What is the best action for the nurse to take when a 5-year-old child who requires another 2 days of intravenous (IV) antibiotics cries, screams, and resists having the IV restarted?

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 the IV.
d. Administer a narcotic analgesic for pain to quiet the child.


ANS: 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. Although administration of a topical analgesic is indicated before restarting the child's IV, a narcotic analgesic is not indicated.

Nursing

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