A nurse is caring for 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Tell the child it is candy.

Tell the child he will have to have a shot instead.

Hide the medication in a large dish of ice cream.

Offer the child a choice of taking the medication with juice or water.

Answer and Explanation

The Correct Answer is D

Children can often be resistant to taking medication, but offering them choices and involving them in the process can help promote cooperation. Here's the rationale for each option:

A. Tell the child it is candy: This strategy involves deception and can lead to trust issues if the child discovers the truth. It's not ethical or recommended to lie to a child about medication.

B. Tell the child he will have to have a shot instead: Threatening the child with a shot is coercive and can cause fear and anxiety. It's not an appropriate or therapeutic approach to encourage cooperation.

C. Hide the medication in a large dish of ice cream: While hiding medication in food may work for some children, it's important to ensure that the child consumes the entire dose. Additionally, it's essential to check with the healthcare provider or pharmacist to confirm that the medication can be taken with food. However, this approach may not address the underlying issue of the child's resistance to taking medication.

D. Offer the child a choice of taking the medication with juice or water: Offering the child a choice empowers them and gives them some control over the situation. By allowing the child to choose how they take the medication, they may feel more comfortable and cooperative. This approach respects the child's autonomy and can be an effective way to encourage cooperation while ensuring the medication is taken as prescribed.

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Correct Answer is D

Explanation

A. The client's blood pressure is within the expected reference range - While blood pressure monitoring is important during treatment with certain medications, such as antihypertensives, it is not a direct indicator of the effectiveness of sertraline, which is an antidepressant medication.

B. The client's legs are not swollen - Swelling of the legs may be a sign of fluid retention, which can occur with various conditions and medications. However, it is not a specific indicator of the effectiveness of sertraline.

C. The client reports a recent weight loss - Weight changes, including weight loss or gain, can occur as side effects of sertraline. However, weight changes alone do not necessarily indicate the effectiveness of the medication in treating depression.

D. The client reports an increase in mood - Improvement in mood, reduction in depressive symptoms, and overall sense of well-being are primary indicators of the effectiveness of sertraline and other antidepressant medications in treating depression. Therefore, the client reporting an increase in mood suggests that the medication may be effective in managing their symptoms.

A. The client drinks 2 liters of liquids daily. B. The client eats 2 to 3 gm of sodium-containing foods daily. C. The client runs 4 miles outdoors every afternoon. D. The client eats foods high in tyramine.

Correct Answer is C

Explanation

A. The client drinks 2 liters of liquids daily. - This statement indicates adequate fluid intake, which is important for preventing dehydration and lithium toxicity. Increased fluid intake helps maintain normal lithium levels by promoting its excretion through urine.

B. The client eats 2 to 3 gm of sodium-containing foods daily. - This statement suggests a moderate sodium intake, which can help maintain stable lithium levels. Adequate sodium intake is important for preventing lithium toxicity because sodium depletion can increase lithium reabsorption by the kidneys, leading to higher serum levels.

C. The client runs 4 miles outdoors every afternoon. - This statement indicates excessive sweating, which can lead to dehydration and subsequent lithium toxicity. Vigorous exercise, particularly in hot environments, increases fluid loss through sweating, potentially reducing lithium excretion and increasing serum levels.

D. The client eats foods high in tyramine. - This statement is unrelated to lithium toxicity. Tyramine-containing foods are typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not lithium.

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A nurse is caring for 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Nursing Test Bank

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