A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

Correct answer: C

A. While distraction can sometimes work, it may inadvertently reinforce the tantrum if the child perceives that having a tantrum leads to getting attention or special activities.

B. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.

C.When a tantrum does happen, parents should ignore itifitisn’t dangerous.When kids get attention for tantrums,they are more motivated to keep having them. Instead, give attention to yourchildwhen they do something good. Give lots of praise whenthey compromise,try to calm themselves downor do something difficult without a tantrum.

D. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.

Lead is a toxic metal that can be found in old paint, dust, soil, and certain consumer products. Children are particularly vulnerable to lead poisoning, which can lead to developmental delays, learning difficulties, and other health problems.

Pesticides are chemicals used to control pests, such as insects and rodents. Children can be exposed to pesticides through contaminated food, water, or direct contact with treated areas. Pesticide exposure has been linked to various health issues, including neurodevelopmental disorders and respiratory problems.

Certain medications can be toxic to children, especially if taken in excessive amounts or without appropriate supervision. Accidental ingestion of medications, including over-the-counter and prescription drugs, is a significant concern in pediatric care.

While air pollution is a significant environmental factor that can impact children's health, it is not typically considered one of the most common toxins in pediatric care.