A nurse is caring for a 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?
Offer the child a choice of taking the medication with juice or water.
Tell the child he will have to have a shot instead.
Hide the medication in a large dish of ice cream.
Tell the child it is candy.
The Correct Answer is A
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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Correct Answer is D
Explanation
A. Placing the baby on a soft mattress with a firm, flat pillow can increase the risk of Sudden Infant Death Syndrome (SIDS). Infants should sleep on a firm mattress without pillows or soft bedding to reduce the risk of suffocation.
B. Placing the head of the bed near the window for fresh air is not recommended due to potential drafts, temperature changes, or exposure to outdoor elements that might disturb the baby's sleep.
C. Waking a sleeping baby for feedings is generally not advised. Babies will wake on their own when hungry, and consistent nighttime feedings are essential, especially for a 3-week-old infant.
However, advice on this may vary based on the infant's individual health and weight gain, and it's best to follow the pediatrician's guidance.
D. Placing the baby on his or her back when sleeping is the recommended sleep position to reduce the risk of Sudden Infant Death Syndrome (SIDS). This practice is endorsed by pediatric healthcare professionals and is considered a critical guideline for safe infant sleep.
Correct Answer is B
Explanation
A. Hanging crib toys might be more suitable for younger infants and may not cater to the developmental needs of a 12-month-old toddler.
B. Large building blocks encourage fine and gross motor skills, spatial awareness, and creativity, aligning with the developmental needs of a 12-month-old.
C. Crayons and a coloring book might be more suitable for older toddlers who have better hand-eye coordination and fine motor skills.
D. Modeling clay might not be appropriate due to concerns about hygiene and potential ingestion by a young toddler.
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