A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

Choice A reason:

Offering the child a choice of taking the medication with juice or water is an effective strategy. Giving children choices helps them feel a sense of control and can reduce resistance. This approach respects the child’s autonomy and can make the medication-taking process less stressful for both the child and the nurse.

Choice B reason:

Telling the child it is candy is not an appropriate strategy. This can lead to mistrust and confusion, as the child may expect candy and be disappointed or upset when they realize it is medication. It is important to be honest with children about what they are taking to build trust and ensure they understand the importance of the medication.

Choice C reason:

Telling the child he will have to have a shot instead is not a helpful approach. This can create fear and anxiety about both the medication and future medical procedures. Using threats or scare tactics can damage the child’s trust in healthcare providers and make them more resistant to treatment in the future.

Choice D reason:

Hiding the medication in a large dish of ice cream is not recommended. While it might seem like an easy way to get the child to take the medication, it can lead to issues with dosage accuracy and the child may develop an aversion to the food used to hide the medication. It is better to use transparent and honest methods to encourage cooperation.

Choice A reason:

The statement “Provide bedtime rituals” is correct. Establishing a consistent bedtime routine can help toddlers feel more secure and relaxed, which can promote better sleep. Bedtime rituals might include reading a story, singing a lullaby, or having a warm bath before bed. These activities signal to the child that it is time to wind down and prepare for sleep.

Choice B reason:

The statement “Encourage play exercises in the evening” is incorrect. While physical activity is important for overall health, engaging in stimulating play exercises right before bedtime can make it harder for toddlers to settle down and fall asleep. It is better to encourage quiet, calming activities in the evening.

Choice C reason:

The statement “Explain the source of the toddler’s fears” is not the most effective approach for promoting sleep. While addressing fears is important, the explanation alone may not be sufficient to help the toddler feel secure enough to sleep. Providing comfort and reassurance through bedtime rituals is more effective in creating a sense of safety.

Choice D reason:

The statement “Turn off the room light” is partially correct but not the best standalone solution. While a dark environment can promote sleep, some toddlers may feel more secure with a nightlight. The focus should be on creating a calming and comfortable sleep environment, which includes but is not limited to adjusting the lighting.