A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
"The medication isn't bad. It tastes like candy.”
"Let me know when you want to take the medication.”
"The medication will treat your hypersensitivity reaction.”
"Sometimes, when a child has to take medication, they feel sad.”
The Correct Answer is C
This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.
Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.
Choice B is wrong because it does not address the urgency of taking a stat dose of medication.
Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Muscle rigidity following an appendectomy could be a sign of a serious complication such as peritonitis and should be reported to the provider immediately.
Choice B is wrong because abdominal pain is a common occurrence following an appendectomy and may not necessarily require immediate attention from the provider.
Choice C is wrong because a temperature of 36.4° C (97.5° F) is within the normal range.
Choice D is wrong because a heart rate of 63/min is within the normal range for an adolescent.
Correct Answer is D
Explanation
The correct answer is d. Exhibits head lag when pulled to a sitting position.
Choice A: Unable to hold a bottle At around 6 months of age, some babies can hold their own bottle. This is not a concerning finding for a 5-month-old infant. Therefore, this is not the correct answer.
Choice B: Unable to roll from back to abdomen Rolling over often starts around 4-6 months, so it’s not unusual for a 5-month-old to still be developing this skill. Therefore, this is not the correct answer.
Choice C: Absent grasp reflex The grasp reflex is an involuntary movement that your baby starts making in utero and continues doing until around 6 months of age. The grasp reflex lasts until the baby is about 5 to 6 months old. Therefore, this is not the correct answer.
Choice D: Exhibits head lag when pulled to a sitting position By the age of 5 months, most infants have developed enough strength in their neck and upper body to control their head movement. This means they should not exhibit a significant head lag when pulled to a sitting position1. If this is not the case, it could indicate a delay in motor development or a potential neurological issue, which should be reported to the healthcare provider for further evaluation. Therefore, this is the correct answer.
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