A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
"If you don't cry, you can pick out a prize."
"This medicine will fix you to make you feel better."
"You will only feel a little stick."
"You can choose which leg you get your medicine in."
The Correct Answer is D
A. Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
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Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}
Explanation
A. While acute glomerulonephritis can occur following certain infections such as streptococcal infections, it is less commonly associated with fever and lethargy compared to pyelonephritis.
B. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. The fever and lethargy reported by the parent, along with the urine sample obtained, suggest a concern for pyelonephritis.
C. Polycystic kidney disease typically presents later in life and is not typically associated with acute febrile illness in a 1-year-old toddler.
D. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis. The presence of fever and lethargy in the child, along with the history of decreased appetite, raises concerns for a urinary tract infection that could lead to renal scarring if left untreated.
E. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia, rather than the symptoms described in the scenario.
Correct Answer is ["12.5"]
Explanation
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms. To do this, we multiply 55 lb by 0.4536 kg/lb, which gives us 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams. To do this, we multiply 10 mg/kg by 24.948 kg, which gives us 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer. To do this, we use the formula:
(mg of ibuprofen) / (mg/mL of ibuprofen solution) = mL of ibuprofen solution
Substituting the values, we get:
(249.48 mg) / (100 mg/5 mL) = 12.474 mL
Rounding to the nearest tenth, the answer is 12.5 mL. Therefore, the nurse should administer 12.5 mL of ibuprofen solution to the child.
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