A nurse is preparing to administer an IM injection to a preschool-age child.
Which of the following actions should the nurse take?
Tell the child the medicine will make him feel better.
Ask the parents to hold the child.
Allow the child to hold a favorite toy.
Administer the medication in the child’s room.
The Correct Answer is C
Choice A rationale
While it’s important to explain to a child why they are receiving medication, simply telling them that it will make them feel better may not be enough to alleviate their fear or anxiety about receiving an injection.
Choice B rationale
Asking the parents to hold the child during an injection can be traumatic for both the child and the parent. It’s generally recommended to have a trained healthcare professional hold the child in a safe and secure manner.
Choice C rationale
Allowing the child to hold a favorite toy can provide comfort and distraction during the injection.
Choice D rationale
While it might seem like a good idea to administer the medication in the child’s room where they feel safe, this can actually make the child associate their safe space with negative experiences.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Inserting medication in the buccal cavity is an appropriate method for administering oral medication to an infant. The buccal cavity is the area between the cheek and gums, and medication placed here is absorbed directly into the bloodstream.
Choice B rationale
Wrapping the infant in a blanket can provide comfort and security during medication administration, making it easier for both the parent and the infant.
Choice C rationale
Positioning the infant in a supine position during oral medication administration is not safe. This position increases the risk of aspiration, which can lead to choking.
Choice D rationale
Administering medication with an oral syringe is an appropriate method for giving oral medication to an infant. It allows for accurate dosing and can be directed towards the cheek to prevent choking.
Correct Answer is C
Explanation
Choice A rationale
While providing age-appropriate stimulation is important for a newborn’s development, it is not the priority nursing goal for a newborn with a myelomeningocele. The immediate focus should be on preventing infection and injury to the exposed neural tissue.
Choice B rationale
Promoting maternal-infant bonding is important, but it is not the priority nursing goal for a newborn with a myelomeningocele. The immediate focus should be on preventing infection and injury to the exposed neural tissue.
Choice C rationale
Maintaining the integrity of the sac is the priority nursing goal for a newborn with a myelomeningocele. The sac contains exposed neural tissue that is at risk for injury and infection. Protecting the sac from damage and keeping it clean and moist until surgery can help prevent complications.
Choice D rationale
While educating the parents about the defect is an important part of nursing care, it is not the priority nursing goal for a newborn with a myelomeningocele. The immediate focus should be on preventing infection and injury to the exposed neural tissue.
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