The nurse caring for a 6-year-old client enters the room to administer an oral medication inthe form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse?

Crush the pill and add it to applesauce.

Ask the child to try swallowing the pill and offer a choice of drinks to take with it.

Call the pharmacy and ask if the pill can be crushed.

Request that the healthcare provider prescribe the medication in liquid form.

Answer and Explanation

The Correct Answer is D

A. Crush the pill and add it to applesaucE. Crushing a pill and mixing it with food or drink without consulting a healthcare provider or pharmacist can alter the medication's efficacy or cause adverse effects. This should only be done under professional guidance.

B. Ask the child to try swallowing the pill and offer a choice of drinks to take with it: While encouraging the child to attempt swallowing the pill with various drinks may be helpful, it may not address the underlying issue of pill-swallowing difficulty.

C. Call the pharmacy and ask if the pill can be crusheD. Contacting the pharmacy to inquire about crushing the pill is a reasonable step, but ultimately, the decision should involve the healthcare provider who prescribed the medication.

D. Request that the healthcare provider prescribe the medication in liquid form: This is the best response because liquid medications are often easier for children to swallow, especially if they have difficulty swallowing pills. The healthcare provider can consider alternative formulations or dosage forms to accommodate the child's needs.

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Correct Answer is D

Explanation

A. Spirituality: While spirituality can be important to some individuals, it is not universally the most crucial factor in adolescent self-esteem.

B. Strong authority figures: While supportive relationships with authority figures can contribute to self-esteem, they are not always the primary factor in shaping an adolescent's self-perception.

C. Morals and values: While having a strong sense of morals and values can positively influence self-esteem, they may not be the most critical factor for all adolescents.

D. Body imagE. During adolescence, body image plays a significant role in shaping self-esteem. Adolescents are often sensitive to physical appearance changes and may experience fluctuations in self-esteem based on how they perceive their bodies compared to societal ideals.

A. "Tell me about the circumstances when this occurs." B. "Is there a family history of diabetes?" C. "Suddenly having accidents can be a sign of diabetes." D. "That's normal: don't worry about it."

Correct Answer is A

Explanation

A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.

Understanding the context can help identify possible underlying causes and guide appropriate interventions.

B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.

C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.

D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.

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The nurse caring for a 6-year-old client enters the room to administer an oral medication inthe form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The adolescent continues to develop self-concept and self-esteem. What is most important to a teen's self-esteem?

Correct Answer is D

Explanation

The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

Correct Answer is A

Explanation

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