A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad taste.Which of the following strategies should the nurse use to elicit the child's cooperation?
Inform the child that if he does not take the medication he will need a shot.
Hide the medication in apple slices.
Tell the child the medicine tastes like candy.
Offer the child an ice pop prior to administering the medication.
The Correct Answer is D
Choice A rationale
Threatening a shot can cause fear and anxiety, potentially making the child more resistant to taking medication in the future.
Choice B rationale
Hiding medication in food can lead to mistrust if the child discovers it, and it's not a sustainable long-term solution.
Choice C rationale
Telling the child the medicine tastes like candy is misleading and can lead to distrust. It's important to be honest while finding practical solutions.
Choice D rationale
Offering an ice pop prior can numb the taste buds, making the medication more palatable without deceit, and can build positive associations with taking medication.
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Correct Answer is C
Explanation
Choice A rationale
Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for
establishing healthy sleep patterns in children.
Choice B rationale
Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and
child's sleep in the long term.
Choice C rationale
Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.
Choice D rationale
Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased
dependency on the parent's presence to fall asleep.
Correct Answer is D
Explanation
Choice A rationale
A 6-month-old infant typically grasps objects voluntarily, which is a normal developmental milestone.
Choice B rationale
The posterior fontanel usually closes between 2 to 3 months of age, so it being closed at 6 months is normal.
Choice C rationale
It's expected for an infant's birth weight to double by about 5 to 6 months of age, indicating healthy growth.
Choice D rationale
Head lag in a 6-month-old indicates a delay in motor development and should be reported as it can signal neurological issues.