A nurse is providing care to a 2-year-old and has noted negativism.
Which statement by the nurse to the toddler will help decrease negativism when administering medications to the toddler?
You can take your medicine in the blue or green cup.
Can you take your medicine now?
Do you want to take your medicine?
You need to take your medicine.
The Correct Answer is A
Choice A rationale
Giving the toddler a choice between two cups helps to decrease negativism by providing options that still achieve the desired outcome, thereby reducing the likelihood of refusal.
Choice B rationale
Asking the child to take medicine now offers no real choice and is likely to be met with resistance, which is characteristic of negativism in toddlers.
Choice C rationale
This question is too open-ended and can easily be refused, as it does not provide a sense of control or choice for the toddler.
Choice D rationale
Telling the child they "need" to take medicine is directive and authoritarian, which often triggers negativism and a refusal.
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Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Keeping the diaper loose in the front helps avoid pressure on the circumcision site, promoting healing and reducing discomfort for the infant.
Choice B rationale
A yellow crust or exudate forming on the circumcision site is a normal part of the healing process and should not be a cause for alarm. It is not an indication to call the doctor immediately unless other signs of infection or complications are present.
Choice C rationale
Notifying the healthcare provider in the case of significant bleeding is crucial. Excessive bleeding can indicate a complication that requires prompt medical attention to ensure the infant's safety and proper healing.
Choice D rationale
Applying petroleum jelly with each diaper change helps to protect the circumcision site from sticking to the diaper, promoting healing and reducing discomfort.
Correct Answer is ["A","B","C","D"]
Explanation
Step 1 is to convert the child's weight from pounds to kilograms: 28 lb ÷ 2.2 lb/kg = 12.727 kg.
Step 2 is to calculate the dose: 10 mg/kg × 12.727 kg = 127.27 mg.
Step 3 is to determine how many mL is needed: 127.27 mg ÷ (120 mg/5 mL) = 5.3029 mL.
Step 4 is to round to the nearest tenth: 5.3 mL. Final answer: 5.3 mL