A new nurse asks a 4 year old, Do you want to take your medicine? ...

[ts19998]

A new nurse asks a 4 year old, Do you want to take your medicine? The child refuses to do so. The new nurse should have stated:
 
  1. If you take your medicine now, you can have a popsicle afterwards..
   2. It is important to take your medicine, so open up..
   3. You can have your medicine as a chewable or liquid. Which would you like?
   4. Will you take the medicine from your father?

Question 2

A nurse is assessing the head of an 18-month-old girl. During the assessment, the nurse should do which of the following to make sure that the child has adequate skull and brain growth?
 
  1. Check the circumference and document the findings on the growth chart
   2. Check the suture lines and posterior fontanel for alignment
   3. Measure the head circumference, assess the anterior fontanel, and document the findings on the growth chart
   4. Check the child's eye tracking with a pen light

[amynguyen1221]

Answer to Question 1

3
Feedback
1. Bribery is not a therapeutic means of communication with a 4 year old.
2. A child of this age will not take the medicine if commanded. This is not therapeutic communication.
3. Giving the child a sense of control will aid in compliance.
4. Asking who the medicine will be taken from is not appropriate because it is the nurse's responsibility to administer the medication.

Answer to Question 2

3
Feedback
1. Assessment of the anterior fontanel is also needed for an accurate assessment of brain and skull growth.
2. The anterior fontanel should be aligned at this age. Head circumference will indicate adequate nutrition.
3. Assessment of the circumference and suture lines in the anterior fontanel will indicate if suture lines have fused.
4. The tracking of the pen light only allows for a minimal assessment.