Page 1195 - Saunders Comprehensive Review For NCLEX-RN

Preschoolers

Offer a brief, concrete explanation of the procedure and then perform it.
Accept aggressive behavior, within reasonable limits, as a healthy response,
and provide outlets for the child.
Provide comfort measures after the procedure, such as touch, holding, or
providing a favorite toy.

School-Age Children

Explain the procedure, allowing for some control over the body and situation.
Explore feelings and concepts through therapeutic play, drawings of own body
and self in the hospital, and the use of books and realistic hospital equipment.
Set appropriate behavior limits, such as it is all right to cry or scream, but not to
bite.
Provide activities for releasing aggression and anger.
Use the opportunity to teach about how medication helps the disorder.

Adolescents

Explain the procedure, allowing for some control over body and situation.
Explore concepts of self, hospitalization, and illness, and correct any
misconceptions.
Encourage self-expression, individuality, and self-care needs.
Encourage participation in the procedure.

Data from McKenry L, Salerno E: Mosby’s pharmacology in nursing, St. Louis, 2003,
Mosby.

Practice Questions

416. The nurse is providing medication instructions to a parent. Which statement
by the parent indicates a need for further instruction?
1. “I should cuddle my child after giving the medication.”
2. “I can give my child a frozen juice bar after he swallows the
medication.”
3. “I should mix the medication in the baby food and give it when I
feed my child.”
4. “If my child does not like the taste of the medicine, I should
encourage him to pinch his nose and drink the medication
through a straw.”
417. A pediatrician’s prescription reads “ampicillin sodium 125 mg IV every 6
hours.” The medication label reads “when reconstituted with 7.4 mL of
bacteriostatic water, the final concentration is 1 g/7.4 mL.” The nurse
prepares to draw up how many milliliters to administer 1 dose?

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