The nurse is doing preoperative teaching with a child and his parents. The parents say that he is "dreading the shot" for premedication. The nurse's response should be based on the knowledge that: a. Preanesthetic medication can only be given intramuscularly. b. In children the intramuscular route is safer than the intravenous (IV) route. c. The child will have no memory of the injection because of amnesia. d. Preanesthetic medication should be "atraumatic," using oral, existing intravenous, or rectal routes.

The nurse's response should be based on the knowledge that preanesthetic medication should be 'atraumatic,' using oral, existing intravenous, or rectal routes. This means that the nurse should choose a route that is least invasive and causes the least discomfort for the child. The nurse may consider using oral medications or existing intravenous lines to administer the preanesthetic medication, rather than giving it via a shot.

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saisitara saisitara · Answer 2 · 2023-10-02T23:04:52-04:00

Final answer:

The best option is option d: preanesthetic medication should be given in an "atraumatic" manner using oral, existing intravenous, or rectal routes. The route of administration depends on various factors and isn't limited to intramuscular injections. Guaranteeing a lack of memory to the child due to amnesia is not always accurate.

Explanation:

The nurse's response to the child and his parents should be based on the knowledge that preanesthetic medication should be "atraumatic," using oral, existing intravenous, or rectal routes (option d). This is because the goal is to reduce the child's anxiety and fear related to the procedure without causing additional distress. While intramuscular injections can be used to administer premedication, they are usually a second option if the aforementioned methods are not viable. The nurse can convey this information to parents and children to alleviate some of their worries about the impending shot.

Option b, that in children the intramuscular route is safer than the IV route, is not typically accurate. It is dependent on various factors including the drug to be administered and the child's overall health condition. Similarly, option c, that the child will have no memory of the injection because of amnesia, is not a guarantee and thus, should not be used to comfort the child or parents.

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