- Telling the child it's a game.
- Explaining the procedure in simple terms, using distraction, and ensuring NPO status if required.
- Restraining the child without explanation.
- Allowing the child to eat right before the scan.
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- Administer orally.
- Administer via nebulizer daily to thin respiratory secretions.
- Administer only when sick.
- Mix with other medications.
- Placing the infant in a flat position.
- Administering humidified oxygen as prescribed, and maintaining semi-Fowler's position.
- Restricting oxygen.
- Encouraging prolonged crying.
- Normal adolescent vital signs.
- Cardiac compromise due to electrolyte imbalances and starvation, requiring urgent medical stabilization.
- Increased physical activity.
- Rest.
- Forcing the child to check.
- Involving the child in the process, using positive reinforcement, making it a routine, and explaining the importance in an age-appropriate way.
- Telling the child it's a punishment.
- Allowing the child to skip checks.
- Discontinue when symptoms improve.
- Administer the full prescribed course, and discuss potential side effects (e.g., mood changes, increased appetite) and weaning if prescribed.
- Use as a rescue inhaler.
- Take only when coughing.
- Avoiding any discussion about the mass.
- Providing honest, age-appropriate information, answering questions, and allowing parents to participate in care decisions.
- Giving false reassurance.
- Telling them to search online for information.
- Giving large boluses of water.
- Offering small, frequent feedings or administering IV fluids as prescribed.
- Restricting all fluids.
- Only giving formula.
- Delaying pain medication.
- Administering ordered analgesics around the clock, not just PRN, and providing non-pharmacological comfort measures.
- Encouraging the child to "tough it out."
- Limiting hydration.
- Explaining the procedure in complex medical terms.
- Providing age-appropriate explanation, therapeutic play, and adequate pain/sedation management.
- Restraining the child without explanation.
- Performing the procedure in a noisy environment.
- Antibiotics.
- Benzodiazepines (e.g., lorazepam) for short-term relief, and teaching coping mechanisms.
- Antidepressants (for acute relief).
- Laxatives.
- Giving a full meal.
- Withholding oral intake (NPO) as prescribed, and educating parents about the procedure.
- Administering a sedative without order.
- Encouraging crying.
- Allowing unlimited fluids.
- Educating the child and family about the rationale for the restriction, providing measured amounts of fluid, and offering ice chips.
- Ignoring fluid intake.
- Encouraging sugary drinks.
- Relying solely on parental reports.
- Using an age-appropriate pain scale (e.g., FACES, Numeric Rating Scale) and assessing pain characteristics, intensity, and location.
- Observing facial expressions only.
- Asking if the pain is gone.
- Administering laxatives.
- Preparing for a pneumatic or hydrostatic enema to reduce the intussusception, or surgical intervention if reduction fails.
- Observing for spontaneous resolution.
- Encouraging oral feeds.
- Stop insulin and avoid monitoring.
- Continue insulin (do not omit doses), monitor blood glucose and ketones frequently, and ensure adequate fluid intake.
- Increase food intake significantly.
- Rely only on oral medications.
- Limiting parental visitation.
- Involving parents in care planning, providing clear and concise information, and respecting family routines and preferences.
- Making all decisions for the family.
- Focusing only on the child's medical needs.
- Administering antiemetics after vomiting begins.
- Administering antiemetics routinely before chemotherapy and on a schedule as prescribed to prevent nausea.
- Giving small doses of antiemetics.
- Withholding antiemetics if the child is not eating.
- Spinal cord injury.
- Severe brain injury and increased intracranial pressure (ICP).
- Peripheral nerve damage.
- Muscle spasms.
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