NCLEX-PN® ExaminationPharmacological TherapiesEasy
A licensed practical nurse (LPN) is preparing to administer an oral medication to an 8-year-old child. The child is crying and refuses to take the medication, stating it tastes 'yucky.' What is the most appropriate initial action for the LPN to take?
- ADocument the refusal and notify the healthcare provider immediately.
- BTell the child that if they don't take the medicine, they will get a shot instead.
- CMix the medication in a small amount of the child's favorite juice or applesauce.
- DForce the child to take the medication quickly to get it over with.
Show answer & explanationAnswer & explanation
Correct answer: C. Mix the medication in a small amount of the child's favorite juice or applesauce.
Mixing medication with a small amount of palatable food or drink is a common and effective strategy to encourage medication adherence in children, especially when taste is an issue. This approach promotes cooperation without coercion.
Why the other options are wrong
- A. While documentation and notifying the provider may be necessary if other methods fail, it's not the initial appropriate action when a simple intervention can be tried first.
- B. Threatening a child is unethical and can damage trust, leading to further resistance.
- D. Forcing medication can be traumatic, lead to aspiration, and is generally not an appropriate nursing intervention.
Pediatric Oral Medication Administration
Techniques used to safely and effectively administer oral medications to children, often requiring creativity and patience.
- Taste is a major factor in pediatric adherence.
- Never force medication.
- Use small amounts of palatable mixers.
Memory trick: Kids Need Gentle Encouragement for Meds, Not Threats!