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The father of a child with periorbital cellulitis comes to the nurses' station and asks to speak with the nurse. He demands to have more medication for his child because, "Whatever you gave him 20 minutes ago just isn't working!" What is the nurse's best response?

Option 1:
Assess the child's pain level and vital signs.

Option 2:
Explain the need for time for medication to take effect.

Option 3:
Offer non-pharmacological pain management options.

Option 4:
Administer an additional dose of pain medication.

1 Answer

5 votes

Final answer:

The nurse's best response is to assess the child's pain level and vital signs before considering further intervention while educating the parent about the time required for medication to take effect. Offering non-pharmacological pain management options can also be helpful. Administering additional medication without proper assessment could be unsafe.

Step-by-step explanation:

The best response from the nurse in the scenario where a father is asking for more medication for his child diagnosed with periorbital cellulitis would be to assess the situation thoroughly before proceeding with any further intervention. This includes assessing the child’s pain level and vital signs, which is option 1. This careful approach is essential in ensuring that any additional treatment provided is both necessary and safe. Furthermore, the nurse should take the opportunity to educate the parent about the medications prescribed and the expected time frame for them to take effect, echoing the second option. It's also critical to manage expectations and explain that most medications, especially antibiotics, require a certain amount of time to work and that immediate results are not always realistic.

It's also worth considering option 3, offering non-pharmacological pain management options such as ice packs, elevation of the affected area, or other comfort measures. However, option 4, administering an additional dose of pain medication, should not be considered without a proper assessment that justifies this approach, as it could potentially lead to medication overdose or other complications.

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