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    Hesi lpn exit proctored examQuestion 210
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    Hesi lpn exit proctored exam

    A hospitalized pre-school boy recovering from surgery refuses to drink fluids. Which intervention is best for the practical nurse (PN) to implement?

    Explanation & Rationale

    A. Tell the child he can go outside after he drinks a full glass of water: Using a contingent reward may create pressure and resistance in a preschooler. While incentives can motivate, rigid requirements can increase frustration or refusal. B. Make a game of seeing who can finish a glass of water first—the nurse or the child: Competitive games may encourage drinking but can cause stress or make the child feel rushed. Fluid intake should be encouraged in a positive, low-pressure manner to support cooperation. C. Offer the child a popsicle and allow him to pick the flavor he prefers: Providing a flavored popsicle is developmentally appropriate, makes hydration appealing, and gives the child a sense of control. This approach increases fluid intake while aligning with the child’s preferences and motivation. D. Ask the parents to participate in encouraging the child's fluid intake: Parental involvement is supportive and can reinforce encouragement, but the most immediate and effective intervention is offering an appealing, age-appropriate fluid option that the child can independently consume.

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