A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?
Explanation & Rationale
A. "Can I listen to your lungs?": Using a question format may give the toddler the impression that they can refuse the procedure. Toddlers often assert autonomy and may say “no,” so it’s better to use clear, simple statements rather than yes/no questions. B. "I am going to listen to your heart.": A direct, simple, and non-threatening statement helps prepare the toddler for what will happen. It uses developmentally appropriate language and avoids giving a false sense of choice, reducing anxiety and promoting cooperation. C. "I am going to take your blood pressure now.": The term “blood pressure” may be unfamiliar and sound intimidating to a toddler. Without context or simplified language, this may provoke fear or confusion about what is being done. D. "Can you stand very still while I feel how warm you are?": This approach includes a question, which may result in resistance. Also, toddlers may not be able to follow complex instructions like standing still, and it doesn’t clearly explain the use of a thermometer or what will happen.