A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?

Have the child choose a place in his room for the dog where he can see it but it is beyond his reach.

Tell the mother that it is all right to keep the dog with him.

Suggest to the mother that she tell the child that she will bring the dog back after taking it home to wash it.

Suggest to the mother that she choose a replacement from the stuffed animals in the playroom.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Allowing the child to have the soiled stuffed dog within sight but out of reach respects his attachment to the comfort object while maintaining hygiene standards of the hospital environment. The child's emotional well-being is crucial, and separation from a beloved item during a hospital stay can be distressing. Placing the dog in view but inaccessible helps strike a balance between comfort and infection control.

Choice B rationale:

While the mother's desire to keep the dog with the child is understandable, infection control is a concern in a hospital setting. Allowing the soiled object to remain in close proximity could compromise the child's health.

Choice C rationale:

Suggesting that the mother take the dog home to wash it and bring it back later might cause unnecessary distress for the child, who may worry about being separated from the comfort object for an extended period.

Choice D rationale:

Choosing a replacement from the playroom's stuffed animals could be unsettling for the child, as his attachment is to his specific dog. The familiarity of his own toy is likely to provide more comfort during the hospitalization. .

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Correct Answer is B

Explanation

Choice A rationale:

The statement about an increased risk for developing obesity is accurate. However, this does not indicate a need for further education about Down syndrome, as obesity is a common concern in the general population as well.

Choice B rationale:

The statement about an increased risk for developing diabetes would indicate a need for further education. Individuals with Down syndrome are indeed at an elevated risk of developing diabetes, often in their early adulthood.

Choice C rationale:

The statement about an increased risk for developing cataracts is accurate. However, it is not a primary concern associated with Down syndrome in infancy.

Choice D rationale:

The statement about skeletal abnormalities is accurate. While individuals with Down syndrome can have certain skeletal features, this is not a critical concern during infancy.

A. Instruct the mother in palpation of bladder distention. B. Inform her mother that life-long antibiotic administration will be necessary. C. Prepare the mother for the need for urinary diversion surgery. D. Instruct the mother in the technique of clean intermittent catheterization.

Correct Answer is D

Explanation

Choice A rationale:

Instructing the mother in palpation of bladder distention might not effectively address the issue of incomplete bladder emptying. Clean intermittent catheterization is a more appropriate technique to ensure complete emptying.

Choice B rationale:

Informing the mother that life-long antibiotic administration will be necessary is not the primary approach. Antibiotics may be required in specific situations, but addressing incomplete emptying is the key focus.

Choice C rationale:

Preparing the mother for the need for urinary diversion surgery is premature. Clean intermittent catheterization is a conservative measure that should be attempted before considering surgical options.

Choice D rationale:

Instructing the mother in the technique of clean intermittent catheterization helps manage the neurogenic bladder's incomplete emptying. This technique reduces the risk of urinary tract infections and promotes bladder health.

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A 4-year-old patient with cystic fibrosis is hospitalized with an acute pulmonary exacerbation. When the patient is admitted, he is clutching a soiled, tattered, stuffed dog. His mother says, "He insisted on bringing the dog with him. It really is filthy.". Which nursing action is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother brought her infant with Down syndrome into the clinic for a well-child checkup. Which statement made by the mother would indicate a need for further education about Down syndrome? "I know my child has an increased risk for developing:.

Correct Answer is B

Explanation

A patient has a neurogenic bladder with incomplete emptying. Which discharge instruction for the patient's mother should be included in the teaching plan?

Correct Answer is D

Explanation

An infant has undergone surgical repair of her myelomeningocele and is returned to the pediatric unit. Her mother tearfully says to the nurse, "I wish I could hold my baby.”. Which nursing action would be most appropriate?

The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

A 2-week-old infant is seen in the well-baby clinic. As a nurse is assessing the client, which finding would present as a sign of congenital hip dysplasia?

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