A nurse is assessing a client who is postpartum and has developed endometritis.
Which of the following findings should the nurse expect?

Choice A rationale

Giving a new sibling plenty of "alone time" with a preschooler is a misconception and can cause increased feelings of resentment and jealousy. A preschool-age child may not understand why they are being left alone with the new baby, and it can be a source of stress. It is more effective to involve the older child in the care of the baby and to ensure the older child receives dedicated one-on-one time with a parent to feel valued and loved.

Choice B rationale

A common strategy to help a preschooler adjust to a new sibling is to give them a gift from the new baby. This gesture helps the older child associate the new baby with a positive experience rather than a negative one. It makes the older child feel special and included, reducing feelings of displacement or jealousy. It is a simple way to foster a sense of connection and warmth between the siblings.

Choice C rationale

Holding the new baby when the older child first meets them can cause the older child to feel excluded and jealous. This action may inadvertently create a sense of competition for the parent's attention. A better approach is for one parent to hold the baby while the other parent holds the older child, or for the baby to be in a bassinet or held by another family member, allowing the preschooler to have uninterrupted attention from the parent.

Choice D rationale

While meeting a new sibling at home can be beneficial, the most crucial factor is how the meeting is structured, not just the location. The location is less important than ensuring the older child feels included and not replaced. The nurse's suggestion should focus on strategies to manage the preschooler's feelings of jealousy and displacement, such as giving them a gift, rather than on the meeting's location, which is a secondary consideration

Choice A rationale

Serving soup in a mug promotes independence and is less likely to spill compared to a bowl, which is beneficial for a client with dementia who may have fine motor skill deficits. This action simplifies the eating process, reducing frustration and increasing the likelihood of successful nutrient intake. This is part of providing a safe and dignified environment for the patient.

Choice B rationale

Allowing a client with dementia to cut their own food can be dangerous due to impaired judgment, cognitive decline, and potential motor skill deficits, which increase the risk of injury. Providing pre-cut food is a safety measure that prevents accidental cuts or choking, ensuring the client's well-being and reducing caregiver burden.

Choice C rationale

Colorful, patterned dishes can cause perceptual distortions and visual confusion for a client with dementia due to changes in depth perception and visual-spatial processing. This can make it difficult for them to distinguish the food from the plate, leading to decreased food intake and increased frustration. It is better to use plain, solid-colored dishes.

Choice D rationale

Withholding fluids while a client is eating increases the risk of dehydration and can make swallowing solid foods more difficult, potentially leading to aspiration. It is important to encourage fluid intake throughout the meal to aid in chewing and swallowing, which supports hydration and nutritional status. *.