A nurse is caring for a 10-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
You sound overwhelmed. Let’s talk about this some more.
I agree. His well-being is the most important.
Tell me more about how you are feeling about your son’s activities.
You might want to use tutors to home-school him.
The Correct Answer is C
Choice A reason: You sound overwhelmed. Let’s talk about this some more. This response acknowledges the mother’s feelings and opens the door for further discussion. However, it does not directly address her specific concerns about physical activities. While it is empathetic, it lacks the focus needed to explore her worries about her son’s participation in school activities.
Choice B reason: I agree. His well-being is the most important. This response validates the mother’s concern but may inadvertently reinforce her fears without providing a balanced perspective. It does not encourage a discussion about the benefits of physical activity for children with diabetes or how to manage his condition safely during such activities.
Choice C reason: Tell me more about how you are feeling about your son’s activities. This response is the most appropriate as it invites the mother to express her specific concerns and feelings. It shows empathy and a willingness to understand her perspective, which can lead to a more productive conversation about managing her son’s diabetes while allowing him to participate in physical activities.
Choice D reason: You might want to use tutors to home-school him. This response suggests an alternative that may not be necessary or beneficial. Home-schooling might isolate the child and prevent him from enjoying social interactions and physical activities that are important for his overall development. It does not address the mother’s concerns directly and may not be the best solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hypothermia
Hypothermia, or abnormally low body temperature, is not a typical manifestation of acute osteomyelitis. Osteomyelitis usually presents with signs of infection, such as fever, rather than a drop in body temperature. Therefore, hypothermia is not a relevant symptom in this context.
Choice B reason: Localized edema
Localized edema, or swelling, is a common symptom of acute osteomyelitis. The infection in the bone can cause inflammation and swelling in the surrounding tissues. This is often accompanied by warmth and redness over the affected area. Therefore, localized edema is a key manifestation of acute osteomyelitis.
Choice C reason: Numbness of toes on the affected foot
Numbness of the toes is not a typical symptom of acute osteomyelitis. While nerve involvement can occur in severe cases, it is not a primary manifestation. Acute osteomyelitis primarily presents with signs of infection and inflammation, such as pain, swelling, and redness.
Choice D reason: Bradycardia
Bradycardia, or a slow heart rate, is not associated with acute osteomyelitis. The condition typically presents with systemic signs of infection, such as fever and malaise, rather than changes in heart rate. Bradycardia is more commonly related to cardiac conditions or certain medications.
Correct Answer is D
Explanation
Choice A reason:
Measuring a client’s intake and output (I&O) is a task that can be performed by assistive personnel (AP). This task involves recording the amount of fluids a client consumes and excretes, which does not require the specialized skills of an LPN. Therefore, it is more appropriate to assign this task to the AP.
Choice B reason:
Obtaining a client’s weight is another task that can be delegated to assistive personnel (AP). This task involves using a scale to measure the client’s weight and recording the result. It is a routine task that does not require the advanced training of an LPN.
Choice C reason:
Providing postmortem care for a client can be performed by assistive personnel (AP) under the supervision of an RN or LPN. This task involves preparing the body after death, which includes cleaning and positioning the body. While LPNs can perform this task, it is not exclusive to their scope of practice and can be delegated to AP.
Choice D reason:
Inserting a nasogastric tube for a client is a task that requires the specialized skills and training of an LPN. This procedure involves inserting a tube through the client’s nose into the stomach, which requires knowledge of anatomy, sterile technique, and the ability to assess for complications. Therefore, this task should be assigned to the LPN.
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