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 D
Explanation
Choice A reason: The procedure will be cancelled if the urinalysis indicates the presence of red blood cells
This statement is incorrect. The presence of red blood cells in the urine does not necessarily cancel an intravenous pyelogram (IVP). The test is often used to diagnose conditions that might cause blood in the urine, such as kidney stones or tumors. Therefore, this statement does not accurately reflect the procedure’s protocol.
Choice B reason: You will be able to resume your regular diet as soon as the test is complete
This statement is correct. After an IVP, clients can typically resume their regular diet unless otherwise instructed by their healthcare provider. However, this is not the most critical piece of information for the client to understand about the procedure.
Choice C reason: High-frequency sound waves will be used to identify renal system structures
This statement is incorrect. An IVP uses X-rays and a contrast dye to visualize the urinary tract, not high-frequency sound waves. High-frequency sound waves are used in ultrasound imaging, which is a different diagnostic procedure.
Choice D reason: After the procedure, you will be encouraged to drink plenty of fluids
This statement is correct and important. After an IVP, clients are encouraged to drink plenty of fluids to help flush the contrast dye out of their system and reduce the risk of kidney damage. This is a crucial part of post-procedure care and should be emphasized to the client.
Correct Answer is C
Explanation
Choice A reason: Pulmonary edema is a condition where fluid accumulates in the lung tissues, leading to symptoms such as shortness of breath, wheezing, and coughing up frothy sputum. While pulmonary edema can cause decreased breath sounds, it is more commonly associated with crackles or rales rather than decreased breath sounds in the lower lobes.
Choice B reason: An upper respiratory infection typically affects the upper part of the respiratory system, including the sinuses, throat, and larynx. Symptoms often include a runny nose, sore throat, and cough. It is less likely to cause decreased breath sounds in the lower lobes of the lungs.
Choice C reason: Atelectasis is the collapse of a part or all of a lung, leading to reduced or absent gas exchange. It is a common complication in clients who have been on bedrest for several days, as immobility can lead to mucus buildup and blockage of the airways. Decreased breath sounds in the lower lobes are a typical finding in atelectasis.
Choice D reason: Delayed gastric emptying (gastroparesis) is a condition where the stomach takes too long to empty its contents8. It is characterized by symptoms such as nausea, vomiting, and abdominal bloating. This condition does not typically affect breath sounds in the lungs.
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