A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

"I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me."

"Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

"I will discuss your child's loss of bladder control with the provider."

"Why is she wetting the bed in the hospital? She must wet the bed at home."

Answer and Explanation

The Correct Answer is B

A. "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me."

This response acknowledges the child's feelings and reassures the parents that bedwetting is a common occurrence, especially during hospitalization. It also demonstrates empathy by sharing a personal experience. However, it may not address the parents' concerns about their child's bedwetting or provide information on how to manage it.

B. "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

This response provides an explanation for the bedwetting incident, reassuring the parents that it is a common response to hospitalization and will likely resolve once the child feels better. It offers support and normalization of the behavior, which can help alleviate the parents' concerns.

C. "I will discuss your child's loss of bladder control with the provider."

This response indicates that the nurse will address the issue with the healthcare provider, which is appropriate if further evaluation or intervention is needed. However, it may not directly address the parents' concerns or provide immediate reassurance.

D. "Why is she wetting the bed in the hospital? She must wet the bed at home."

This response may come across as accusatory or judgmental, which can increase parental anxiety or guilt. It does not provide reassurance or support to the parents and does not address the child's immediate needs.

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Correct Answer is D

Explanation

A. "I give him medication so he'll be comfortable."

- This statement indicates that the parents are providing medication to ensure the child's comfort after the procedure, which is an appropriate action. It suggests that the parents are attentive to the child's needs postoperatively.

B. "I check his voiding to be sure there's no problem."

- Checking the child's voiding is important postoperatively to ensure there are no urinary retention issues or other complications related to urination. This statement reflects appropriate postoperative care and monitoring.

C. "I check his temperature."

- Monitoring the child's temperature is also a good practice postoperatively to watch for signs of infection or other complications. This statement indicates that the parents are attentive to signs of potential postoperative issues.

D. “I’ll let him decide when to return to his play activities."

- This statement suggests that the parents plan to let the child decide when to resume play activities after the surgery. However, after a surgical procedure like orchiopexy, it's important for parents to follow specific guidelines provided by healthcare providers regarding activity restrictions and return to normal activities. Allowing the child to decide may not align with the recommended postoperative care plan.

A. “There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance." B. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye." C. "My child will outgrow this by the time he is 2 years old and be able to see just fine." D. "If this eye patch does not work I know we will have to do surgery to correct my child's crossed eyes."

Correct Answer is C

Explanation

A. "There are a few causes of this condition and they tell me my child has crossed eyes because of a muscle imbalance.": This statement demonstrates the mother's comprehension of the cause of strabismus, which can indeed result from a muscle imbalance affecting the alignment of the eyes. Understanding the cause is essential for the mother to grasp the rationale behind treatment interventions.

B. "I will have my child wear an eye patch over the good eye to help strengthen the weak eye.": Patching the stronger eye is a common treatment approach for strabismus to encourage the weaker eye to become stronger and improve alignment. The mother's statement indicates her awareness of this treatment modality.

C. "My child will outgrow this by the time he is 2 years old and be able to see just fine.": While some cases of strabismus may improve as a child grows, not all cases resolve spontaneously. This statement suggests the mother's belief in the possibility of spontaneous resolution, which may be accurate in some instances but not guaranteed for all cases of strabismus.

D. "If this eye patch does not work I know we will have to do surgery to correct my child's crossed eyes.": Surgery is indeed an option for correcting strabismus, especially if conservative measures like patching do not yield satisfactory results. The mother's understanding of this potential treatment escalation reflects her grasp of the condition's management plan.

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A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child's parents expresses concern about the incident. Which of the following responses should the nurse make?

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