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 A

Explanation

To predict the expected weight of the 12-month-old boy, we can use the general guideline that a child's weight should triple from birth to 12 months.

Given that the boy weighed 8 lb 2 oz at birth, we can calculate the expected weight at 12 months by tripling this weight.

8 lb 2 oz = 8.125 lb

Tripling this weight:

8.125 lb * 3 = 24.375 lb

Now, we convert this weight back to pounds and ounces:

0.375 lb * 16 = 6 oz

So, the expected weight of the 12-month-old boy should be approximately 24 lb 6 oz.

A. Administer pain medication 30 min before physical therapy. B. Allow the child to set her own schedule for care. C. Provide low-calorie snacks. D. Maintain medical asepsis during dressing changes

Correct Answer is A

Explanation

A. Pain management is critical for burn care, especially before activities like physical therapy that can be painful. Administering pain medication 30 minutes before therapy helps ensure the child is more comfortable and able to participate effectively in rehabilitation. This is a recommended intervention.

B. While involving the child in decisions about their care can promote autonomy and improve adherence, the schedule for burn care and therapy should be based on medical needs and healing processes rather than the child's preference. Care schedules should be designed to optimize healing and manage pain effectively.

C. Provide low-calorie snacks:Burn patients typically have increased nutritional needs due to the high metabolic demands of healing. High-calorie, protein-rich snacks are usually recommended to support wound healing and overall recovery, rather than low-calorie options.

D. Maintain medical asepsis during dressing changes: For burn care, maintaining sterile technique is critical to prevent infection. Medical asepsis is generally not sufficient; sterile technique is required for dressing changes to reduce the risk of infection.

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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?

Nursing Test Bank

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12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be?

Correct Answer is A

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Correct Answer is A

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