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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Baseball games: Participating in baseball games may involve running, jumping, and sudden movements that could potentially strain the surgical area or cause discomfort. It's best to avoid strenuous physical activities like baseball until the child has fully recovered from orchiopexy.
B. Running around the playground: Running around the playground may also involve vigorous physical activity that could potentially affect the surgical site. It's advisable to limit activities that involve running or jumping until the child's healthcare provider gives clearance.
C. Horseback riding: Horseback riding involves sitting on a horse and may put pressure on the groin area, where the surgical site is located. It's generally recommended to avoid activities like horseback riding until the child has fully healed from orchiopexy.
D. Puzzle games: Puzzle games are typically low-impact activities that do not involve physical exertion or strain on the surgical area. Engaging in quiet, seated activities like puzzle games can be suitable for a child who is recovering from orchiopexy and may help keep them entertained during the recovery period.
Correct Answer is D
Explanation
A. Broth:
Broth is not typically recommended for children with acute diarrhea because it lacks the necessary electrolytes to adequately replace those lost through diarrhea. While it can help provide some fluids, it may not be sufficient for rehydration and could potentially worsen dehydration if electrolytes are not adequately replaced.
B. Apple juice:
While apple juice may seem like a hydrating option, it is not the best choice for children with acute diarrhea. Apple juice contains a high amount of sugar, which can draw water into the intestines and worsen diarrhea. Additionally, it lacks the necessary electrolytes needed for rehydration.
C. Cherry gelatin:
Cherry gelatin is not recommended for rehydrating a child with acute diarrhea. Like apple juice, it contains sugar, which can exacerbate diarrhea by drawing water into the intestines. Gelatin also lacks the electrolytes needed to replace those lost through diarrhea.
D. Pedialyte:
Pedialyte is the preferred choice for rehydrating a child with acute diarrhea. It is specifically formulated to replace lost fluids and electrolytes and is less likely to worsen diarrhea compared to sugary beverages like juice or gelatin. Pedialyte helps prevent dehydration by providing a balanced mixture of water, sugar, and electrolytes, making it an effective choice for managing diarrhea in children.
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