A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?
This is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better.
Why does it bother you that your child has wet the bed?
Your child did not seem upset, so I wouldn't worry about it if I were you.
I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me.
The Correct Answer is A
Choice A reason: This is a therapeutic response that acknowledges the parent's feelings and provides reassurance that the behavior is normal and temporary. The other responses are either dismissive, judgmental, or self-disclosing, which are not helpful for the parent.
Choice B reason: This is a judgmental response that implies that the parent is overreacting or has unrealistic expectations for their child.
Choice C reason: This is a dismissive response that minimizes the parent's concern and does not offer any support
or information.
Choice D reason: This is a self-disclosing response that shifts the focus from the parent to the nurse and does not
address the issue at hand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: This instruction is correct, as iron supplements can cause a change in the color and consistency of stools, making them dark, green, or black. This is not a sign of bleeding or infection, but a normal side effect of iron therapy. The parents should be informed of this possibility and reassured that it is harmless.
Choice B: This instruction is incorrect, as iron supplements should not be administered at bedtime, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
Choice C: This instruction is incorrect, as iron supplements should not be given with milk, as milk contains calcium, which can interfere with iron absorption and reduce its effectiveness. The parents should be instructed to avoid giving milk or other dairy products within two hours of the medication.
Choice D: This instruction is incorrect, as iron supplements should not be administered at mealtimes, but rather one hour before or two hours after meals. This is because iron absorption is reduced by food, especially dairy products, antacids, or calcium supplements. The parents should be instructed to give the medication on an empty stomach or with a small amount of food if it causes nausea.
Correct Answer is D
Explanation
Choice A: Nausea and vomiting are not common signs of hypoglycemia, which is a low blood glucose level. Nausea and vomiting are more likely to occur with hyperglycemia, which is a high blood glucose level, or with diabetic ketoacidosis, which is a life-threatening complication of diabetes.
Choice B: Sweating is not a common sign of hyperglycemia, but rather a sign of hypoglycemia. Sweating occurs as a result of the activation of the sympathetic nervous system, which tries to raise the blood glucose level by releasing adrenaline and other hormones.
Choice C: The onset of low blood glucose usually occurs quickly, not slowly. Low blood glucose can be caused by taking too much insulin, skipping meals, exercising too much, or drinking alcohol. Low blood glucose can lead to confusion, seizures, coma, or death if not treated promptly.
Choice D: Feeling shaky is a common sign of hypoglycemia, as the body tries to cope with the lack of glucose as an energy source. Feeling shaky can also be accompanied by other signs such as hunger, nervousness, dizziness, or weakness.
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