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 C
Explanation
Choice A reason: This choice is incorrect because tying colorful latex balloons to the side of
the crib may pose a risk of choking or suffocation for the infant who is in a cast for DDH. Latex balloons are made of rubber that can break easily and form small pieces that can block the airway or lungs if swallowed or inhaled by
the infant. Therefore, avoiding latex products such as balloons, gloves, or bandages is important to prevent accidents or injuries.
Choice B reason: This choice is incorrect because following the doctor's instructions regarding activities and treatment plans is not a specific strategy to promote the infant's growth and development. Following
the doctor's instructions regarding activities and treatment plans is a general responsibility of the nurse that applies to any client who has any condition or procedure. It may help to ensure the safety and effectiveness of the care, but it does not address the developmental needs of the infant who is in a cast for DDH.
Choice C reason: This choice is correct because providing a small electronic toy is a specific strategy to promote
the infant's growth and development. Providing a small electronic toy can help stimulate the infant's senses, cognition, and motor skills by offering visual, auditory, or tactile feedback. It may also help to reduce boredom, frustration, or depression by providing entertainment, diversion, or comfort. Therefore, providing a small electronic toy can help to enhance the developmental outcomes of the infant who is in a cast for DDH.
Choice D reason: This choice is incorrect because changing the infant's diaper as soon as soiling occurs is not a specific strategy to promote the infant's growth and development. Changing the infant's diaper as soon as soiling occurs is a general hygiene measure that applies to any infant who wears a diaper. It may help to prevent skin irritation, infection, or odor by keeping the diaper area clean and dry, but it does not address the developmental needs of the infant who is in a cast for DDH.
Correct Answer is C
Explanation
Choice A: Oliguria is a condition of reduced urine output, which can indicate dehydration, kidney failure, or urinary tract obstruction. It is not associated with a CNS infection, which affects the brain and spinal cord.
Choice B: A negative Brudzinski sign is a normal finding that indicates no meningeal irritation. It is elicited by flexing the neck of a supine patient and observing no involuntary flexion of the hips and knees. A positive Brudzinski sign, on the other hand, is a sign of meningitis, which is a type of CNS infection.
Choice C: A bulging fontanel is an abnormal finding that indicates increased intracranial pressure, which can be caused by a CNS infection, such as meningitis or encephalitis. A fontanel is a soft spot on the skull of an infant that allows for brain growth and development.
Choice D: Jaundice is a condition of yellowing of the skin and eyes, which can indicate liver disease, hemolytic anemia, or neonatal hyperbilirubinemia. It is not associated with a CNS infection, which affects the brain and spinal cord.
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