A nurse is caring for an 8-month-old child who starts to cry when his parents leave. The nurse should make which of the following statements to the parents?
"At this age you should expect your child to be upset when you leave."
"Your child needs to rest."
will notify the provider of his behavior."
"Your child is responding to an overstimulating environment."
The Correct Answer is A
A. "At this age you should expect your child to be upset when you leave.": This statement provides normalcy to the parents' experience and reassures them that their child's reaction is typical for his age. It acknowledges the child's developmental stage and separation anxiety, helping to alleviate parental concerns.
B. "Your child needs to rest.": While rest is important for infants, this statement does not address the child's emotional needs or the parents' concerns about leaving their child. It may also minimize the significance of the child's distress.
C. "I will notify the provider of his behavior.": Notifying the healthcare provider may be appropriate if the child's distress continues or if there are concerns about the child's well-being, but this statement does not directly address the parents' concerns or provide guidance on how to manage the situation.
D. "Your child is responding to an overstimulating environment.": This statement suggests a possible cause for the child's distress but does not provide guidance or reassurance to the parents on how to address the situation or manage their child's reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Has your son had a sore throat recently?"
This question is relevant because acute rheumatic fever often occurs as a complication of untreated or inadequately treated streptococcal throat infection (strep throat). A recent history of sore throat could indicate a preceding streptococcal infection, which is an important predisposing factor for the development of acute rheumatic fever.
B. "Was your son born with this cardiac defect?"
This question is less relevant in the context of acute rheumatic fever. Acute rheumatic fever is not a congenital heart defect; it is an inflammatory condition that affects the heart valves following streptococcal infection. While it's important to assess the child's cardiac health, asking about congenital heart defects may not directly relate to the current condition.
C. "Are you aware that your son will have to be in isolation?"
This question is not applicable to acute rheumatic fever. Acute rheumatic fever is not a contagious condition that requires isolation. It is an autoimmune response triggered by streptococcal infection and does not pose a risk of transmission to others.
D. "Has your child had any injuries recently?"
Inquiring about recent injuries is not directly related to acute rheumatic fever. Acute rheumatic fever is an inflammatory condition primarily triggered by streptococcal infection and is not caused by physical injuries.
Correct Answer is B
Explanation
Infusion rate (mL/hour) = Total volume (mL) / Total time (hours)
Given:
Child's weight: 10 kg
Ordered volume: 40 mL/kg
Total time: 4 hours
First, calculate the total volume of Lactated Ringer's solution needed:
Total volume = 40 mL/kg × 10 kg = 400 mL
Then, divide the total volume by the total time to find the infusion rate:
Infusion rate = 400 mL / 4 hours = 100 mL/hour
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