A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Measure head circumference every shift

Admit the client to a private room

Place the client in a semi-Fowler's position

Implement seizure precautions

Answer and Explanation

The Correct Answer is A

A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.

B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.

C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.

D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.

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Correct Answer is C

Explanation

A. Staying with the child until asleep may temporarily address the fear but may not help the child develop coping skills for the future.

B. Allowing the child to sleep in the parent's bed may provide comfort but may not address the fear of monsters in the long term.

C. Keeping a night light on in the child's room can provide a sense of security and help alleviate fear by making the environment less intimidating.

D. Telling the child that monsters are not real may not be effective at this age, as young children often have difficulty distinguishing between fantasy and reality. Offering reassurance and
practical solutions like a night light may be more helpful.

A. "Why does it bother you that your child has wet the bed?" B. "Your child did not seem upset, so I wouldn't worry about it if I were you." C. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." D. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."

Correct Answer is C

Explanation

A. This response may come across as confrontational and may not address the parent's concerns effectively.

B. Dismissing the parent's worry may not be helpful in addressing their concerns and emotions.

C. Hospitalization can be a stressful experience for children, and regression in toileting skills is a common response. Providing reassurance that this is expected can help alleviate the parent's
embarrassment and anxiety.

D. Expressing understanding and empathy is good, but it does not provide information about the expected regression in toileting skills during hospitalization.

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A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which one of the following statements should the nurse make?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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