A nurse is providing teaching to the guardian of a toddler about discipline techniques. Which of the following statements by the guardian indicate an understanding of the teaching?

"I will remain with my child throughout each timeout session."

"My child is most likely to correct behaviors when they experience natural consequences."

"My child will learn rules when we offer rewards for positive behavior instead of verbal praise."

"I will be careful not to ignore it when my child misbehaves."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "I will remain with my child throughout each timeout session.": The purpose of a timeout is to remove the child from stimulation and provide an opportunity to calm down and reflect. Staying with the child during a timeout defeats this purpose, as it may reinforce attention-seeking behaviors instead of encouraging self-regulation.

B. "My child is most likely to correct behaviors when they experience natural consequences.": Allowing children to experience natural consequences helps them learn cause-and-effect relationships and develop responsibility for their actions.

C. "My child will learn rules when we offer rewards for positive behavior instead of verbal praise.": While tangible rewards can be helpful initially, consistent verbal praise is a more effective long-term strategy for reinforcing desired behaviors. It builds intrinsic motivation and encourages the child to repeat good behavior without expecting material rewards.

D. "I will be careful not to ignore it when my child misbehaves.": Ignoring minor attention-seeking behaviors can be an effective discipline strategy, as it prevents reinforcement through attention. Overreacting to small misbehaviors may inadvertently increase their frequency rather than reduce them.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Rationale:
A. Stagger care to avoid taking more than one specimen at a time: While staggering procedures can reduce cumulative stress, it is not a primary strategy for obtaining cooperation from a preschooler for a single blood draw.

B. Apply vapocoolant spray immediately prior to collecting the specimen: Vapocoolant sprays can help numb the skin, but their use in preschoolers requires caution, as sudden cold sensations may startle or frighten the child. Additional preparation and explanation are necessary for acceptance.

C. Ask the parents to leave the room prior to collecting the blood specimen: Preschoolers often feel more secure and cooperative when a parent is present. Removing the parent may increase anxiety and resistance to the procedure, so parental support is usually encouraged.

D. Demonstrate the use of the equipment for the child: Preschoolers benefit from simple, age-appropriate explanations and demonstrations of medical equipment. Showing how the equipment works helps reduce fear, build trust, and increase cooperation during the blood draw.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Rationale for Correct Choices

• Administer oxygen at 2 L/min via nasal cannula: The client’s oxygen saturation of 92% indicates mild hypoxemia, which can worsen myocardial ischemia. Administering low-flow oxygen enhances myocardial oxygen delivery and helps reduce chest pain and tissue damage.

• Administer sublingual nitroglycerin: After oxygen therapy, sublingual nitroglycerin is the next appropriate step to relieve ischemic chest pain. It dilates coronary arteries, improves blood flow, and reduces myocardial oxygen demand. The nurse should monitor blood pressure and pain relief closely after administration.

Rationale for Incorrect Choices

• Request a prescription for an increase in statin medication: Although the client’s total cholesterol and LDL levels are elevated, statin adjustment is a long-term management measure. It does not address the acute chest pain or compromised oxygenation that the client is currently experiencing.

• Prepare the client for cardiac catheterization: While cardiac catheterization may be needed if myocardial infarction is confirmed, immediate stabilization of oxygen and pain takes priority. The nurse must first implement emergency interventions before preparing for invasive procedures.

• Request a prescription for a beta-blocker: Beta-blockers help lower heart rate and myocardial oxygen demand but are not administered during initial emergency management. They are prescribed only after the client is stabilized and contraindications have been ruled out.

• Checking a STAT cardiac troponin: Checking a STAT cardiac troponin is an important diagnostic action to rule in or out an acute myocardial infarction, however, clinical management of acute symptoms takes precedence over waiting for a laboratory result.

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A nurse is providing teaching to the guardian of a toddler about discipline techniques. Which of the following statements by the guardian indicate an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain a blood specimen from a preschooler. Which of the following actions should the nurse perform?

Correct Answer is D

Explanation

A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first dropdown and then dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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