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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Correct Answer is A

Explanation

Rationale:
A. Emptying the drainage bag when it is half full: Allowing the bag to become overly full can cause backflow of urine into the bladder, increasing infection risk and disrupting drainage. Regular emptying when half full prevents tension on the tubing and maintains unobstructed urine flow.

B. Using sterile gloves when emptying the drainage bag: Sterile gloves are not required for this task. The AP should use clean gloves and maintain aseptic technique by avoiding contact with the drainage spout.

C. Keeping the drainage bag above waist level: The drainage bag should always remain below the level of the bladder to allow gravity-assisted drainage. Keeping it above waist level promotes retrograde flow of urine, which can introduce bacteria into the bladder.

D. Disconnecting the catheter from the drainage bag to empty the bag: The catheter and drainage system should remain a closed, continuous unit to prevent contamination. Disconnecting the system breaks sterility, increasing the risk of introducing pathogens.

A. Diminished breath sounds B. Increased drowsiness C. Frequent swallowing D. Elevated pain level

Correct Answer is C

Explanation

Rationale:
A. Diminished breath sounds: Decreased breath sounds could indicate airway obstruction or respiratory compromise but are not a primary sign of hemorrhage following a tonsillectomy. They are more often associated with complications such as laryngospasm or mucus plugging rather than bleeding.

B. Increased drowsiness: Drowsiness in the postoperative period may result from the effects of anesthesia or pain medication. While important to monitor, it is not a specific indicator of hemorrhage unless accompanied by other symptoms like hypotension or tachycardia.

C. Frequent swallowing: Repeated swallowing is an early and classic sign of hemorrhage after tonsillectomy. Children often swallow blood draining down the throat instead of spitting it out, which can lead to blood loss and airway compromise if not promptly addressed.

D. Elevated pain level: Pain is expected after tonsil surgery and does not necessarily indicate bleeding. Although increasing pain should be assessed, it is not a reliable or specific sign of postoperative hemorrhage compared to frequent swallowing.

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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 supervising an assistive personnel (AP) who is caring for a client with an indwelling urinary catheter. Which of the following actions taken by the AP indicates proper technique?

Correct Answer is A

Explanation

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings indicates that the child may be experiencing hemorrhage?

Correct Answer is C

Explanation

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