A nurse is reinforcing teaching about toilet training with the guardians of a toddler who has a cognitive impairment. Which of the following instructions should the nurse include?
Encourage the toddler to flush the toilet while still seated.
Have the toddler remain on the toilet for a minimum of 20 min.
Wake the toddler every 2 hr. in the night to prevent bed-wetting.
Give the toddler a sticker after each successful toileting attempt.
The Correct Answer is D
A. Encouraging the toddler to flush the toilet while still seated is incorrect. Some children may be startled by the flushing sound, which can create fear and resistance to toilet training. It is better to allow the child to stand before flushing if they show hesitation.
B. Having the toddler remain on the toilet for a minimum of 20 minutes is incorrect. Extended sitting can lead to discomfort and frustration, making the experience negative. Shorter, 5- to 10-minute sessions are more effective and developmentally appropriate.
C. Waking the toddler every 2 hours in the night to prevent bed-wetting is incorrect. Nighttime bladder control develops gradually, and disrupting sleep can be counterproductive. Instead, using protective bedding and encouraging toileting before bedtime is recommended.
D. Giving the toddler a sticker after each successful toileting attempt is correct. Positive reinforcement, such as stickers or praise, encourages consistency and motivation, which is particularly beneficial for children with cognitive impairments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Make sure the crib mattress is soft.: A soft mattress is a suffocation hazard for an infant. It is recommended to use a firm mattress to reduce the risk of sudden infant death syndrome (SIDS).
B. Start using a highchair for feedings.: At 3 months of age, most infants are not developmentally ready to sit in a highchair. Feeding typically occurs while the infant is held or propped in a reclined position. Highchairs are usually introduced later, around 6 months of age, when the infant has better head and neck control.
C. Remove bibs when the infant is going to sleep.: Bibs and other items that could potentially obstruct the infant's airway should be removed before sleep to reduce the risk of suffocation. This is an important safety measure to ensure the infant's safety while sleeping.
D. Place no more than one small pillow in the crib.: Pillows should not be placed in the crib for infants, as they present a suffocation hazard. It is recommended to keep the crib free from any soft bedding, including pillows and blankets, to promote safe sleep.
Correct Answer is A
Explanation
A. Docusate is correct. Docusate is a stool softener, and it does not have a significant effect on blood clotting. Therefore, it is considered safe for use with warfarin, which requires careful monitoring to avoid interactions that may increase bleeding risks.
B. Ibuprofen is incorrect. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID. that can increase the risk of bleeding when used with warfarin by inhibiting platelet aggregation and affecting clotting factors.
C. Aspirin is incorrect. Aspirin also inhibits platelet function, increasing the risk of bleeding when combined with warfarin. This combination should be avoided unless specifically prescribed.
D. Omeprazole is incorrect. Although omeprazole is often used to treat gastrointestinal issues, it may interact with warfarin and affect its metabolism. This interaction can increase the risk of bleeding, and caution is recommended when using these medications together.
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