A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most?

Explain body changes that will take place.

Maintain the child’s normal routines.

Allow the child to talk about the illness.

Encourage friends to visit.

Answer and Explanation

The Correct Answer is B

Choice A reason: While it is important to prepare the child for changes, maintaining normalcy is more immediately beneficial.
Choice B reason: This is the correct choice. Maintaining normal routines provides a sense of stability and normalcy, which is comforting during a stressful time.
Choice C reason: Allowing the child to talk about the illness is important, but it may not be as comforting as maintaining normal routines.
Choice D reason: Encouraging friends to visit can provide support, but it is not as impactful on daily comfort as maintaining normal routines.

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Correct Answer is D

Explanation

Choice A reason: This statement is correct; early treatment for clubfoot is essential for the best outcomes.

Choice B reason: The parent's understanding of the need for long-term follow-up care until skeletal maturity is accurate.

Choice C reason: Regular visits for new casts are part of the standard treatment protocol for clubfoot.

Choice D reason: This statement indicates a misunderstanding. Clubfoot treatment typically involves a series of casts changed more frequently than 8-10 weeks apart, not a single spica cast for that duration. Further teaching is needed to correct this misconception.

A. "Call the doctor immediately if the infant has a temperature greater than 100°F." B. "The pediatrician should be contacted if the infant has two loose stools in an 8-hour period." C. "Call your pediatrician if the infant has not had a wet diaper for 8 hours." D. "Notify the pediatrician if the infant naps more than 2 hours."

Correct Answer is C

Explanation

Choice A reason: Fever is a concern, but it is not the most immediate sign of dehydration.
Choice B reason: While loose stools are a symptom of diarrhea, the frequency mentioned does not necessarily indicate an emergency.
Choice C reason: This is the correct choice. Lack of a wet diaper for 8 hours can indicate dehydration, which is an emergency in infants.
Choice D reason: Longer naps may not be directly related to diarrhea and do not warrant immediate contact with a pediatrician.

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A toddler-age client is in end-stage renal failure. Which nursing intervention will assist this child most?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by the parent indicates a need for further teaching regarding clubfoot?

Correct Answer is D

Explanation

Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?

Correct Answer is C

Explanation

Which foods would the nurse recommend to the mother of a 2-year-old with anemia?

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After surgery for the correction of bilateral congenital clubfeet, an infant returns with bilateral long-leg casts. The toes on both feet are edematous, yet there is color, sensitivity, and movement. What is the most appropriate action by the nurse?

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