During a routine well-child visit, a nurse is reinforcing teaching with the parents of a preschool-age child whom they have difficulty getting to sleep.
Which of the following statements by the parents indicates an understanding of the teaching?
"I will let my child fall asleep with me and then move him to his own bed.”.
"I will make sure the room is dark when placing my child in bed.”.
"I will encourage my child to fall asleep with his favorite toy.”.
"I will allow my child to watch TV to help him go to sleep.”. .
The Correct Answer is C
Choice A rationale
Allowing a child to fall asleep with a parent can create dependence and difficulties with independent sleep. It's better to establish a routine that encourages self-soothing.
Choice B rationale
A dark room can actually make some children more anxious. A nightlight can provide comfort without disrupting sleep.
Choice C rationale
Encouraging a child to sleep with a favorite toy can provide comfort and a sense of security, facilitating a smoother transition to sleep.
Choice D rationale
Allowing TV before bed can overstimulate the child and interfere with sleep patterns. It’s better to establish a calming bedtime routine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ensuring the client's weights are hanging freely from the bed is crucial in maintaining the proper amount of traction force. This prevents complications and ensures that the traction is effective in reducing the fracture and alleviating pain.
Choice B rationale
Checking the client's bony prominences every 12 hours is important for preventing pressure ulcers and skin breakdown. However, the timing might need to be more frequent depending on the client's overall health and risk factors.
Choice C rationale
Cleansing the client's pin sites with povidone-iodine is a common practice to prevent infection. However, current guidelines often recommend alternative cleaning solutions, such as chlorhexidine, due to better evidence of efficacy.
Choice D rationale
Loosening the knots on the ropes if the client is experiencing pain can compromise the effectiveness of the traction. Adjustments should be made by a healthcare professional to ensure the correct amount of force is applied without causing additional harm.
Correct Answer is D
Explanation
Choice A rationale
Discouraging the client from ambulating is not necessary. In fact, early ambulation is often encouraged to promote circulation and prevent complications, depending on the fracture type and treatment plan.
Choice B rationale
Keeping the client's leg in a dependent position is not recommended as it can increase swelling and pain. Elevating the leg is typically advised to reduce swelling.
Choice C rationale
Using a hair dryer on a hot setting to dry the cast is unsafe as it can cause burns and damage the cast. It's better to allow the cast to dry naturally and follow the healthcare provider's instructions.
Choice D rationale
Performing a neurovascular check of the lower extremities is crucial to assess circulation, sensation, and movement. This helps in identifying any complications such as impaired blood flow or nerve damage.
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