The father of a toddler asks a nurse at a well-child clinic what to do when his child kicks and screams during temper tantrums.
Which of the following responses should the nurse make?
Tell your toddler that temper tantrums are not acceptable.
You should punish your toddler when the tantrum stops.
You should ignore your toddler’s temper tantrums.
You should offer your child a reward if he stops the tantrum.
The Correct Answer is C
Choice A rationale
While it’s important to set boundaries and expectations for behavior, telling a toddler that temper tantrums are not acceptable may not be effective. Toddlers are still learning how to manage their emotions and may not fully understand this concept.
Choice B rationale
Punishing a toddler after a tantrum can reinforce the negative behavior. It’s better to ignore the tantrum and then praise the child when they are behaving appropriately.
Choice C rationale
Ignoring a toddler’s temper tantrums can be an effective strategy. By not giving attention to the negative behavior, the toddler learns that tantrums are not a successful way to get what they want.
Choice D rationale
Offering a reward if the child stops the tantrum can reinforce the negative behavior. The child may learn to start tantrums in order to receive a reward for stopping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
An increasing abdominal girth in a child with a VP shunt may be indicative of malabsorption of the cerebrospinal fluid (CSF) that is being shunted to the peritoneum. This is because the VP shunt is a soft, flexible tube which is inserted into a lateral ventricle and acts as a drainpipe, to give the CSF a way to flow out of the ventricles. The tube is connected to a valve, which regulates the flow of CSF. The end of the shunt is placed within the abdominal cavity (tummy area), where the CSF will be reabsorbed. Therefore, if the CSF is not being properly absorbed in the peritoneum, it could lead to an increase in abdominal girth. This is a serious concern that needs immediate attention, hence the charge nurse should be notified.
Choice B rationale
Checking bowel sounds is a common nursing intervention for assessing gastrointestinal function. However, in the context of a child with a VP shunt and increasing abdominal girth, it is less likely to be directly related to the issue at hand. While bowel sounds can provide information about the functioning of the digestive system, they do not provide direct information about the functioning of the VP shunt or the absorption of CSF in the peritoneum.
Choice C rationale
Recording retention of feeding could be relevant in cases where there are concerns about the child’s nutritional status or digestive function. However, in this case, the primary concern is related to the functioning of the VP shunt and the absorption of CSF in the peritoneum. Therefore, while it’s always important to monitor feeding in a child, it is not the most appropriate response in this specific situation.
Choice D rationale
Elevating the child’s head is often done to reduce intracranial pressure, especially in patients with conditions affecting the brain or spinal cord. However, in the context of a child with a VP shunt and increasing abdominal girth, elevating the head would not address the underlying issue of potential malabsorption of CSF in the peritoneum.
Correct Answer is C
Explanation
Choice A rationale
Pulling the earlobe up and back is the correct method for administering ear drops in adults, not in children.
Choice B rationale
Pulling the earlobe down and out is not the correct method for administering ear drops.
Choice C rationale
For children, the earlobe should be pulled down and back to straighten the ear canal. The medication can then be dropped into the ear canal, and the ear should remain facing up for about 1 or 2 minutes to allow the medication to come into contact with the infection.
Choice D rationale
Pulling the earlobe up and out is not the correct method for administering ear drops.
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