The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?
"Tell me about the circumstances when this occurs."
"Is there a family history of diabetes?"
"Suddenly having accidents can be a sign of diabetes."
"That's normal: don't worry about it."
The Correct Answer is A
A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.
Understanding the context can help identify possible underlying causes and guide appropriate interventions.
B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.
C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.
D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Place the crushed tablet in the infant's formulA. Mixing crushed tablets with formula may alter the taste or consistency of the formula, making it less palatable for the infant.
B. Mix the crushed tablet with the infant's cereal: Mixing crushed tablets with cereal may also alter the taste and texture of the cereal, potentially making it unappealing to the infant.
C. Mix the crushed tablet with a small amount of applesaucE. Mixing crushed tablets with a small amount of applesauce is a common method for administering medication to infants and
toddlers. The applesauce helps mask the taste and texture of the crushed tablet, making it easier for the child to swallow.
D. Crushed tablets should only be mixed with water: While water can be used to administer crushed tablets, mixing them with water alone may not effectively mask the taste or texture of the medication, making it less likely that the child will swallow it. Mixing with a food like applesauce is often more palatable for young children.
Correct Answer is ["B","C","E"]
Explanation
A. Need for increased caloric intake
While toddlers may require adequate nutrition, emphasizing the need for increased caloric intake without individualized assessment and guidance may not be appropriate for all children.
B. Management of tantrums
Toddlers commonly experience tantrums as part of their development. Teaching parents effective strategies for managing and responding to tantrums can help promote positive behavior and reduce stress for both the child and the parents.
C. Dental care
Promoting good oral hygiene practices, such as regular brushing with fluoride toothpaste and routine dental check-ups, is essential for maintaining the toddler's oral health.
D. How to establish trust
While establishing trust is important for the parent-child relationship, this aspect of teaching may be more applicable to infants rather than toddlers who are already in the process of developing
trust with their caregivers.
E. How to encourage cooperative play
Encouraging cooperative play helps foster social skills, sharing, and cooperation in toddlers. Providing guidance on facilitating playdates, sharing toys, and resolving conflicts can support healthy social development.
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