Which nursing intervention will assist a toddler-age client in end-stage renal failure the most?

Explain the 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: Explaining body changes to a toddler may not be effective due to their limited understanding at this developmental stage.

Choice B reason: Maintaining normal routines provides a sense of security and normalcy, which is crucial for a toddler's emotional well-being, especially during a serious illness.

Choice C reason: Allowing the child to talk about the illness can be therapeutic, but toddlers may not have the verbal skills to express complex emotions or understand their condition.

Choice D reason: While encouraging friends to visit can provide social support, it is not as fundamental as maintaining daily routines that offer stability in the child's life. Maintaining normal routines is the most comforting and beneficial intervention for a toddler in this situation.

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Correct Answer is D

Explanation

Choice A reason: Movement of all extremities is expected and does not indicate a shunt malfunction.
Choice B reason: A negative Brudzinski sign is a normal finding and does not suggest a shunt malfunction.
Choice C reason: While incisional pain is common after surgery, it is not a specific indicator of shunt malfunction.
Choice D reason: This is the correct choice. A bulging fontanel can indicate increased intracranial pressure, which may suggest a shunt malfunction.

A. "It must be difficult to accept your child's lifelong prognosis." B. "Within days of treatment, your child will regain full recovery of their legs, and then their arms." C. "The paralysis caused by this disease is temporary, but the recovery can take up to 2 years." D. "In addition to the paralysis, your child will experience sensory loss."

Correct Answer is C

Explanation

Choice A reason: This statement is not accurate and may cause unnecessary distress, as Guillain-Barré Syndrome often does not result in a lifelong prognosis.

Choice B reason: This statement is overly optimistic and may not be accurate, as recovery times can vary greatly between individuals.

Choice C reason: This response provides a realistic expectation without causing undue alarm, acknowledging the temporary nature of the paralysis and the potential duration of recovery.

Choice D reason: While sensory loss can occur, it is not guaranteed, and the focus should be on the respiratory paralysis and the recovery process.

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Which nursing intervention will assist a toddler-age client in end-stage renal failure the most?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a postoperative assessment on an infant who has just had a ventriculoperitoneal shunt placed for hydrocephalus. Which assessment finding would indicate a malfunction in the shunt?

Correct Answer is D

Explanation

What is the best response by the nurse when the parents ask about the paralysis associated with Guillain-Barré Syndrome, which has affected the respiratory muscles and requires mechanical ventilation for their child?

Correct Answer is C

Explanation

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