Nokea
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
- A. He was too immature to be toilet trained. In a few months he should be old enough.
- B. Children are afraid in the hospital and frequently wet their bed.
- C. It's very common for children to regress when they're in the hospital.
- D. This is normal. He probably received too much fluid the night before.
Correct Answer: C
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress.
You may also like to solve these questions
A child has just ingested about 10 adult-strength acetaminophen (Tylenol) pills. The mother brings the child to the emergency department. What should the nurse do? Place the interventions in the order of priority from first to last.
- A. Administer activated charcoal.
- B. Assess the airway.
- C. Reassure the mother.
- D. Check serum acetaminophen levels.
- E. Obtain information about how the child obtained the pills.
- F. Complete a physical examination.
Correct Answer: B,A,D,C,F,E
Rationale: 1. Assess the airway to ensure patency and stability. 2. Administer activated charcoal to reduce acetaminophen absorption. 3. Check serum acetaminophen levels to guide treatment. 4. Reassure the mother to reduce anxiety. 5. Obtain information about how the child obtained the pills for safety education. 6. Complete a physical examination to assess for other effects.
A child is admitted to the pediatric unit with the diagnosis of severe gastroenteritis. To prevent spread of the disease the nurse should?
- A. Institute standard precautions.
- B. Place the child in a semiprivate room.
- C. Serve meals with eating utensils that can be sterilized.
- D. Single-bag all linens.
Correct Answer: A
Rationale: Standard precautions prevent the spread of infectious gastroenteritis.
After doing well for a period of time, a child with leukemia develops an overwhelming infection. The child's death is imminent. Which of the following statements offers the nurse the best guide in making plans to assist the parents in dealing with their child's imminent death?
- A. Knowing that the prognosis is poor helps prepare relatives for the death of children.
- B. Relatives are especially grieved when a child does well at first but then declines rapidly.
- C. Trust in health care personnel is most often destroyed by a death that is considered untimely.
- D. It is more difficult for relatives to accept the death of an older child than that of a toddler.
Correct Answer: B
Rationale: A rapid decline after improvement is particularly devastating, guiding the nurse to provide extra emotional support.
The nurse formulates the nursing diagnosis Imbalanced Nutrition: Less than body requirements related to negative feeding patterns for a 5-month-old infant diagnosed with failure to thrive. To meet the short-term outcomes of the infant's plan of care, the nurse should expect to do which of the following?
- A. Instruct the parents in proper feeding techniques.
- B. Give infant formula that has 24 calories/ounce.
- C. Provide consistent staff to care for the infant.
- D. Allow the infant to sit in a high chair during feedings.
Correct Answer: A
Rationale: Teaching proper feeding techniques corrects negative patterns, improving intake. Higher-calorie formula or consistent staff are secondary, and high chairs are unsuitable for a 5-month-old.
A parent asks the nurse about head lice (pediculosis capitis) infestation during a visit to the clinic. Which of the following symptoms should the nurse tell the parent is most common in a child infected with head lice?
- A. Itching of the scalp.
- B. Scaling of the scalp.
- C. Serous weeping on the scalp surface.
- D. Pinpoint hemorrhagic spots on the scalp surface.
Correct Answer: A
Rationale: Itching is the hallmark symptom of head lice due to an allergic reaction to lice saliva.