Nokea
The mother of a toddler hospitalized for episodes of diarrhea reports that when her toddler cannot have things the way she wants, she throws her legs and arms around, screams, and cries. The mother says, "I don't know what to do?" After teaching the mother about ways to manage this behavior, which of the following statements indicates that the nurse's teaching was successful?
- A. Next time she screams and throws her legs, I'll ignore the behavior.
- B. I'll allow her to have what she wants once in a while.
- C. I'll explain why she cannot have what she wants.
- D. When she behaves like this, I'll tell her that she is being a bad girl.
Correct Answer: A
Rationale: Ignoring tantrums reinforces calm behavior without rewarding outbursts.
You may also like to solve these questions
A toddler diagnosed with nephrotic syndrome has a nursing diagnosis of Excess fluid volume related to fluid accumulation in the tissues. Which measure should the nurse anticipate including in the child's plan of care?
- A. Limiting visitors to 2 to 3 hours a day.
- B. Maintaining strict bed rest.
- C. Testing urine specific gravity every shift.
- D. Weighing the child before breakfast.
Correct Answer: D
Rationale: Daily weights monitor fluid balance.
During hospitalization, a 10-year-old child with acute poststreptococcal glomerulonephritis and oliguria asks for food from home. After teaching the mother and child about diet, the nurse determines that the teaching had been effective when the mother brings in which food?
- A. Pizza and cola.
- B. Hamburger and fries.
- C. Ice cream sundae.
- D. Strawberries and kiwi.
Correct Answer: D
Rationale: Low-sodium, low-protein options are best.
When teaching the parents of an infant how to perform back slaps to dislodge a foreign body, which of the following should the nurse tell the parents to use to deliver the blows?
- A. Palm of the hand.
- B. Heel of the hand.
- C. Fingertips.
- D. Entire hand.
Correct Answer: B
Rationale: The heel of the hand is used to deliver back slaps in infants to effectively dislodge a foreign body without causing injury.
The nurse is evaluating a child’s skills in self-administering insulin (see fi gure). The nurse should:
- A. Have the child use both hands on the syringe.
- B. Ask the child to place the needle at a 45 degreeangle
- C. Tell the child to use a site lower on her thigh.
- D. Remind the child to rotate sites.
Correct Answer: D
Rationale: The child is using correct injection technique, and the nurse can remind the child to rotate sites. The nurse should also reinforce that the child has used correct technique and praise the child for doing so. If the child can manipulate the plunger of the syringe with one hand, this is appropriate. Insulin is administered at a 90 degree angle as shown. The child should identify appropriate sites on the thighs as one handbreadth below the hip and above the knee; the child is using appropriate sites.
The physician orders intravenous fluid replacement therapy with potassium chloride to be added for a child with severe gastroenteritis. Before adding the potassium chloride to the intravenous fluid, which of the following assessments would be most important?
- A. Ability to void.
- B. Passage of stool today.
- C. Baseline electrocardiogram.
- D. Serum calcium level.
Correct Answer: A
Rationale: Ensuring the ability to void confirms renal function before administering potassium.