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What is one of the most important factors that a healthcare professional must consider when parents of a toddler request to be present at a procedure occurring on the hospital unit?
- A. Type of procedure to be performed
- B. Individual assessment of the parents
- C. Whether the toddler wants the parents present
- D. Probable reaction to the toddler's response to pain
Correct Answer: B
Rationale: When parents of a toddler request to be present during a procedure, an individual assessment of the parents is crucial. This assessment helps healthcare professionals understand the parents' ability to cope with the situation, provide support to their child, and ensure a conducive environment for the procedure. Choice A is not as critical because the focus is on the parents' readiness rather than the specific procedure. Choice C, considering the toddler's desire, is important but not as crucial as assessing the parents. Choice D, anticipating the toddler's response to pain, is relevant but secondary to assessing the parents' readiness and support capabilities.
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A nurse is planning an evening snack for a child receiving Novolin N insulin. What is the reason for this nursing action?
- A. To encourage the child to stay on the diet.
- B. Energy is needed for immediate utilization.
- C. Extra calories will help the child gain weight.
- D. Nourishment helps to counteract late insulin activity.
Correct Answer: D
Rationale: The correct answer is D. Novolin N insulin peaks in the evening, leading to a higher risk of hypoglycemia during this time. Providing a snack before bedtime helps counteract the late insulin activity and prevent hypoglycemia. Choice A is incorrect as the primary reason for the snack is related to insulin activity rather than diet compliance. Choice B is not directly related to the timing of Novolin N insulin administration. Choice C is unrelated to the specific need for a snack in the evening to address insulin activity.
A nurse plans to talk to the parents of a toddler about toilet training. What should the nurse explain is the most important factor in the process of toilet training?
- A. Parents' attitude about it
- B. Child's desire to remain dry
- C. Child's ability to sit still on the toilet
- D. Parents' willingness to work at the toilet training
Correct Answer: D
Rationale: The most crucial factor in the process of toilet training is the parents' willingness to consistently engage and work with their child. While parents' attitude and the child's desire to remain dry can influence the process, the key to successful toilet training lies in the parents' commitment and effort. The child's ability to sit still on the toilet is important but not as critical as the parents' active involvement and support in guiding and encouraging the child through the training process.
A child with a diagnosis of sickle cell anemia is experiencing a vaso-occlusive crisis. What is the most important nursing intervention?
- A. Administering oxygen
- B. Administering pain medication
- C. Monitoring fluid intake
- D. Encouraging physical activity
Correct Answer: B
Rationale: Administering pain medication is the most crucial nursing intervention during a vaso-occlusive crisis in sickle cell anemia. Pain management is a priority to alleviate the patient's discomfort and improve outcomes. Administering oxygen may be necessary in some cases but is not the primary intervention for vaso-occlusive crisis. Monitoring fluid intake is important in sickle cell anemia but is not the priority during a crisis situation. Encouraging physical activity is contraindicated during a vaso-occlusive crisis as it can exacerbate pain and complications.
A 2-year-old child with a diagnosis of atopic dermatitis is being discharged. What should the nurse include in the discharge teaching?
- A. Avoid triggers that cause flare-ups
- B. Apply topical corticosteroids as prescribed
- C. Use a soft toothbrush for oral care
- D. Avoid contact with sick individuals
Correct Answer: B
Rationale: The correct answer is to 'Apply topical corticosteroids as prescribed.' Atopic dermatitis is a condition characterized by inflammation and itchiness of the skin. Topical corticosteroids are commonly used to reduce inflammation and relieve symptoms in atopic dermatitis. Teaching the caregiver to apply the medication as prescribed by the healthcare provider is crucial for managing the child's condition effectively. Choices A, C, and D are not the priority discharge teaching for atopic dermatitis. While avoiding triggers that cause flare-ups and contact with sick individuals can be beneficial, the immediate focus should be on proper medication administration to address the underlying inflammation and symptoms of atopic dermatitis.
A nurse is caring for an infant with phenylketonuria (PKU). What diet should the nurse anticipate will be ordered by the healthcare provider?
- A. Fat-free
- B. Protein-enriched
- C. Phenylalanine-free
- D. Low-phenylalanine
Correct Answer: D
Rationale: A low-phenylalanine diet is necessary for infants with PKU because it helps prevent the accumulation of phenylalanine, which can result in brain damage. Fat-free (Choice A) and protein-enriched (Choice B) diets are not specifically indicated for PKU. While phenylalanine-free (Choice C) may seem logical, complete elimination of phenylalanine is not practical or safe as it is an essential amino acid. Therefore, the correct choice is a low-phenylalanine diet, which restricts phenylalanine intake to a safe level.