A 3-year-old client was successfully toilet trained prior to admission to the hospital for injuries sustained from a fall. The client's parents are very concerned that the child has regressed in toileting behaviors. Which information should the nurse provide to the parents?

A potty chair should be brought from home to maintain the current level of toileting skills.

Children usually resume their toileting behaviors when they leave the hospital.

Diapering will be provided since hospitalization is stressful to preschoolers.

A retraining program will need to be initiated when the child returns home.

Answer and Explanation

The Correct Answer is B

A. A potty chair should be brought from home to maintain the current level of toileting skills: While familiar items can offer comfort, regression in toileting is typically temporary and does not require special equipment to preserve skills.

B. Children usually resume their toileting behaviors when they leave the hospital: Hospitalization is a stressful event for preschoolers, and temporary regression in toileting is common. Reassuring parents that the child is likely to return to previous toileting behaviors once home helps reduce anxiety and supports normal developmental expectations.

C. Diapering will be provided since hospitalization is stressful to preschoolers: Diapering may be used for convenience or safety, but presenting it as necessary for all hospitalized children may cause unnecessary concern. It does not address the expected return to prior skills.

D. A retraining program will need to be initiated when the child returns home: Most children spontaneously resume previous toileting abilities without formal retraining. Only persistent regression after discharge would warrant intervention.

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Correct Answer is B

Explanation

A. Check the client's arm for a "Do Not Resuscitate" (DNR) bracelet: While verifying a DNR order is important, not all advance directives are represented by a bracelet. This action alone does not clarify the client’s wishes or the specifics of the living will.

B. Seek clarification of the type of advance directive the client has: Living wills and other advance directives vary in scope and specificity. Confirming the type of directive ensures that care aligns with the client’s legally documented wishes and guides future interventions appropriately.

C. Explain that living wills cannot be followed by emergency personnel: Emergency personnel can follow advance directives if they are clearly documented and accessible. Saying they cannot be followed is inaccurate and may create mistrust with the family.

D. Schedule a client and family conference to review the plan of care: A conference may be helpful later for education and care planning, but it does not address the immediate need to clarify the client’s specific directives after an emergency intervention.

A. Initiate passive range of motion exercises. B. Facilitate a consultation for speech therapy. C. Use pictures and gestures to communicate. D. Arrange for daily home care assistance.

Correct Answer is B

Explanation

A. Initiate passive range of motion exercises: While important for preventing contractures and maintaining mobility in the affected limbs, this intervention does not address the immediate risk associated with dysphagia, such as aspiration.

B. Facilitate a consultation for speech therapy: Speech therapy can assess and provide interventions for both communication deficits and swallowing difficulties. Addressing dysphagia is critical to prevent aspiration, choking, and malnutrition, making this the highest-priority intervention.

C. Use pictures and gestures to communicate: Supporting communication is important for client engagement and safety, but it does not directly address the physiological risks associated with swallowing difficulties.

D. Arrange for daily home care assistance: Planning for post-discharge care is necessary for long-term support, but immediate assessment and intervention for dysphagia take priority to ensure the client’s safety during the current hospitalization.

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A 3-year-old client was successfully toilet trained prior to admission to the hospital for injuries sustained from a fall. The client's parents are very concerned that the child has regressed in toileting behaviors. Which information should the nurse provide to the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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