A boy aged 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8-10 weeks. His parents ask the nurse for advice. What is the most appropriate intervention?
Explain that this is normal in preschoolers, especially boys.
Talk to the preschool teacher to obtain validation for the behavior the parent reports.
Refer the child for a professional psychosocial assessment.
Encourage the parent to try more consistent and firm discipline.
The Correct Answer is C
Choice A reason: This is not an appropriate intervention. Anger and aggression are not normal behaviors in preschoolers, regardless of their gender. They may indicate underlying emotional or developmental issues that need to be addressed.
Choice B reason: This is not an adequate intervention. Talking to the preschool teacher may provide some information about the child's behavior, but it does not address the root cause or offer any solutions. The nurse should collaborate with the teacher and the parents to develop a plan of care for the child.
Choice C reason: This is the most appropriate intervention. A professional psychosocial assessment can help identify the factors that contribute to the child's anger and aggression, such as family stress, trauma, mental health problems, or learning difficulties. The assessment can also provide recommendations for treatment and support for the child and the family.
Choice D reason: This is not a helpful intervention. Consistent and firm discipline is important for any child, but it may not be enough to change the child's behavior if there are other underlying issues. Moreover, harsh or punitive discipline may worsen the child's anger and aggression. The parent should be encouraged to use positive reinforcement, empathy, and problem-solving skills with the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Making the patient NPO (nothing by mouth) is not an appropriate intervention for CHF. NPO status may be indicated for other reasons, such as before surgery or certain tests, but it does not address the fluid overload or poor cardiac function that causes CHF.
Choice B reason: Administering diuretics is a common and effective intervention for CHF. Diuretics help reduce the excess fluid in the body and lungs, which improves breathing and lowers blood pressure. Diuretics also decrease the workload of the heart and prevent further damage to the cardiac muscles.
Choice C reason: Administering antipyretics is not a specific intervention for CHF. Antipyretics are used to lower fever, which may or may not be present in CHF. Fever may indicate an infection, which can worsen CHF, but antipyretics alone do not treat the underlying cause of the infection or the CHF.
Choice D reason: Providing IV bolus is not a recommended intervention for CHF. IV bolus is a rapid infusion of fluid or medication into the bloodstream. This may increase the fluid volume and pressure in the body and lungs, which can exacerbate CHF and cause pulmonary edema. IV bolus may be used for other conditions, such as hypovolemic shock or dehydration, but not for CHF.
Correct Answer is A
Explanation
Choice A reason: Hydrostatic reduction of telescoped bowel with an air or saline enema is the treatment of choice in a child with intussusception who is not showing signs of sepsis or shock. Intussusception is a condition in which a part of the intestine slides into another part, causing obstruction, inflammation, and ischemia. Hydrostatic reduction is a procedure that uses air or saline to create pressure in the colon and push the intussuscepted segment back to its normal position. It is a safe, effective, and minimally invasive method that can avoid surgery and its complications.
Choice B reason: False is not the correct answer, as hydrostatic reduction of telescoped bowel with an air or saline enema is the treatment of choice in a child with intussusception who is not showing signs of sepsis or shock. Surgery is only indicated if hydrostatic reduction fails or is contraindicated, or if the child has signs of perforation, peritonitis, or shock.
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