A nurse cares for a 4-year-old child with croup who wets the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?
"It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."
"Why does it bother you that your child has wet the bed?"
"I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."
"Your child did not seem upset, so I wouldn't worry about it if I were you."
The Correct Answer is A
A. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." Hospitalization can be stressful and disruptive for children, often causing temporary regression Reassuring parents that this behavior is common and usually resolves as the child recovers helps reduce parental anxiety and supports understanding.
B. "Why does it bother you that your child has wet the bed?" This response may come across as confrontational or judgmental, potentially increasing the parent's distress rather than providing comfort or support during a vulnerable moment.
C. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me." While this statement shows empathy, it may unintentionally shift focus to the nurse’s experience rather than validating the parent’s feelings. A more supportive response addresses the child’s needs and parental concerns directly.
D. "Your child did not seem upset, so I wouldn't worry about it if I were you." Dismissing the parent's feelings about the situation may cause them to feel unheard or invalidated. Acknowledging the parent's emotions while providing reassurance is a more supportive approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Turn off the room light: Turning off all lights can sometimes increase anxiety in toddlers unfamiliar with their surroundings. A dim nightlight is often better to comfort them and reduce fear of the dark.
B. Provide bedtime rituals: Bedtime routines like reading a book or singing help toddlers feel secure, especially in unfamiliar environments like hospitals. Consistency supports sleep readiness and reduces stress.
C. Encourage play exercises in the evening: Stimulating activity before bed can delay sleep onset and make it harder for toddlers to settle down. Active play is best reserved for earlier in the day.
D. Explain the source of the toddler's fears: Toddlers have limited cognitive understanding and may not be reassured by explanations. Comfort and routine are more effective for easing nighttime fears.
Correct Answer is B
Explanation
A. Skin integrity: While skin turgor and moisture can provide clues about hydration status, they are subjective and less reliable in infants due to their naturally elastic skin and fat distribution.
B. Body weight: Changes in body weight are the most accurate and objective indicator of fluid loss or gain in infants. A weight loss of even a few percentage points can reflect significant dehydration.
C. Respiratory rate: An increased respiratory rate may occur due to metabolic acidosis from dehydration but is influenced by many factors like fever or infection, making it a less specific indicator of fluid loss.
D. Blood pressure: Blood pressure often remains normal due to compensatory mechanisms until dehydration is severe or shock develops. It is a late and less sensitive sign of fluid volume depletion in infants.
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