A nurse is assisting with the care of a hospitalized toddler who has congenital heart disease. The parent calls the nurse to the room to ask for fresh linens and states, "My child never wets the bed at home. I am not sure why this is happening now." Which of the following responses should the nurse make to the parent?
"I know this must be embarrassing for you. I have kids myself, and I would be concerned, too."
"Regression is a common reaction to stress when toddlers are hospitalized. This is temporary."
"Your child appears to be just fine. If they aren't worried about it, then you shouldn't be either."
"I will talk to the provider about this. It could indicate worsening of your child's condition."
The Correct Answer is B
Rationale:
A) While empathetic, this response does not provide information or reassurance about the child's bedwetting in the hospital setting.
B) Regression, including bedwetting, is a common response to stress or disruption in routine, such as hospitalization, and is often temporary.
C) Dismissing the parent's concern may increase their anxiety and is not appropriate.
D) While it's important to consider potential medical implications, the nurse should first address the parent's concerns and offer reassurance about the temporary nature of the bedwetting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) Foods high in fiber are generally healthy and do not need to be avoided with lisinopril.
B) Lisinopril can increase potassium levels in the blood, so clients should avoid high- potassium foods to prevent hyperkalemia.
C) Foods high in vitamin K are typically associated with blood clotting and are not contraindicated with lisinopril.
D) Dairy products are not specifically contraindicated with lisinopril, although they should be consumed in moderation as part of a balanced diet.
Correct Answer is D
Explanation
Rationale:
A) Maintaining clean technique during dressing changes is essential for preventing infection but is not specific to pain management.
B) Providing low-calorie snacks is unrelated to managing moderate partial-thickness burns.
C) Allowing the child to set their own schedule for wound care might not be appropriate or safe, as wound care should be performed according to healthcare provider recommendations.
D) Ensuring the child receives pain medication prior to therapy helps manage pain associated with dressing changes and other therapeutic interventions.
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