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.
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Related Questions
Correct Answer is D
Explanation
A: By the age of 7, most children have a grasp of days and dates as part of their routine. However, not being able to verbalize the date does not necessarily indicate a developmental delay, as it could be related to the child's learning environment or educational opportunities.
B: Counting backwards is a skill that develops with age and practice. A 7-year-old may struggle with this task due to various reasons such as lack of practice, but it is not a definitive sign of a developmental delay.
C: Making change involves complex cognitive skills including math, understanding of money value, and transactions, which may still be developing in a 7-year-old. This skill varies widely among children and is influenced by their experiences with money.
D: The ability to distinguish right from left is a developmental milestone typically achieved by the age of 5 to 6 years. Persistent difficulty in telling the difference between right and left at the age of 7 could suggest a developmental delay in spatial awareness.
Correct Answer is C
Explanation
Rationale:
A) Forcing the child to drink fluids when they have a fever is not recommended; instead, fluids should be offered frequently to prevent dehydration, but the child should not be forced to drink.
B) Using a dehumidifier in the child's room may help control humidity levels, but it is not specific to treating a bacterial upper respiratory infection.
C) Keeping the child's towels separate from those of the rest of the family helps prevent the spread of infection.
D) Ensuring the child eats three meals a day, even with reduced appetite, is important for maintaining adequate nutrition and energy levels during illness.
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