A nurse is caring for a 1-month-old infant. The infant's parent states, "My baby seems to cry a lot." Which of the following responses should the nurse make?

"Your baby's crying is a way to communicate with you."

"Why do you feel like your baby cries a lot?"

"Is it possible that you have spoiled your baby?"

"Letting your baby cry will teach them how to self-soothe."

Answer and Explanation

The Correct Answer is A

A. "Your baby's crying is a way to communicate with you." Correct. This response validates the parent's concern and provides an understanding that crying is a normal behaviour for infants as a form of communication.

B. "Why do you feel like your baby cries a lot?" This question might make the parent feel defensive and does not provide reassurance or helpful information about infant behaviour.

C. "Is it possible that you have spoiled your baby?" This response is inappropriate and can make the parent feel judged or blamed. It also suggests a misunderstanding of infant development, as infants cannot be spoiled by responding to their needs.

D. "Letting your baby cry will teach them how to self-soothe." This advice is not suitable for a 1-month-old infant, as they are too young to self-soothe and need their caregivers to respond to their needs for comfort and care.

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Correct Answer is A

Explanation

A. Maculopapular skin burrows on the hand. Correct. Scabies is characterized by burrows in the skin, often seen as small, wavy, thread-like lesions, commonly found on the hands, between fingers, and on wrists.

B. Scaly lesions on the inner thighs. Incorrect. While scaly lesions can be present in various skin conditions, they are not typical of scabies.

C. Bull's eye edematous area on the groin. Incorrect. This description is more characteristic of Lyme disease, not scabies.

D. Rash with red macular lesions on the scalp. Incorrect. Scabies does not typically affect the scalp, especially in older children and adults.

A. Administer sulfamethoxazole and trimethoprim B. Administer salicylic acid for pain and fever. C. Educate the child about proper perineal hygiene. D. Advise child's guardian about the use of sunscreen. E. Ensure the child receives a maximum of 1,200 mL/day of fluid.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

Administer sulfamethoxazole and trimethoprim: Anticipated

Sulfamethoxazole and trimethoprim (Bactrim) are commonly prescribed antibiotics for treating urinary tract infections, especially in children. They are effective against the bacteria commonly responsible for UTIs, such as Escherichia coli.

Administer salicylic acid for pain and fever: Contraindicated

Salicylic acid is not recommended for pain and fever management in children due to the risk of Reye's syndrome, a rare but serious condition that can occur in children recovering from viral infections, particularly after using salicylate-containing medications. Acetaminophen or ibuprofen are safer options for pain and fever relief in children with UTIs.

Educate the child about proper perineal hygiene. Anticipated

Proper perineal hygiene is essential for preventing recurrent urinary tract infections. Teaching the child about wiping from front to back after urination and bowel movements helps reduce the risk of introducing bacteria into the urinary tract.

Advise child's guardian about the use of sunscreen. Contraindicated

While sunscreen is important for protecting the skin from harmful UV rays, it is not directly related to the management of urinary tract infections. The priority should be on treating the infection and ensuring proper hygiene. Sunscreen advice may be relevant in general health discussions but is not specifically indicated for the current condition.

Ensure the child receives a maximum of 1,200 mL/day of fluid. Contraindicated

Adequate fluid intake is crucial for flushing out bacteria from the urinary tract and preventing dehydration. Restricting fluid intake to 1,200 mL/day may lead to concentrated urine, which can exacerbate urinary tract infections and increase the risk of complications. Encouraging adequate fluid intake, particularly water, is important for managing UTIs in children.

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A nurse is caring for a 1-month-old infant. The infant's parent states, "My baby seems to cry a lot." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?

Correct Answer is A

Explanation

A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI). Exhibits The nurse is planning care for the client. For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

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