A nurse is caring for a 4-year-old child who has croup and wet 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?
This 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?
Your child did not seem upset, so I wouldn't worry about it if I were you.
I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me.
The Correct Answer is A
Choice A reason: This is a therapeutic response that acknowledges the parent's feelings and provides reassurance that the behavior is normal and temporary. The other responses are either dismissive, judgmental, or self-disclosing, which are not helpful for the parent.
Choice B reason: This is a judgmental response that implies that the parent is overreacting or has unrealistic expectations for their child.
Choice C reason: This is a dismissive response that minimizes the parent's concern and does not offer any support
or information.
Choice D reason: This is a self-disclosing response that shifts the focus from the parent to the nurse and does not
address the issue at hand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Irregular respiratory rate is not a reliable indicator of mild dehydration, as it can be affected by many factors such as fever, infection, pain, or anxiety. An irregular respiratory rate can also indicate more severe dehydration or shock, which requires immediate intervention.
Choice B: Good skin integrity is not a reliable indicator of mild dehydration, as it can be maintained even in moderate dehydration. Good skin integrity does not reflect the fluid status of the body, as skin turgor and elasticity depend on other factors such as age, nutrition, and hydration.
Choice C: Blood pressure elevation is not a reliable indicator of mild dehydration, as it can be caused by other conditions such as stress, anxiety, pain, or hypertension. Blood pressure elevation can also indicate more severe dehydration or shock, which requires immediate intervention.
Choice D: Body weight is the most reliable indicator of mild dehydration, as it reflects the fluid loss or gain of the body. A loss of 5% or more of body weight indicates mild dehydration in infants. Body weight should be measured daily and compared with the baseline weight to monitor the fluid status of the infant.
Correct Answer is ["A","C","E"]
Explanation
Choice A: Allowing the child to keep a toy from home with her can help reduce her fear and anxiety by providing comfort, distraction, and familiarity. This strategy can also enhance the child's sense of control and autonomy by letting her choose what toy to bring.
Choice B: Using mummy restraints during painful procedures can increase the child's fear and anxiety by making her feel trapped, helpless, and powerless. This strategy can also damage the child's trust and cooperation with the nurse and cause psychological trauma.
Choice C: Having a parent stay with the child during procedures can help reduce her fear and anxiety by providing support, reassurance, and security. This strategy can also enhance the child's coping skills and resilience by modeling calm and positive behaviors.
Choice D: Planning invasive procedures whenever possible can increase the child's fear and anxiety by exposing her to unnecessary pain and discomfort. This strategy can also impair the child's physical and emotional development by causing stress and inflammation.
Choice E: Performing the procedure as quickly as possible can help reduce her fear and anxiety by minimizing the duration and intensity of pain. This strategy can also enhance the child's satisfaction and compliance by showing respect and empathy.
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