A nurse is caring for a 9-year-old child who has a new diagnosis of diabetes mellitus and tells the nurse that he is eager to return to school and participate in sports. The mother tells the nurse that she is afraid to let her take part in physical activities at school. Which of the following responses should the nurse make?
"You might want to consider teaching your daughter at home."
"You sound overprotective. Let's talk about this some more."
"I agree. Her well-being is the most important thing."
"Tell me more about how you are feeling about your daughter's activities."
The Correct Answer is D
A. This response dismisses the parent’s concerns and limits the child’s social and developmental opportunities. It does not address the underlying feelings or provide guidance on safe participation in school or sports.
B. Labeling the parent as “overprotective” is judgmental and may make the parent feel defensive. It does not encourage open communication or validate her concerns.
C. While well-being is important, this response does not explore the parent’s feelings or provide education about safely managing diabetes during physical activity. It may inadvertently reinforce anxiety rather than support informed decision-making.
D. This response is therapeutic and open-ended, encouraging the parent to express her concerns and emotions. It allows the nurse to assess the parent’s understanding, provide education about safe diabetes management during school and sports, and collaborate on strategies to promote the child’s participation while minimizing risk. This approach supports both parental reassurance and the child’s psychosocial development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["40"]
Explanation
Step 1: Determine the concentration per mL
Prednisone oral solution = 5 mg / 5 mL → 1 mg/mL
Step 2: Use the formula
Volume (mL) = Desired dose ÷ Concentration per mL
Volume = 40 ÷ 1 = 40 mL
Final Answer: 40 mL
Correct Answer is B
Explanation
A. Bubble baths, hot water, and frequent bathing can dry out the skin and exacerbate eczema (atopic dermatitis). Short, lukewarm baths with mild, fragrance-free cleansers are recommended instead.
B. Cool, wet compresses soothe inflamed skin, reduce itching, and decrease redness. They help calm acute flare-ups and provide symptomatic relief without irritating the skin, which is a cornerstone of eczema management.
C. Wool is a common irritant and can trigger eczema flare-ups. Children with eczema should wear soft, breathable fabrics, such as cotton, to prevent additional skin irritation.
D. Fabric softeners and scented laundry detergents can irritate sensitive skin and worsen eczema. Clothing should be washed with mild, fragrance-free detergents and rinsed thoroughly.
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