A nurse is caring for a new mother who is concerned that her newborn has strabismus. Which of the following statements is a therapeutic response by the nurse?

"This is a concern, but strabismus is easily treated with patching."

"I will take your baby to the nursery for further examination."

"This occurs because newborns lack muscle control to regulate eye movement."

"I will call your primary care provider to report your concerns."

Answer and Explanation

The Correct Answer is C

A.   While strabismus may be treated with interventions such as patching, it is not always immediately concerning in newborns. The nurse should first provide accurate information about normal development.
B.   Taking the baby to the nursery may not be necessary unless the child’s condition worsens or there is a
clear concern. A thorough assessment and explanation by the nurse are more appropriate.
C.   Strabismus is common in newborns due to the immaturity of eye muscle control and usually resolves as the child develops. This is the most therapeutic response as it provides reassurance based on developmental norms.
D.   Calling the primary care provider might be premature unless the nurse identifies a significant concern beyond normal development.

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Correct Answer is B

Explanation

A. Improved hydration is important for managing symptoms but is not directly related to the effectiveness of a cool mist humidifier.
B. Stridor is a hallmark sign of airway obstruction and inflammation in laryngotracheobronchitis. A decrease in stridor indicates that the airways are less inflamed and the child is improving, which is a positive outcome of the humidification treatment.
C. A barking cough is characteristic of croup (laryngotracheobronchitis), and while treatment may help reduce symptoms, it may not resolve completely with the use of a humidifier.
D. While a decreased temperature may indicate improvement in a fever, it is not directly tied to the use of a humidifier. Stridor is a more specific sign of airway improvement in this condition.

A. This is normal behavior for a two-year-old child. B. The toddler isn't effectively coping with the stress. C. This behavior suggests the need for further assessment. D. The toddler's need for affection isn't being met.

Correct Answer is A

Explanation

A. It is normal for toddlers to exhibit defiance, say "no" often, and become upset when scolded as part of the development of autonomy and independence. Seeking comfort afterward is also typical.

B. While the toddler may be struggling with emotional regulation, this behavior is typical and does not necessarily indicate ineffective coping.
C. There is no indication that further assessment is necessary unless other concerns arise. This behavior is normal for the developmental stage.
D. The toddler's behavior is not necessarily due to unmet affection; it is more likely part of the developmental process.

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A nurse is caring for a new mother who is concerned that her newborn has strabismus. Which of the following statements is a therapeutic response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old with acute laryngotracheobronchitis using a cool mist humidifier. Which of the following findings indicates that the treatment has been effective?

Correct Answer is B

Explanation

A nurse is speaking to the parent of a 22-month-old child who states the child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly, then later wants to be held. How should the nurse best interpret this toddler's behavior?

Correct Answer is A

Explanation

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