A nurse is caring for a toddler with difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?
Turn off the room light.
Provide bedtime rituals.
Encourage play exercises in the evening.
Explain the source of the toddler's fears.
The Correct Answer is B
A. Turn off the room light: Turning off all lights can sometimes increase anxiety in toddlers unfamiliar with their surroundings. A dim nightlight is often better to comfort them and reduce fear of the dark.
B. Provide bedtime rituals: Bedtime routines like reading a book or singing help toddlers feel secure, especially in unfamiliar environments like hospitals. Consistency supports sleep readiness and reduces stress.
C. Encourage play exercises in the evening: Stimulating activity before bed can delay sleep onset and make it harder for toddlers to settle down. Active play is best reserved for earlier in the day.
D. Explain the source of the toddler's fears: Toddlers have limited cognitive understanding and may not be reassured by explanations. Comfort and routine are more effective for easing nighttime fears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "This is the safest and easiest way to administer this medication." While safety and ease are important, the primary reason for pulling the auricle down and back in toddlers is to properly align the ear canal for medication delivery, not just convenience or safety.
B. "When this technique is used, the toddler experiences less pain." Although proper technique can reduce discomfort, the main goal is to straighten the ear canal for better medication flow rather than directly reducing pain.
C. "This technique opens the ear canal, allowing medication to reach the inner ear region." Pulling the auricle down and back straightens the ear canal in toddlers and young children, which facilitates the medication’s access to the tympanic membrane and middle ear area, improving effectiveness.
D. "When this technique is used, the medication will not run out of the ear." Medication retention depends on administration and positioning after drops, but pulling the auricle down and back primarily helps open the canal.
Correct Answer is D
Explanation
A. Serum bilirubin level has increased from 6 hr ago: An increase in bilirubin suggests that phototherapy is not working effectively or that bilirubin is still accumulating faster than it is being broken down. This finding indicates a need for further assessment or adjustments to therapy.
B. Jaundice moves from chest to groin level: Jaundice typically progresses in a cephalocaudal direction. Movement toward the groin reflects worsening hyperbilirubinemia rather than improvement, so this would not indicate effective treatment.
C. Hemoglobin and hematocrit have increased: These values are not direct indicators of bilirubin reduction or phototherapy effectiveness. Elevated levels could reflect dehydration or other unrelated factors in a newborn.
D. Transcutaneous bilirubin (TCB) level has decreased from 6 hr ago: A decreasing TCB level shows that bilirubin levels are lowering in response to phototherapy. This is the most reliable, noninvasive indicator that the treatment is effective and progressing as intended.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.