A nurse is providing health promotion education to the parents of a toddler.
Which information should the nurse include in the teaching? (Select all that apply.)

Need for increased caloric intake.

How to establish trust.

Management of tantrums.

How to encourage cooperative play.

Dental care.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale

Toddlers have high energy needs, so they need a diet that provides enough calories. Parents should be educated on providing a balanced diet that includes a variety of foods to meet their toddler’s nutritional needs.

Choice B rationale

Establishing trust is more relevant to infancy, when babies learn to trust their caregivers to meet their needs. While it’s still important as children grow, it’s not a key point of health promotion education for parents of toddlers.

Choice C rationale

Toddlers often express their independence and frustration through tantrums. Parents should be educated on how to handle tantrums in a calm, consistent manner, and how to teach their child appropriate ways to express their feelings.

Choice D rationale

Cooperative play is a part of social development in toddlers. Parents should be educated on how to encourage this type of play, such as arranging playdates with children of a similar age.

Choice E rationale

Dental care is important for toddlers. Parents should be educated on how to care for their toddler’s teeth and gums, including brushing their teeth twice a day and scheduling regular dental check-ups.

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Correct Answer is D

Explanation

Choice A rationale

Glucocorticoid medications are not typically used in the treatment of diabetic ketoacidosis (DKA). These medications can actually increase blood glucose levels, which would not be beneficial in a situation where blood glucose is already significantly elevated.

Choice B rationale

Dextrose 5% in 0.45% sodium chloride is not typically used in the initial treatment of DKA. This solution contains glucose, which would add to the already high blood glucose levels in DKA5.

Choice C rationale

Oral hypoglycemic medications are not typically used in the treatment of DKA. These medications are generally used in the management of type 2 diabetes. In DKA, which is more common in type 1 diabetes, insulin is usually required to lower blood glucose levels.

Choice D rationale

A 0.9% sodium chloride IV bolus is often part of the initial treatment for DKA. This helps to replace the fluid lost through excessive urination, a common symptom of DKA5.

A. The patient’s legs are not swollen. B. The patient reports an improvement in mood. C. The patient’s blood pressure is within the expected range. D. The patient reports a recent weight loss.

Correct Answer is B

Explanation

Choice A rationale

While swelling in the legs can be a side effect of some medications, it is not a measure of the effectiveness of sertraline. Sertraline is an antidepressant, and its effectiveness would be measured by improvements in mood and behavior.

Choice B rationale

An improvement in mood is a key indicator that the sertraline is effective. Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other mood disorders. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

Choice C rationale

While it’s important to monitor blood pressure in patients taking any medication, a blood pressure within the expected range is not specifically an indication of the effectiveness of sertraline.

Choice D rationale

Weight loss is not a primary indicator of the effectiveness of sertraline. While some patients may experience weight changes while taking this medication, it is not a measure of its effectiveness in treating depression or other mood disorders.

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A nurse is providing health promotion education to the parents of a toddler.Which information should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. What prescription should the nurse anticipate from the provider?

Correct Answer is D

Explanation

A nurse is assessing a patient who has been taking sertraline for 2 weeks.Which finding should the nurse identify as an indication that the medication is effective?

Correct Answer is B

Explanation

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A nurse is providing health promotion education to the parents of a toddler.
Which information should the nurse include in the teaching? (Select all that apply.)