A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?

"Ask her if she is ready to eat her sandwich for lunch."

"Tell her that she may have a sandwich or soup for lunch."

"Tell her she is having her favorite sandwich for lunch."

"Ask her if she would like to have her favorite sandwich for lunch.

Answer and Explanation

The Correct Answer is B

A. "Ask her if she is ready to eat her sandwich for lunch.": This gives the toddler a yes/no choice, which can invite refusal and worsen negativism, rather than redirecting it constructively.

B. "Tell her that she may have a sandwich or soup for lunch.": Offering limited choices allows the toddler to feel a sense of control and independence while still ensuring acceptable options. This approach helps minimize power struggles common with negativism.

C. "Tell her she is having her favorite sandwich for lunch.": This removes the toddler’s sense of autonomy and may trigger resistance since negativism stems from a desire for independence.

D. "Ask her if she would like to have her favorite sandwich for lunch.": This is a yes/no question, which may prompt a refusal instead of cooperation, making it less effective for managing negativism.

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Correct Answer is C

Explanation

A. "You should get an abdominal binder and try to keep the area covered": Covering the radiation site with binders or tight dressings can cause friction, moisture buildup, and irritation. The skin should be kept clean and protected without unnecessary pressure.

B. "You need to keep the area exposed to air and direct sunshine.": Direct sun exposure can worsen radiation-induced skin damage and increase the risk of burns. The area should be protected from sunlight throughout treatment.

C. "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry.": Gentle skin care helps reduce irritation and maintain skin integrity. Using mild soap and patting the skin dry prevents breakdown, which is the recommended approach during radiation therapy.

D. "Apply some triple antibiotic ointment to help the dryness and itching": Topical ointments should only be used if specifically prescribed, as many products can further irritate radiation-exposed skin. Moisturizers may be recommended, but antibiotic ointments are not routine.

A. Rapid respirations B. Neurological deficit C. Elevated temperature D. Inspiratory wheezing

Correct Answer is B

Explanation

A. Rapid respirations: While tachypnea is common in bacterial pneumonia due to increased oxygen demand, it does not directly increase aspiration risk. It reflects respiratory distress rather than impaired protective airway reflexes.

B. Neurological deficit: Children with neurological impairment may have reduced gag and swallow reflexes, poor airway clearance, or altered consciousness. These deficits significantly increase the risk for aspiration, making this the most concerning finding.

C. Elevated temperature: Fever is a systemic response to infection but does not contribute to aspiration risk. It signals the body’s inflammatory process rather than an impairment in airway protection.

D. Inspiratory wheezing: Wheezing indicates narrowed airways due to inflammation or obstruction but does not directly predispose to aspiration. It is a respiratory complication, not a swallowing or airway protection issue.

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Body system	Findings
Respiratory	Respiratory rate 26/min
Cardiovascular	Heart rate 112/min Capillary refill 4 seconds
Gastrointestinal	Hyperactive bowel sounds
Integumentary	Diaper area reddened Extremities cool Reports no tears
Neurologic	Lethargic

A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area. Which of the following statements by the nurse promotes proper skin integrity for the client?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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