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A nurse is teaching a parent of a preschool-age child about management of sleep terrors. Which of the following instructions should the nurse include?

A.

Remain uninvolved until the child awakens.

B.

Take the child to the parent's bed to resume sleep.

C.

Schedule professional counseling for the child.

D.

Allow the child to fall asleep with the television on.

Answer and Explanation

The Correct Answer is A

A. Remain uninvolved until the child awakens. This can be distressing for both the child and the parent. Parents should provide comfort and ensure the child is safe without trying to fully awaken them. Staying uninvolved until the child awakens ensures they do not reinforce the behavior inadvertently

B. Take the child to the parent's bed to resume sleep. This can create a dependency on sleeping with the parent and may disrupt the child's ability to self-soothe and sleep independently.

C. Schedule professional counselling for the child. While severe cases may benefit from professional help, many children experience sleep terrors that do not require counselling. It’s not the first-line approach.

D. Allow the child to fall asleep with the television on. This is not advisable as it can create unhealthy sleep habits and the light from the television can disrupt sleep cycles.


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Related Questions

Correct Answer is A

Explanation

A. Provide an infant with a one-piece pacifier for non-nutritive sucking. Correct. A one-piece pacifier is recommended to prevent choking hazards associated with pacifiers that can come apart.

B. Place an infant who is 5 months old in a high chair to feed. Infants typically do not have the necessary motor control to sit safely in a high chair until around 6 months of age when they can sit with minimal support.

C. Secure the infant's car seat behind an airbag. It is unsafe to place a car seat behind an airbag. Airbags can deploy with great force and potentially injure an infant. The safest place for a car seat is the back seat, away from airbags.

D. Position a 1-month-old infant supine on a soft mattress. Infants should be placed supine (on their back) to sleep to reduce the risk of sudden infant death syndrome (SIDS), but a firm mattress should be used, not a soft one, to prevent suffocation hazards.

Correct Answer is ["0.6"]

Explanation

Convert weight from pounds to kilograms:

    • 55 lb / 2.2 lb/kg = 25 kg

Calculate the total milligrams of diphenhydramine needed:

    • Dose (mg/kg) x Weight (kg) = Total milligrams
    • 1.25 mg/kg x 25 kg = 31.25 mg (round to 31.3 mg)

Determine the volume of diphenhydramine solution needed:

    • Total milligrams / Concentration (mg/mL) = Volume (mL)
    • 31.3 mg / 50 mg/mL = 0.63 mL (round to nearest tenth)

Therefore, the nurse should administer 0.6 mL of diphenhydramine 50 mg/mL

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