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?

Remain uninvolved until the child awakens.

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

Schedule professional counseling for the child.

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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Correct Answer is D

Explanation

A. Decreased heart rate: Dehydration typically causes an increased heart rate (tachycardia) rather than a decreased heart rate.

B. Bulging fontanelle: A bulging fontanel can indicate increased intracranial pressure or overhydration. Dehydration, which is more common with diarrhea, would more likely cause a sunken fontanel.

C. Polyuria: Polyuria (increased urine output) is not expected with dehydration. Dehydration often results in oliguria (decreased urine output).

D. Increased haematocrit: Correct. Dehydration can cause hemoconcentration, which leads to an increased haematocrit as the blood becomes more concentrated.

A. "You should use a mild detergent for your child's laundry." B. "You can apply gloves to your child's hands." C. "You should cut and file your child's fingernails frequently." D. "You should apply emollients to your child's skin after bathing." E. "You should apply a thick layer of pimecrolimus cream to your child's lesions." F. "Your child's condition is contagious when lesions are present." G. "Your child will experience occasional flare-ups of this condition."

Correct Answer is ["A","B","C","D","F","G"]

Explanation

A. "You should use a mild detergent for your child's laundry.": Correct. Using a mild detergent helps to minimize irritation and sensitivity, especially for children with skin conditions like eczema, which may benefit from pimecrolimus cream.
B. "You can apply gloves to your child's hands.": Correct. Applying gloves can prevent scratching and further irritation to the skin, especially if the child has lesions or eczema on their hands.
C. "You should cut and file your child's fingernails frequently.": Correct. Keeping the child's fingernails short and filed can prevent accidental scratching and trauma to the skin, reducing the risk of exacerbating skin lesions.
D. "You should apply emollients to your child's skin after bathing.": Correct. Emollients help to moisturize the skin and prevent dryness, which can be beneficial for children with skin conditions like eczema. Applying emollients after bathing helps to lock in moisture.
E. "You should apply a thick layer of pimecrolimus cream to your child's lesions.": Incorrect. Pimecrolimus cream should be applied in a thin layer to the affected skin areas, as directed by the healthcare provider. Using a thick layer may not improve efficacy and could increase the risk of side effects.
F. "Your child's condition is contagious when lesions are present.": Correct. It's important for the guardian to understand that certain skin conditions, such as eczema, may not be contagious themselves but can become infected if lesions are present and scratched, leading to bacterial or viral infections.
G. "Your child will experience occasional flare-ups of this condition.": Correct. Skin conditions like eczema often have a chronic and relapsing course, with periods of exacerbation (flare-ups) and remission. Providing this information helps the guardian understand the chronic nature of the condition and the need for ongoing management and monitoring.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse in the emergency department is preparing to discharge a 3-year-old child. Exhibits Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

Correct Answer is ["A","B","C","D","F","G"]

Explanation

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