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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Time the episode. Correct. Timing the seizure is crucial because it helps determine the length and severity of the seizure, which is important for medical evaluation and treatment decisions.
B. Administer chlorothiazide. Chlorothiazide is a diuretic used for conditions like hypertension and edema, not for managing seizures. The correct medication for acute seizure management could be an anticonvulsant like diazepam or lorazepam.
C. Place the child in a prone position. Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. The child should be placed in a side-lying position to maintain an open airway and prevent aspiration.
D. Hold the child down. Holding the child down can cause injury. The appropriate action is to ensure the child is safe from injury by moving objects away and cushioning the head, without restraining movements.
Correct Answer is B
Explanation
A. "I should withhold my child's medication before physical activity." Withholding medication is not advised as prednisone helps manage inflammation. The child may require medication to control symptoms during physical activity.
B. "My child might experience mood swings." Mood swings are a known side effect of prednisone, a corticosteroid. This statement indicates correct understanding.
C. "I should take my child to the clinic for a weekly blood test." Routine weekly blood tests are not typically required for prednisone. Monitoring might be necessary, but not weekly blood tests.
D. "My child might have a decreased appetite." Prednisone often causes increased appetite rather than decreased. This statement is incorrect.
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