A nurse is teaching the guardian of a 2-year-old toddler about toilet training. The nurse should instruct the guardian that which of the following behaviors indicates the toddler is ready for toilet training?
The toddler wakes from naps with a dry diaper.
The toddler stays dry for 1 hr during the daytime.
The toddler is comfortable waiting for a diaper change.
The toddler sits on the toilet for 2 to 3 min before getting off.
A nurse is caring for a 6-week-old infant.
The Correct Answer is A
A. Waking from naps with a dry diaper indicates that the toddler’s bladder is able to hold urine for an extended period, a sign of physical readiness for toilet training.
B. Staying dry for 1 hour during the daytime is a good indication of bladder control and readiness for toilet training.
C. Comfort with waiting for a diaper change does not necessarily indicate readiness for toilet training.
D. Sitting on the toilet for 2 to 3 minutes is more about comfort than readiness, and toddlers may not sit still for that long.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Anti-nausea medication is not recommended unless prescribed by the provider and may mask symptoms of toxicity.
B. Increasing fluid intake is not a recommended response to vomiting from digoxin. Fluid balance should be monitored, but not specifically increased.
C. Mixing digoxin with formula is not advised because it can interfere with the absorption of the medication.
D. If an infant vomits after digoxin administration, the nurse should withhold the next dose and consult the provider before administering more. Vomiting may indicate digoxin toxicity, and giving the next dose without evaluation can be dangerous.
Correct Answer is B
Explanation
A. The anesthesiologist would typically explain their role, but the primary responsibility for explaining the procedure lies with the provider performing it.
B. If a guardian does not understand the procedure, the nurse should notify the provider to ensure that the guardian receives a full explanation. The provider is responsible for clarifying any misunderstandings regarding the procedure.
C. While the nurse can provide general information, the provider must explain the details of the procedure to ensure informed consent is obtained.
D. The nurse should not witness the consent unless the guardian fully understands and consents to the procedure.
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