A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

"Award the child with a sticker when he sits on the potty chair."

"Play the child's favorite song while teaching him to use the potty chair."

"Teach multiple steps of the skill at the same time."

"Scold the child when he has a toileting accident."

Answer and Explanation

The Correct Answer is A

A. Positive reinforcement, such as giving stickers for sitting on the potty, is an effective way to encourage toilet training in toddlers, especially those with cognitive impairments.

B. Playing a favorite song can help with the process but is not as effective as a structured reinforcement like rewarding the child for participating in the activity.

C. Teaching multiple steps at once can be overwhelming for a toddler with cognitive impairments. It is better to break the task into simple, manageable steps.

D. Scolding the child for accidents can cause shame and hinder progress. Positive reinforcement is more effective than punishment.

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Correct Answer is B

Explanation

A. Typically, infants are kept NPO for 1-2 hours before a lumbar puncture, not 6 hours.

B. Holding the infant’s chin to the chest and knees to the abdomen during the lumbar puncture is the correct positioning. This position opens the intervertebral spaces and allows for easier access to the spinal cord.

C. Eutectic mixture of lidocaine and prilocaine (EMLA) cream should be applied 60 minutes before the procedure for effective local anesthesia, not 15 minutes.

D. After the procedure, the infant should be placed flat to avoid pressure on the lumbar area, not in an infant seat. The infant should be positioned on their back or side to prevent strain.

A. "Palliative care will begin once your child has been given 6 months left to live." B. "Palliative care only addresses your child's physical and mental needs." C. "Your child will have the final say in all decisions regarding palliative care." D. "The primary goal of palliative care is to improve your child's quality of life."

Correct Answer is D

Explanation

A. Palliative care can begin at any stage of a serious illness, not just when a prognosis of 6 months or less is given.

B. Palliative care addresses not only physical and mental needs but also social, emotional, and spiritual needs to improve the overall quality of life.

C. While the child's preferences are important, palliative care decisions are often made collaboratively with the family and healthcare team, rather than the child having the final say.

D. The primary goal of palliative care is to improve the quality of life for children and their families by managing symptoms and providing support.

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A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse is teaching the parents of a school-age child about palliative care. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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