A patient arrives at the hospital with a stained, ragged baby blanket.
When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.
What is the best course of action for the nurse?

Distract him until he gets involved in another activity, then take the blanket for washing.

Acknowledge that it seems to be his favorite blanket and allow him to keep it with him.

Tell him that you want to take it home to wash and that you will bring it back.

Suggest getting him another blanket so that he will not mind giving that one up. .

Answer and Explanation

The Correct Answer is B

Choice A rationale

Distracting the patient and then taking the blanket for washing might seem like a practical solution, but it can lead to trust issues. The patient may feel betrayed or tricked, which can negatively affect the therapeutic relationship between the nurse and the patient.

Choice B rationale

Acknowledging that the blanket seems to be his favorite and allowing him to keep it with him is the best course of action. The blanket likely provides comfort and security to the patient.

Taking it away, even temporarily, can cause distress. The nurse should respect the patient’s attachment to the blanket and look for alternative solutions for maintaining hygiene, such as offering to clean the blanket when the patient is ready to part with it temporarily.

Choice C rationale

Telling the patient that you want to take the blanket home to wash and that you will bring it back might not be reassuring enough for the patient. The patient may worry about the blanket getting lost or not returned, which can cause unnecessary anxiety.

Choice D rationale

Suggesting getting him another blanket so that he will not mind giving up the current one might not work. The patient’s attachment is likely to the specific blanket, not to blankets in general. A new blanket will not have the same familiarity and comforting effect as the old one.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Adding a school breakfast program is a crucial step in promoting health and wellness in schools. It ensures that all students, regardless of their socioeconomic status, start their day with a nutritious meal. This can improve their concentration, cognitive function, and academic performance.

Choice B rationale

Reducing saturated fat in the school lunch offering is another important measure. High intake of saturated fats is associated with increased risk of heart disease and obesity. By offering meals low in saturated fats, schools can help instill healthy eating habits in students.

Choice C rationale

Calorically sweetened beverages are not recommended for inclusion in school health and wellness programs. These beverages are high in sugar and can contribute to obesity, tooth decay, and other health problems.

Choice D rationale

Making fruits or vegetables available with all meals is a key part of a balanced diet. They provide essential vitamins, minerals, and dietary fiber, and their consumption can help prevent chronic diseases.

Choice E rationale

Offering after-school physical fitness activities can help students meet the recommended levels of physical activity, improve their physical fitness, and reduce the risk of obesity. These activities also provide opportunities for social interaction and skill development.

A. Infants’ primary caregivers often do not recognize symptoms early enough. B. Infants’ airways are smaller allowing for larger numbers of organisms to enter. C. Infants’ airways are narrow and obstruct more easily, trapping organisms. D. Infants’ respiratory rates are faster which does not allow them to cough effectively.

Correct Answer is C

Explanation

Choice A rationale

While it’s true that early recognition of symptoms can help in managing respiratory infections, this is not the primary reason why infants are at increased risk. Infants can be more susceptible to respiratory infections due to physiological factors rather than caregiver awareness.

Choice B rationale

Infants do have smaller airways compared to adults, which can allow for a larger number of organisms to enter. However, the size of the airways is not the main factor that increases the risk of respiratory infections in infants. Other factors, such as the maturity of the immune system and the ability to clear the airways, play a more significant role.

Choice C rationale

Infants’ airways are indeed narrow and can obstruct more easily, trapping organisms. This is one of the main reasons why infants are at an increased risk for respiratory infections. The narrow airways in infants can lead to increased resistance and decreased airflow, making it easier for organisms to invade and cause infections.

Choice D rationale

While it’s true that infants have faster respiratory rates than adults, this does not necessarily increase their risk for respiratory infections. A faster respiratory rate does not inhibit an infant’s ability to cough effectively. In fact, coughing is a protective reflex that can help clear the airways of mucus and foreign particles.

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A patient arrives at the hospital with a stained, ragged baby blanket.When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.What is the best course of action for the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school-based nurse is working with the local school district to promote health and wellness in a school with a large proportion of minority and underprivileged students.Which of the following will be included in the planning? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

The mother of an infant who has been treated for recurrent respiratory infections asks the nurse why infants are at increased risk for respiratory infections.Which of the following is the best response by the nurse?

Correct Answer is C

Explanation

The nurse is conducting physical assessments for a group of children at a local wellness clinic. Which child requires further evaluation?

The nurse is caring for a 9-month-old child.The nurse assesses the baby and finds all of the following data.Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?

The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration.Based on the information in the chart, what does the nurse determine about this patient during the 8-hour shift?

The nurse is caring for a newborn suspected to have esophageal atresia. Which of the following interventions must be the FIRST priority?

The nurse is providing education about age-appropriate activities to the parents of a 7-year-old child. Which of the following statements indicates a need for further teaching?

The nurse is teaching an adolescent girl about appropriate food choices.Which of the following best explains how to answer Questions based on cognitive development?

A nurse is caring for an infant with a tracheoesophageal fistula who is scheduled for surgery.What actions should the nurse anticipate taking in the pre-operative and intra-operative period? (Select all that apply)

A patient arrives at the hospital with a stained, ragged baby blanket.
When his mother tries to remove the blanket to take it home for washing, he hides under the bed and clings to the blanket.
What is the best course of action for the nurse?