A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:

Developmental delays occur because of hospitalizations.

The child is too young to be potty trained.

Regression is sometimes seen during hospitalization.

The child is experiencing urinary urgency as a result of the hospitalization.

Answer and Explanation

The Correct Answer is C

A. Developmental delays occur because of hospitalizations.

This statement implies that the hospitalization itself causes developmental delays, which is not accurate. Hospitalization might disrupt routines, but it does not directly cause developmental delays.

B. The child is too young to be potty trained.

The child was previously "potty-trained," so age is not the primary factor. Regression in toilet training can occur for various reasons.

C. Regression is sometimes seen during hospitalization.

This statement is correct. Regression, including reverting to behaviors like wearing diapers, can occur in response to stress, illness, or changes in routine, such as hospitalization.

D. The child is experiencing urinary urgency as a result of the hospitalization.

While urinary urgency can be a possibility, the given scenario emphasizes the regression to wearing diapers, which is more indicative of behavioral regression rather than a physical issue like urgency.

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Correct Answer is D

Explanation

A. "I should keep my infected child away from his brother until he has recovered."

This statement is correct. Keeping an infected child away from siblings can help prevent the spread of bronchiolitis.

B. "I should insist that anyone who comes in contact with my children thoroughly wash their hands before playing with them."

This statement is correct. Handwashing is an important preventive measure to reduce the transmission of viruses that can cause bronchiolitis.

C. "I should insist that anyone with a respiratory illness avoid contact with my children until well."

This statement is correct. Avoiding contact with individuals who have respiratory illnesses helps reduce the risk of bronchiolitis.

D. "I should make sure both my children get a vaccination for bronchiolitis this year."

This statement needs further clarification. There isn't a specific vaccine for bronchiolitis. However, vaccination against certain viruses, such as the influenza virus (flu), can help prevent respiratory infections that may lead to bronchiolitis.

A. Use self/parent report, behavioral, and physiological factors B. Ask the parents for a pain rating C. Look for behavioral clues for pain such as crying D. Use measures of heart rate and respiratory rate

Correct Answer is A

Explanation

A. Use self/parent report, behavioral, and physiological factors

This choice emphasizes a comprehensive approach to pain assessment, considering self-report if the child can communicate, parent report for younger children or those unable to express themselves verbally, and a combination of behavioral and physiological factors. This approach recognizes the multidimensional nature of pain and aims to gather information from various sources for a more accurate assessment.

B. Ask the parents for a pain rating

While parents' input is valuable, relying solely on parental perception may not capture the full picture of the child's pain experience. It's important to consider other aspects, including the child's self-report (if possible) and behavioral and physiological factors.

C. Look for behavioral clues for pain such as crying

Behavioral observation is a crucial component of pain assessment. However, relying solely on crying may overlook subtle cues or variations in how different children express pain. A more comprehensive approach involves considering various behavioral indicators.

D. Use measures of heart rate and respiratory rate

Physiological measures, such as heart rate and respiratory rate, can provide additional information but should not be used in isolation. Physiological responses can vary, and other dimensions of pain assessment, including self-report and behavioral observations, should be considered for a more complete understanding.

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A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement indicates the parent needs further teaching on the prevention of bronchiolitis?

Correct Answer is D

Explanation

When assessing a child's pain, the best approach is for the nurse to:

Correct Answer is A

Explanation

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