A second grader enters the school nurse's office crying and states, "I feel sick. My tummy hurts." The nurse replies, "I'll call your mommy or daddy to come pick you up." The child replies, "I don't have a mommy. I have two daddies." Which of the following comments by the nurse is appropriate?
Of course you have a mommy. You just don't live with your mommy.
It must be interesting to live with two men and no women in the household.
I'll call one of your daddies to come pick you up.
That's right. I forgot your parents are gay.
The Correct Answer is C
Choice A reason: This is not appropriate because it denies the child's reality and implies that having two daddies is not normal. It may also hurt the child's feelings and make them feel ashamed of their family.
Choice B reason: This is not appropriate because it sounds judgmental and curious about the child's family structure. It may also make the child feel uncomfortable and different from other children.
Choice C reason: This is appropriate because it accepts the child's statement and shows respect for their family. It also focuses on the child's immediate need and comfort.
Choice D reason: This is not appropriate because it sounds sarcastic and dismissive of the child's family. It may also make the child feel angry and defensive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not the correct answer because Synagis® is a monoclonal antibody that is given as a prophylaxis to prevent severe RSV infection in high-risk infants. It is not effective as a treatment for RSV bronchiolitis.
Choice B reason: This is not the correct answer because antiviral medication is not routinely recommended for RSV bronchiolitis, as it has not been shown to improve outcomes. Limiting fluids and giving antitussives may also be harmful, as they can cause dehydration and suppress the cough reflex.
Choice C reason: This is not the correct answer because IV antibiotics are not indicated for RSV bronchiolitis, which is a viral infection. Antibiotics may increase the risk of antibiotic resistance and adverse effects.
Choice D reason: This is the correct answer because oxygen mist therapy can help humidify the air and relieve the respiratory distress. IV fluids can prevent dehydration and maintain electrolyte balance. Hand washing can prevent the spread of RSV infection to other patients and staff.
Correct Answer is A
Explanation
Choice A reason: This statement is true because children, especially young children, may have difficulty expressing their pain or may be ignored by health care providers who underestimate their pain. Therefore, they may not receive adequate pain relief.
Choice B reason: This statement is false because children experience pain with procedures just as much as adults, if not more. Children may have more fear and anxiety associated with pain, which can amplify their perception of pain.
Choice C reason: This statement is false because infants experience pain as much as older children and adults. Infants have a fully developed nervous system that can sense and respond to pain stimuli. Infants may also have more long-term effects of pain, such as altered pain sensitivity and behavioral problems.
Choice D reason: This statement is false because children have a very low risk of becoming addicted to narcotics when they are used appropriately for pain management. Addiction is a psychological phenomenon that involves craving and compulsive use of a substance, which is rare in children who receive narcotics for pain relief.
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