During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

“That must be confusing, but it’s important for you to support her.”

“Your sister didn’t want to lose her arm; you shouldn’t feel embarrassed.”

“Your sister probably feels more embarrassed than you do.”

“That must be hard. I know you love your sister; it’s normal for you to feel a little embarrassed.”

Answer and Explanation

The Correct Answer is D

Choice A reason: Labeling the feeling as confusion dismisses the child’s embarrassment and focuses on the sister’s needs. Validating the child’s emotions while affirming love normalizes her feelings, making this less empathetic and incorrect for addressing the child’s specific concern about embarrassment during the checkup.

Choice B reason: Stating the sister didn’t want the amputation and shouldn’t cause embarrassment shames the child, dismissing her feelings. Acknowledging embarrassment as normal is more supportive, making this judgmental and incorrect for therapeutically addressing the child’s emotional concern in the clinical setting.

Choice C reason: Suggesting the sister feels more embarrassed speculates on her emotions and minimizes the child’s feelings. Validating the child’s embarrassment while affirming love is more empathetic, making this unhelpful and incorrect for addressing the child’s expressed concern appropriately during the visit.

Choice D reason: Acknowledging the difficulty, affirming love, and normalizing embarrassment validates the child’s feelings while fostering support for her sister. This empathetic response aligns with pediatric psychosocial care principles, making it the most appropriate statement to address the child’s concerns effectively in the checkup.

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Correct Answer is A

Explanation

Choice A reason: Holding the buttocks together for 1-2 minutes after suppository insertion prevents expulsion, ensuring the medication is absorbed in a 3-month-old. This aligns with pediatric medication administration protocols, making it the correct intervention to assure effective delivery of the rectal suppository in this infant.

Choice B reason: Pre-warming the suppository is not standard, as it may soften excessively, complicating insertion. Holding the buttocks ensures retention, directly impacting absorption, making this less effective and incorrect compared to the critical step of preventing expulsion in a 3-month-old during suppository administration.

Choice C reason: Using the index finger is inappropriate for an infant, as the pinky finger is safer for their small rectum. Holding the buttocks ensures medication retention, making this unsafe and incorrect compared to the prioritized intervention for effective suppository administration in a 3-month-old child.

Choice D reason: Placing the child on the abdomen may aid positioning but does not ensure suppository retention like holding the buttocks. Retention is critical for absorption, making this less essential and incorrect compared to the direct intervention of securing the suppository in place post-insertion for the infant.

A. “The purpose of this form of suctioning is to remove secretions from the nose and mouth.” B. “If possible, the child should be asked to cough before suctioning.” C. “Sterile normal saline drops are used to loosen the dried secretions prior to nasal suctioning.” D. “Such suctioning is only done with a bulb syringe.”

Correct Answer is D

Explanation

Choice A reason: Suctioning removes secretions from the nose and mouth, a correct purpose. This statement reflects accurate understanding of the procedure’s goal, making it correct and not requiring further instruction, unlike the misconception about exclusive bulb syringe use in suctioning discussed in the seminar.

Choice B reason: Asking a child to cough before suctioning clears airways and is appropriate when feasible, showing correct knowledge. This does not indicate a need for instruction, making it incorrect compared to the incorrect limitation of suctioning to bulb syringes only in the student’s statement.

Choice C reason: Using sterile saline drops to loosen secretions is a standard practice in nasal suctioning, reflecting accurate technique. This statement is correct, making it incorrect for needing further instruction, unlike the erroneous restriction of suctioning to bulb syringes alone in the seminar discussion.

Choice D reason: Suctioning is not limited to bulb syringes; catheter or mechanical suction is used in clinical settings for deeper secretions. This statement reflects a misunderstanding, requiring further instruction on suctioning methods, aligning with pediatric nursing standards, making it the correct choice for additional teaching.

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During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

Correct Answer is A

Explanation

The nurse is presenting a post-conference seminar to a group of nursing students on the topic of suctioning of a child. Which statement made by a student demonstrates a need for further instruction on this procedure?

Correct Answer is D

Explanation

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