Parents tell the nurse that their toddler daughter eats little at mealtimes, only sits at the table with the family briefly, and wants snacks "all the time". The nurse should recommend that the parents:
Give her planned, frequent, and nutritious snacks.
Explain to her in a firm manner what is expected of her.
Avoid snacks so she is hungry at mealtimes.
Offer rewards for eating at mealtimes.
The Correct Answer is A
Choice A reason: Giving the toddler planned, frequent, and nutritious snacks is a good way to meet her nutritional needs and respect her natural appetite. Toddlers have small stomachs and high energy levels, so they may not eat much at one sitting. They may also be easily distracted or bored by sitting at the table for too long. Snacks can provide additional calories and nutrients that they may miss at mealtimes. However, the snacks should be healthy, such as fruits, vegetables, cheese, yogurt, or whole-grain crackers. They should also be offered at regular times, not on demand, and not too close to mealtimes.
Choice B reason: Explaining to the toddler in a firm manner what is expected of her is not a helpful or realistic strategy to improve her eating habits. Toddlers are naturally curious and independent, and they may not understand or follow the rules that adults set for them. They may also resist or rebel against pressure or coercion to eat. Instead of lecturing or scolding the toddler, the parents should model good eating behaviors, praise her when she tries new foods, and avoid power struggles or arguments over food.
Choice C reason: Avoiding snacks so the toddler is hungry at mealtimes is not a wise or healthy suggestion. This may backfire and cause the toddler to become more fussy, irritable, or tired. It may also lead to overeating, bingeing, or unhealthy food choices later on. Hunger is not the only factor that influences a toddler's appetite. Other factors include mood, activity level, environment, and preferences. The parents should not use hunger as a tool to manipulate the toddler's eating, but rather respect her hunger and fullness cues.
Choice D reason: Offering rewards for eating at mealtimes is not a beneficial or sustainable method to encourage the toddler to eat. Rewards may be material, such as toys or stickers, or edible, such as sweets or desserts. Rewards may work temporarily, but they may also have negative consequences. They may undermine the toddler's intrinsic motivation to eat, or make her associate eating with external rewards rather than internal satisfaction. They may also create an imbalance in the value of different foods, or make the toddler feel guilty or deprived. The parents should not bribe or bargain with the toddler to eat, but rather make eating a pleasant and enjoyable experience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Unfamiliar equipment should be shown to the child and the family before the surgery, as part of the preoperative education and preparation. This can help reduce the child's fear and anxiety, as well as increase the child's understanding and cooperation during the surgery¹.
Choice B reason: Explain that an endotracheal tube will be needed for the surgery, regardless of how well it goes. The endotracheal tube is inserted through the mouth or nose into the trachea to provide mechanical ventilation during the surgery and the immediate postoperative period. The child and the family should be informed about the purpose, duration, and possible complications of the endotracheal tube, as well as the methods of communication and comfort measures².
Choice C reason: Mention the postoperative discomfort and interventions that the child may experience after the surgery, such as pain, nausea, chest tubes, drains, dressings, and monitors. The child and the family should be reassured that these are normal and expected, and that the nurse will provide adequate pain relief and care. The child and the family should also be taught about the postoperative activities and exercises, such as deep breathing, coughing, turning, and leg movements, to promote recovery and prevent complications³.
Choice D reason: Let the child hear the sounds of an ECG monitor, as well as other equipment that will be used during the surgery, such as a blood pressure cuff, an oxygen mask, and an IV pump. This can help familiarize the child with the sounds and sensations that he or she will encounter during the surgery, and reduce the fear of the unknown. The child should also be encouraged to ask questions and express feelings about the surgery⁴.
Correct Answer is C
Explanation
Choice A reason: This is not a correct statement, as coarse breath sounds, abnormal ECG, and joint pain are not typical signs and symptoms of Kawasaki disease. Coarse breath sounds may indicate respiratory infection or congestion, abnormal ECG may indicate cardiac arrhythmia or damage, and joint pain may indicate arthritis or inflammation¹.
Choice B reason: This is not a correct statement, as murmur, tachycardia, and low erythrocyte sedimentation rate are not typical signs and symptoms of Kawasaki disease. Murmur may indicate a heart valve problem, tachycardia may indicate fever or dehydration, and low erythrocyte sedimentation rate may indicate anemia or inflammation¹.
Choice C reason: This is the correct statement, as fever, "strawberry tongue", and peeling palms and soles are typical signs and symptoms of Kawasaki disease. Fever is the most common symptom, lasting for more than five days and not responding to antibiotics or antipyretics. "Strawberry tongue" is a term used to describe the red, swollen, and cracked appearance of the tongue. Peeling palms and soles are a late sign, occurring in the second or third week of the illness¹².
Choice D reason: This is not a correct statement, as abdominal pain, vomiting, and restlessness are not typical signs and symptoms of Kawasaki disease. Abdominal pain and vomiting may indicate gastrointestinal infection or irritation, and restlessness may indicate discomfort or anxiety¹.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today