r>59. nurse is teaching a parent about home interventions for a preschooler who is experiencing night terrors.
Which of the following instructions should the nurse include in the teaching?
Wait until your child indicates that he is tired before putting him to bed
Allow your child to watch an animated movie over night before bedtime
Wake your child up during the night terror
Avoid allowing you child to sleep in your bed
The Correct Answer is C
Choice A rationale
While it’s important for a child to have adequate sleep, waiting until the child indicates that they are tired before putting them to bed may not be the best approach. Children often do not recognize their own signs of fatigue and may become overtired, which can actually make it more difficult for them to fall asleep and stay asleep.
Choice B rationale
Allowing a child to watch an animated movie before bedtime may seem like a harmless routine, but it can actually interfere with their sleep. The light from the screen can suppress the production of melatonin, the hormone that regulates sleep, and the content of the movie can be stimulating rather than relaxing.
Choice C rationale
Waking your child up during a night terror can be beneficial. Night terrors occur during the deepest stages of sleep and can be frightening for both the child and the parents. By gently waking your child before the usual time of a night terror, you can interrupt the sleep cycle and potentially prevent the night terror from occurring.
Choice D rationale
While it may be tempting to allow your child to sleep in your bed, especially if they are experiencing night terrors, this is not typically recommended. Co-sleeping can create a dependency and make it more difficult for the child to learn to self-soothe and fall asleep independently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: A cooling blanket is typically used to manage hyperthermia in conditions like malignant hyperthermia, not routine postoperative recovery. It might cause the toddler to become too cold, leading to hypothermia or discomfort.
Choice B rationale: IV dantrolene sodium is administered for malignant hyperthermia, a rare but serious reaction to certain anesthesia medications. It is not appropriate for routine surgical recovery unless such a reaction is suspected or diagnosed.
Choice C rationale: Using an incentive spirometer encourages deep breathing, helping to prevent postoperative respiratory complications like atelectasis and pneumonia. It is an effective tool to promote lung expansion and improve oxygenation in the recovering toddler.
Choice D rationale: Administering aspirin to a toddler is not recommended due to the risk of Reye's syndrome, a serious condition causing swelling in the liver and brain. Alternative pain management strategies should be utilized for pediatric patients.
Correct Answer is C
Explanation
Choice A rationale
Jacket restraints are typically used to secure a child’s arms during procedures. They are not specifically designed for venipuncture in infants.
Choice Drationale
Elbow restraints are used to secure the child’s elbows, often during procedures involving the upper body. They are not typically used for venipuncture.
Choice Brationale
Mitten restraints are used to prevent the child from scratching or removing tubes. They are not typically used for venipuncture.
Choice Crationale
Mummy restraints are often used for infants during procedures like venipuncture. They allow the child to be wrapped securely while leaving one area exposed for the procedure.
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