The father of a toddler asks a nurse at a well-child clinic what to do when his child kicks and screams during temper tantrums.
Which of the following responses should the nurse make?
Tell your toddler that temper tantrums are not acceptable.
You should punish your toddler when the tantrum stops.
You should ignore your toddler’s temper tantrums.
You should offer your child a reward if he stops the tantrum.
The Correct Answer is C
Choice A rationale
While it’s important to set boundaries and expectations for behavior, telling a toddler that temper tantrums are not acceptable may not be effective. Toddlers are still learning how to manage their emotions and may not fully understand this concept.
Choice B rationale
Punishing a toddler after a tantrum can reinforce the negative behavior. It’s better to ignore the tantrum and then praise the child when they are behaving appropriately.
Choice C rationale
Ignoring a toddler’s temper tantrums can be an effective strategy. By not giving attention to the negative behavior, the toddler learns that tantrums are not a successful way to get what they want.
Choice D rationale
Offering a reward if the child stops the tantrum can reinforce the negative behavior. The child may learn to start tantrums in order to receive a reward for stopping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While assistance may be needed to comfort the toddler during the procedure, holding the toddler in a prone position is not the recommended position for a lumbar puncture.
Choice B rationale
Placing the toddler in a side-lying, knee-chest position is the correct position for a lumbar puncture. This position helps to open up the spaces between the vertebrae, making it easier to access the spinal canal.
Choice C rationale
Restraining the toddler for 1 hour after the procedure is not necessary and could cause distress to the toddler.
Choice D rationale
While swaddling the toddler in a warm blanket may provide comfort, it is not a necessary step in the administration of a lumbar puncture.
Correct Answer is A
Explanation
Choice A rationale
Edema in the palm of the hand is a sign of IV infiltration. IV infiltration occurs when IV fluids or medications leak into the surrounding tissues outside the intended vein. This can cause swelling or edema, which is a common sign of infiltration.
Choice B rationale
Absence of blanching at the insertion site is not necessarily an indication of an infiltration. Blanching (whitening of the skin) can occur due to various reasons, including pressure on the site or a reaction to the IV fluid or medication. However, it is not a definitive sign of infiltration.
Choice C rationale
Warmth around the insertion site is not a definitive sign of an infiltration. While warmth can occur due to inflammation or infection, it is not a specific sign of infiltration.
Choice D rationale
Blood in the IV tubing is not a definitive sign of an infiltration. While blood can back up into the IV tubing due to various reasons, including a blocked or kinked catheter, it is not a specific sign of infiltration.
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