The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?
"Tell me about the circumstances when this occurs."
"Is there a family history of diabetes?"
"Suddenly having accidents can be a sign of diabetes."
"That's normal: don't worry about it."
The Correct Answer is A
A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.
Understanding the context can help identify possible underlying causes and guide appropriate interventions.
B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.
C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.
D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crayons and a coloring book: While coloring activities can be enjoyable and stimulating for toddlers, they may not be suitable for a hospitalized toddler in a confined room with contact precautions. Additionally, crayons and coloring materials may pose infection control risks.
B. Hanging crib toys: Hanging crib toys, such as mobiles or activity centers that attach to the crib, are suitable for stimulating visual and motor development in infants. They can provide entertainment and sensory stimulation for a hospitalized toddler in a confined room.
C. Large building blocks: Large building blocks are more suitable for older toddlers who have developed fine motor skills and coordination. They may not be appropriate for a 12-month-old toddler who is just beginning to explore objects and manipulate toys.
D. Modeling clay: Modeling clay presents a choking hazard and may not be suitable for a toddler who is still in the oral exploration stage. It is important to select toys that are age-appropriate and safe for a hospitalized toddler's developmental stage.
Correct Answer is D
Explanation
A. "I can fit my hand between the baby and the car seat harness."
This statement indicates that the harness may not be properly snug against the infant's body, which could compromise safety.
B. "Our car seat is front-facing in the back seat."
For a 6-month-old infant, the car seat should be rear-facing to provide optimal safety in the event of a crash. Front-facing seats are typically used for older children.
C. "The car seat is rear-facing in the front passenger seat."
Rear-facing car seats should never be placed in the front passenger seat, especially if the car is equipped with airbags. The back seat is the safest location for a car seat.
D. "Our car seat is an infant model and is anchored in the car."
This statement indicates that the parent understands the importance of using an appropriate car seat for the infant's age and size and that the seat is properly installed and secured in the vehicle.
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