The nurse is conducting teaching with the caregivers of a child who is being discharged from the pediatric unit. The care provider has recommended the child have moist heat applications at home. In conducting teaching with this caregiver, the nurse will teach the caregiver to use which of the following to provide the moist heat?
An electric heating pad
Towels dampened and heated in the microwave
A hot water bottle
Towels dampened with hot water
The Correct Answer is D
Choice A reason: An electric heating pad provides dry heat, not moist heat, which is needed for deeper tissue penetration and comfort. Towels dampened with hot water deliver moist heat effectively, making this incorrect for the caregiver’s instruction on providing the recommended therapy at home for the child.
Choice B reason: Microwave-heated towels risk uneven heating and burns, making them unsafe for moist heat application. Towels dampened with hot water ensure controlled, safe moist heat, making this unreliable and incorrect for the caregiver’s home application of moist heat therapy as recommended.
Choice C reason: A hot water bottle provides dry heat, not moist, as it does not involve dampness. Towels dampened with hot water meet the moist heat requirement, making this incorrect, as it fails to deliver the specific type of heat therapy recommended for the child’s home care.
Choice D reason: Towels dampened with hot water provide safe, effective moist heat, penetrating tissues and soothing the child’s condition as recommended. This method aligns with pediatric home care instructions, making it the correct choice for teaching the caregiver about moist heat application at home.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.
Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.
Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.
Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.
Correct Answer is B
Explanation
Choice A reason: Imitating adult behavior to be nice does not explain the child’s withdrawal and concern when the father is away. Fear of loss better accounts for these anxiety-driven behaviors post-accident, making this less fitting and incorrect for the child’s emotional response to the traumatic event.
Choice B reason: The child’s withdrawal and concern when the father is away suggest fear of losing him after the accident, a common reaction in young children. This aligns with pediatric psychology evidence on trauma response, making it the correct factor explaining the child’s behavior in this context.
Choice C reason: Fear of personal injury is less likely than fear of losing the father, given the child’s focus on the father’s absence. Withdrawal reflects attachment anxiety, not self-protection, making this less accurate and incorrect compared to the loss-related emotional response observed in the child.
Choice D reason: Believing he caused the accident is possible but less supported without evidence of guilt statements. Fear of loss better explains the child’s withdrawal and concern for the father’s absence, making this speculative and incorrect for the primary behavioral factor affecting the 5-year-old.
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