What information should a nurse provide a mother who is concerned about preventing sleep problems in her 4-year-old child?

Use a night-light in the child's room.

Provide high-carbohydrate snacks before bedtime.

Have the child always sleep in a quiet, darkened room.

Communicate with the child's daytime caregiver about eliminating the afternoon nap.

Answer and Explanation

The Correct Answer is A

Choice A reason: Using a night-light can provide a sense of security and comfort for a child, especially if they are afraid of the dark. This can help prevent sleep problems by reducing fear and anxiety at bedtime¹.

Choice B reason: While it's true that certain foods can promote sleep, high-carbohydrate snacks before bedtime are not recommended. They can lead to energy spikes and crashes, which can disrupt sleep¹.

Choice C reason: While it's important for the sleep environment to be calming and conducive to sleep, it doesn't always have to be completely quiet and dark. Some children may find a completely dark room scary, and some background noise can actually be soothing¹.

Choice D reason: The need for naps varies greatly among children. Some 4-year-olds may still benefit from an afternoon nap. Eliminating the nap can lead to overtiredness, which can actually make it harder for the child to fall asleep at night¹.

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Correct Answer is A

Explanation

Choice A reason: This statement is correct, as atopic dermatitis (eczema) is a chronic inflammatory skin disorder that is often linked to allergic conditions, such as asthma, hay fever, or food allergies. It also has a genetic component, as it tends to run in families.

Choice B reason: This statement is incorrect, as atopic dermatitis (eczema) is not associated with upper respiratory tract infections, but rather with lower respiratory tract infections, such as bronchitis or pneumonia. Upper respiratory tract infections affect the nose, throat, and sinuses, while lower respiratory tract infections affect the lungs and airways.

Choice C reason: This statement is incorrect, as atopic dermatitis (eczema) is not easily cured, but rather a chronic and relapsing condition that requires long-term management. There is no cure for eczema, but the symptoms can be controlled with medications, moisturizers, and avoidance of triggers.

Choice D reason: This statement is incorrect, as treatment for atopic dermatitis (eczema) does not include keeping the skin dry, but rather keeping the skin moist and hydrated. Dry skin can worsen the itching and inflammation of eczema, so the nurse should advise the parents to apply emollients to the infant's skin after bathing, use mild and fragrance-free soaps and detergents, and avoid excessive heat and sweating.

A. Axillary temperature of 37.3° C B. Mild abdominal pain C. BP of 100/54 D. Currant jelly stools

Correct Answer is D

Explanation

Choice A reason: An axillary temperature of 37.3° C is within the normal range for a 10 month old child and does not indicate a complication of intussusception or its treatment.

Choice B reason: Mild abdominal pain is expected after an emergency reduction for intussusception and can be managed with analgesics and comfort measures.

Choice C reason: A BP of 100/54 is normal for a 10 month old child and does not reflect hypovolemia or shock, which are possible complications of intussusception.

Choice D reason: Currant jelly stools are a sign of intestinal bleeding and ischemia, which are serious complications of intussusception that require immediate medical attention. Currant jelly stools are red, mucus-like, and mixed with blood. They indicate that the intussusception has not been resolved or has recurred.

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What information should a nurse provide a mother who is concerned about preventing sleep problems in her 4-year-old child?

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Naxlex Comprehensive Predictor Exams

Which statement regarding atopic dermatitis (eczema) in the infant is most accurate?

Correct Answer is A

Explanation

Which assessment finding would cause the nurse to notify the MD immediately when assessing a 10 month old child who had an emergency reduction for intussusception 10 hours previously?

Correct Answer is D

Explanation

One difference between adult and pediatric heart disease is

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