A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home.
I am so embarrassed.”. Which of the following responses should the nurse make?
"It is expected for children who are hospitalized to regress.
The toileting skills will return when your child is feeling better.”.
"Why does it bother you that your child has wet the bed?"
"Your child did not seem upset, so I wouldn't worry about it if I were you.”.
"I know this can really be embarrassing.
The Correct Answer is A
Choice A rationale
It is common for children who are hospitalized to regress temporarily in their behavior, including toilet training. Stress, unfamiliar environments, and illness can contribute to this regression. Assuring the parents that the child’s skills will return when they feel better helps alleviate their concerns.
Choice B rationale
Asking why it bothers the parent that their child has wet the bed may come across as insensitive or confrontational. It does not provide support or reassurance to the parent.
Choice C rationale
Telling the parent not to worry about the child wetting the bed because the child did not seem upset dismisses the parent’s feelings and does not address the underlying issue of the child’s regression.
Choice D rationale
Sharing personal experiences and saying it doesn’t bother the nurse may seem empathetic but does not provide the professional reassurance and support the parents need. It shifts the focus to the nurse rather than addressing the parents' concerns.
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Correct Answer is ["A"]
Explanation
Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.
Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.
Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.
Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.
Correct Answer is B
Explanation
Choice A rationale
Constructing a model airplane may require smaller parts and more intricate work, not ideal for a 4-year-old child.
Choice B rationale
Putting together a large-piece puzzle is suitable for fine motor skills development and can be done while in isolation.
Choice C rationale
Playing in the hallway would expose the child to other areas and people, defeating the purpose of airborne precautions.
Choice D rationale
Watching a video game in the playroom is not feasible as it would require leaving the isolation area.