The nurse has developed a teaching plan for the family of a 2-year-old boy who holds his breath when he gets frustrated. Which of the following would be a priority intervention to teach to the parents?
A) Provide "cuddle time" whenever the child begins to act out.
B) Explain the severity of the effects of an episode.
C) Encourage the parents to interact more with the child.
D) Stay close to prevent injury when he gets frustrated.
D
Response:
Encourage the parents to maintain a safe environment when an episode is occurring. They should avoid giving extra attention to the child after the event, since this could encourage repetition of the behavior. It's important for the parents to understand what is happening, but rewarding the child with "cuddle time" when he is misbehaving is providing incorrect reinforcement of behaviors. Reassure parents that the child will suffer no ill effects from the behavior. Encouraging the parents to interact more with the child may be helpful, but the priority is safety for the child.
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A client with neurologic deficit is undergoing rehabilitation. Which of the following nursing interventions may help the client maintain independence as long as possible?
A) Provide encouragement and praise. B) Encourage the client to set attainable goals. C) Suggest available support groups. D) Show personal interest and pleasure in each accomplishment.
Which of the following responses is most accurate in describing "thin client" or "fat client"?
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Parents of a 5-year-old with Sickle Cell disease are asking about care during their child's painful episodes. The nurse knows that the pain of Sickle Cell disease is caused by:
1. The lack of iron in the body. 2. The hypoxia that happens to the tissue, causing ischemia. 3. The red blood cell destruction. 4. A buildup of oxygen in the body.
What pulmonary defense mechanism propels a mucous blanket that entraps particles moving toward the oropharynx?
a. Nasal turbinates b. Alveolar macrophages c. Cilia d. Irritant receptors on the nares