The nurse working with a preschooler finds on assessment early in ...

[j.rubin]

The nurse working with a preschooler finds on assessment early in the shift that this child is not taking adequate fluids. Which of the following actions by the nurse will most likely result in the child taking more fluids?
 
  a. telling the child he will not get better unless he drinks more
  b. offering the child a reward if he drinks a certain amount each hour
  c. having the doctor talk to the child and the parents
  d. setting up a tea party or playing restaurant

Question 2

When the frustrated mother of an 8-month-old child with gastroesophageal reflux asks the nurse what can be done to limit the reflux, the nurse suggests:
 
  a. Warming the formula before feeding the child
  b. Giving large feedings several times per day
  c. Thickening the formula with cereal
  d. Following the formula with 3 ounces of water

[owenfalvey]

Answer to Question 1

D

Feedback
A Incorrect. Sometimes then children are having difficulty taking fluids, the nurse will not most likely tell the child he will not get better unless he drinks more. Threats are rarely effective intervention.
B Incorrect. Sometimes then children are having difficulty taking fluids, the nurse will not most likely offer the child a reward if he drinks a certain amount each hour. Bribes are not always an effective technique.
C Incorrect. Sometimes then children are having difficulty taking fluids, the nurse will never most likely have the doctor talk to the child and the parents, as this is the responsibility of the nurse and the nursing staff.
D Correct. Preschoolers are usually sociable, and group play and activities are often successful. Sometimes then children are having difficulty taking fluids, a tea party, or playing restaurant then drinks are ordered, is more helpful than frequent encouragement to take fluids.

Answer to Question 2

C
Thickening the formula with cereal can help with decreasing the episodes of reflux.