The nurse is providing postoperative care for a 14-month-old girl ...

[bucstennis@aim.com]

The nurse is providing postoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home.
 
  Which response by the nurse would be most appropriate? A) I will help you become comfortable in caring for your daughter..
  B) You must learn how to care for your daughter at home..
  C) You will need to learn to collaborate with all the caregivers..
  D) There is a lot to learn, and you need a positive attitude..

Question 2

The nurse is caring for an 8-year-old boy with myasthenia gravis and is teaching his parents about the signs of cholinergic crisis. Which of the following responses by the parents indicates a need for further teaching?
 
  A) Low blood pressure is a sign of crisis..
  B) He might have difficulty swallowing..
  C) He may start to sweat a lot..
  D) More saliva in the mouth is a common sign..

[Kdiggy]

Answer to Question 1

A
Feedback:
The nurse needs to empower families to become the experts on their child's needs and conditions via education and participation in care. The most positive approach is to let the mother know the nurse will support her and help her become an expert on her daughter's care. Telling the mother that she must learn how to care for her daughter or that she must have a positive attitude is not helpful. Telling her that she needs to collaborate with the caregivers is true, but does not address her fears.

Answer to Question 2

B
Feedback:
Dysphagia is a sign of myasthenic crisis. Increased salivation, hypotension, and increased sweating are signs and symptoms of cholinergic crisis.

[bucstennis@aim.com]

Thanks for the timely response, appreciate it

[marict]

Great answer, keep it coming