The mother of an 18month-old expresses concern that her toddler ...

[Collmarie]

The mother of an 18month-old expresses concern that her toddler is having temper tantrums when things don't go her way. What advice should the nurse offer the mother? Standard Text: Select all that apply.
 
  1. This is common in the toddler and represents a loss of self-control.
  2. Remove the child from the area where the tantrum occurs.
  3. Provide a distraction for the child without giving in to the child's desire.
  4. Remain calm while handling the child and do not raise your voice to the child.
  5. If the tantrum continues for more than a few minutes, the mother should tap the child lightly on the behind to remind the child the consequences of misbehavior.

Question 2

A nurse has begun an infusion of intravenous immunogloblin (IVIG) to a child who has combined immunodeficiency disease. In which of the following situations should this infusion be stopped?
 
  1. The child experiences a mild headache.
   2. The child voids clear yellow urine.
   3. The child develops severe shaking, chills, and fever.
   4. The child complains of being thirsty.

[jonathanballen97]

Answer to Question 1

1,2,3,4
Rationale 1: This statement is accurate and reassures the mother that the behavior is a common age variation.
Rationale 2: The goal is to allow the toddler to regain control without a loss of self-esteem. Removing the child from the area will help the child to regain control.
Rationale 3: This is another activity to help the child regain control without a loss of self-esteem. By not giving in to the child's wishes, the child is not learning to use temper tantrums to get her way.
Rationale 4: This will provide a calming atmosphere that will help the child to regain control.
Rationale 5: It is not a good idea to recommend spanking to any parent. Spanking is counterproductive in helping the child regain control.
Global Rationale:

Answer to Question 2

3
Rationale:
1. A mild headache is an adverse side effect of IVIG, but a severe reaction is not.
2. Voiding clear, yellow urine is a normal finding.
3. Hypersensitivity reaction can be seen with IVIG. The infusion should be started slowly and increased if there is no reaction. Shaking, chills, and fever can indicate a reaction.
4. Thirst is not an indication of a reaction.

[Collmarie]

Excellent

[ktidd]

Gracias!