Author Question: The nurse is caring for a 15-month-old who is admitted to the hospital for the fifth time in six ... (Read 18 times)

sarasara · **on:** Jul 19, 2018

The nurse is caring for a 15-month-old who is admitted to the hospital for the fifth time in six months with severe diarrhea.

The patient's mother has been diagnosed with Munchausen by proxy syndrome (MBPS) as she has been giving her child large doses of laxatives to make the child sick. The nurse is having difficulty dealing with the situation. Which of the following is the best way for the nurse to proceed? 1. Confront the mother about making her child sick.
2. Seek clinical supervision to cope with situation.
3. Refuse to take care of the child and family.
4. Have as little contact with the mother as possible.

Question 2

A client was brought to the hospital at two a.m. She had been drinking and she fell, fracturing her femur. If the client is going to experience withdrawal symptoms, the nurse should be alert for them to peak around which time?

1. 2448 hours after drinking stops
2. 7292 hours after drinking stops
3. 5472 hours after drinking stops
4. 612 hours after drinking stops

hanadaa · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: It is difficult for health care providers to deal with situations in which a caregiver (usually a parent) deliberately injures the person under their care. In these situations, health care providers should seek clinical supervision or a consultant to help them to cope with their personal responses.

Answer to Question 2

1
Rationale: Alcohol withdrawal symptoms will peak in 2448 hours after the last drink. Minor withdrawal symptoms will start 612 hours after the last drink. Delirium tremens will occur anytime after the first 48 hours after drinking stops.