A 3-year-old child, recently hospitalized for the exacerbation of a chronic illness, presents for a follow-up appointment at the pediatric clinic. The child's mother states, He was potty trained before the hospital stay but now he is having daily accidents. Which response by the nurse is most appropriate?
1. This is probably a reaction to the antibiotics and will disappear when the antibiotics are finished.
2. Urinary incontinence is a common symptom of progression of cystic fibrosis. Be sure to notify the healthcare provider of this change.
3. The child may have a urinary tract infection and needs to be evaluated.
4. Children often regress after hospitalization. Be patient and remind him to go to the bathroom frequently.
Question 2
The mother of an adolescent with multiple medical and developmental issues says to the nurse: There are times that I think about just walking out of the house and not coming back. Which would be an appropriate nursing diagnosis for this mother?
1. Caregiver Role Strain related to providing 24-hour care for a child with medical and developmental issues
2. Risk for Injury (maternal) related to overwhelming demands of the medically fragile child
3. Knowledge Deficit (maternal) related to nursing care of the child
4. Health-seeking Behaviors (maternal) related to interest in learning to care for her child
Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
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Chronic disease is caused by a mixture of genetic and environmental influences
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