The nurse instructs the mother of a toddler on the appropriate ...

[karateprodigy]

The nurse instructs the mother of a toddler on the appropriate way to apply heat and cold to the child's ankle injury. Which statement indicates that instruction has been effective?
 
  A) I should apply the ice for 30 minutes followed by an hour of heat..
  B) I will keep the ice on the child's ankle longer after providing with pain medication..
  C) I will spend time with my child and read or play a game while the heat or cold is applied..
  D) I will apply the heat to the child's ankle after waiting 10 minutes for the heating pad to warm..

Question 2

The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer them?
 
  A) Respond in a calm but firm manner..
  B) You need to adhere to various routines..
  C) Put her in time-out when she misbehaves..
  D) It's important to toddler-proof your home..

[komodo7]

Answer to Question 1

C
Feedback:
One guideline for the application of heat or cold is to supply a special activity for the child to enjoy while a hot or cold application is in place, such as reading a story or playing a game, so that the procedure is not viewed as a chore but as a pleasant time in which to look forward. Ice or heat should not be applied for longer than 20 minutes. Pain medication can alter the perception of heat or cold, and the child could receive an injury from the application. To be certain that a heat application is not too hot, it should be tested with the inner wrist or the dorsal surface of the hand before applying it to the child.

Answer to Question 2

B
Feedback:
Making expectations known through everyday routines helps to avoid confrontations. This helps the child know what to expect and how to behave. It is the best guidance to give these parents. Calm response and time-out are effective ways to discipline, but do not help to prevent confrontations. Toddler-proofing the house doesn't eliminate all the opportunities for confrontation.