A parent asks the nurse about negativism in toddlers. The most ...

[oliviahorn72]

A parent asks the nurse about negativism in toddlers. The most appropriate recommendation is to
 
  a. Punish the child
  b. Provide more attention
  c. Ask the child to not always say no
  d. Reduce the opportunities for a no answer

Question 2

In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid volume excess. Which child should the nurse check first? The child with:
 
  1. Periorbital edema, normal respiratory rate.
  2. Tachypnea and pulmonary congestion.
  3. Dependent and sacral edema, regular pulse.
  4. Hepatomegaly, normal respiratory rate.

[sultansheikh]

Answer to Question 1

D
Feedback
A Negativism is not an indication of stubbornness or insolence and should not be
punished.
B The negativism is not a function of attention; the child is testing limits to gain an
understanding of the world.
C The toddler is too young for this approach.
D The nurse should suggest to the parent that questions should be phrased with
realistic choices rather than yes or no answers. This provides a sense of control
for the toddler and reduces the opportunity for negativism.

Answer to Question 2

2
Rationale:
1. The child with periorbital edema and normal respiratory rate is more stable than the child with tachypnea and pulmonary congestion.
2. A child with respiratory distress should be the first client the nurse checks after receiving the report.
3. The child with dependent and sacral edema is more stable than the child with tachypnea and pulmonary congestion.
4. The child with hepatomegaly and normal respiratory rate is more stable than the child with tachypnea and pulmonary congestion.

[oliviahorn72]

TYSM

[debra928]

Excellent