The mother of a toddler asks the nurse: Now that my child has ...

[Jramos095]

The mother of a toddler asks the nurse: Now that my child has outgrown his infant car seat, what should I do when we are in the car? Which is the best response by the nurse?
 
  1. Place him in a booster chair on the seat beside you so you can watch him.
  2. Be sure to select a car seat according to his weight and height, and make sure it contains shoulder harnesses.
  3. Your child should remain in the rear-facing car seat until he reaches 40 pounds.
  4. The child can now be buckled safely into the regular car seat belts.

Question 2

A hospitalized three-year-old needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which is the most appropriate nursing diagnosis?
 
  1. Knowledge deficit of the procedure
  2. Fear related to the unfamiliar environment
  3. Anxiety related to anticipated painful procedure
  4. Ineffective individual coping related to an invasive procedure

[princessflame2016]

Answer to Question 1

2
Rationale 1: The safest place for the child is in the back seat.
Rationale 2: This is correct information.
Rationale 3: This is incorrect. The rear-facing car seats usually have a weight limit of 20 pounds, after which the child is turned forward.
Rationale 4: This is incorrect information. Young children are better protected in a child car seat with harness straps.
Global Rationale:

Answer to Question 2

3
Rationale 1: The question stem indicates that the child has been through this before, so Knowledge deficit is not the most appropriate diagnosis.
Rationale 2: The child's fear is related not to the unfamiliar environment but to the anticipated pain of the IV stick.
Rationale 3: This child is not old enough to understand the need for an IV infusion. The question stem indicates that the child has been through this painful procedure before, and his reaction to entering the treatment room is based on anticipation of repeat discomfort.
Rationale 4: The child's behavior is appropriate for coping in this age child.
Global Rationale: