Author Question: The nurse is explaining the importance of handwashing after using the toilet to parents of young ... (Read 46 times)

Frost2351 · **on:** Jun 28, 2018

The nurse is explaining the importance of handwashing after using the toilet to parents of young children. Which is the most important reason for this practice?

1. Children do not like to have dirty hands.
2. Handwashing is the main way to limit the transmission of disease.
3. Not all bathrooms are clean.
4. Children's immune systems are not fully developed.

Question 2

A nurse is working with pediatric clients in a research facility. The nurse recognizes that federal guidelines are in place to delineate which pediatrics clients must give assent for participation in research trials.

Based upon the client's age, the nurse would seek assent from which children? (Select all that apply.) 1. The precocious 4-year-old starting as a cystic fibrosis research study participant
2. The 7-year-old leukemia client electing to receive a newly developed medication being researched
3. The 10-year-old starting in an investigative study for clients with precocious puberty
4. The 13-year-old client beginning participation in a research program for ADHD treatments

ansleighelindsey · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

2
Rationale:
1. This is not a reason for washing hands after using the toilet.
2. The fecaloral and respiratory routes are the most common sources of transmission in children.
3. Children usually do not wash their hands after toileting unless they are closely supervised.
4. Underdeveloped immune systems will not transmit disease.

Answer to Question 2

2, 3, 4
Rationale:
1. A 4-year-old is not old enough to understand any of the benefits and risks of the research trial, and is not required to assent.
2. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about health care procedures and treatments, and give assent.
3. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.
4. Federal guidelines mandate that research participants 7 years old and older must receive developmentally appropriate information about healthcare procedures and treatments, and give assent.