The nurse working in a pediatrician's office admits a ...

[Awilson837]

The nurse working in a pediatrician's office admits a 14-month-old child for a well-child visit. When questioned about any concerns, the mother says she has been trying to toilet-train her son and it doesn't seem to be working.
 
  The mother asks the nurse for suggestions on how to improve outcome. The nurse's best response is: 1. Children do not have the attention span to learn toilet training until 3-4 years of age.
  2. Children do not have the neurological maturity to learn toilet training until 18-36 months of age.
  3. Boys are harder to toilet-train than girls, and the mother must be strict and sit him on the toilet until he eliminates.
  4. Positive reinforcement is most effective, but the mother must be persistent until the child learns.

Question 2

The nurse working in a physician's office admits a client with a history of transient ischemic attacks (TIA) who was advised to lose weight, change diet to lower cholesterol, and maintain treatment of hypertension.
 
  The client has chosen not to take this advice, leading the nurse to conclude the client is at increased risk for: 1. Cerebrovascular accident.
  2. Aneurysm.
  3. Vasovagal syndrome.
  4. Myasthenia gravis.

[jjorrostieta]

Answer to Question 1

2
Rationale: When attempting to toilet-train a child under 18 months of age, it is often the mother who becomes trained, learning the child's behaviors when he needs to eliminate. Children do not develop the neurological capacity to control elimination until they are 18-36 months old, and boys tend to develop control later than girls. When toilet-training, positive reinforcement can be helpful.

Answer to Question 2

1
Rationale: TIA is often a precursor to CVA, and the client who chooses not to change his lifestyle to reduce risks is at increased risk.