A parent of a preschooler is being taught by a nurse about administering ear drops. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer: D

Rationale: The correct answer is option D: "I will massage my child's ear after administering the ear drops." This statement indicates an understanding of the teaching because gentle massage after administering ear drops helps to facilitate the distribution of the medication within the ear canal, ensuring optimal effectiveness. Option A is incorrect because pulling the ear canal upward and backward is not the correct technique for administering ear drops to a child. Option B is incorrect as administering cold ear drops directly from the refrigerator can cause discomfort and may lead to dizziness. Option C is also incorrect as pulling the ear lobe down and back is not the appropriate technique for administering ear drops to a child. In the context of pediatric nursing, it is crucial for parents to understand the correct technique for administering ear drops to ensure the safety and well-being of their child. Proper education on this topic can prevent complications and promote effective treatment of ear infections, highlighting the importance of clear and accurate instructions provided by healthcare professionals.

Correct Answer: D

Rationale: In a child with appendicitis and possible perforation, the nurse should expect bradycardia due to peritoneal irritation. Bradycardia is a common response to peritoneal inflammation or infection, indicating a possible serious complication. Hyperactive bowel sounds, abdominal distension, and hypoactive bowel sounds are more commonly associated with other gastrointestinal conditions and are less likely to be present in a child with appendicitis and perforation.

Correct Answer: A

Rationale: In pediatric nursing, educating parents of children with congenital heart disease is crucial for managing the child's health effectively. The correct answer, "A) Offer small, frequent meals," is important because children with congenital heart disease may have difficulty eating large meals due to their condition. Small, frequent meals can help prevent overeating, reduce the workload on the heart, and maintain stable energy levels throughout the day. Option B, "Limit the toddler's physical activity," is incorrect because while some restrictions may be necessary depending on the severity of the condition, complete restriction can lead to deconditioning and may not be appropriate for all children with congenital heart disease. Option C, "Provide a low-sodium diet," is not the most relevant instruction for a toddler with congenital heart disease. While sodium intake may need to be monitored, other dietary considerations, such as calorie and nutrient density, are often more critical in this population. Option D, "Monitor the toddler's intake and output," is important in general pediatric nursing care but is not as specific or directly related to managing congenital heart disease in a toddler as the recommendation for small, frequent meals. Educationally, this question highlights the importance of tailoring dietary recommendations to the specific needs of children with congenital heart disease and the significance of providing parents with practical guidance to support their child's health.

Correct Answer: D

Rationale: The priority action for a child with suspected bacterial meningitis is to implement seizure precautions. Meningitis can lead to increased intracranial pressure, which may trigger seizures. By implementing seizure precautions, such as padding the side rails of the bed and ensuring a clear environment, the nurse aims to prevent injury during a potential seizure episode, prioritizing the child's safety.

Correct Answer: B

Rationale: In this scenario, option B, "I will give my child the prescribed antiretroviral medication at regular intervals," is the correct statement indicating the parent understands the teaching. This is crucial in managing HIV in children as antiretroviral medications help suppress the virus, improve the child's immune system, and overall health. Option A is incorrect because disclosing a child's HIV status to the school may violate privacy laws and could lead to stigma and discrimination. Option C is incorrect because children with HIV may have specific immunization guidelines due to their condition. Option D is incorrect as skin testing is not a routine procedure for children with HIV. Educationally, understanding the importance of adherence to antiretroviral therapy in managing HIV in children is essential for parents to ensure the best possible outcomes for their child's health. Teaching parents about the specific care needs for children with HIV empowers them to provide optimal care and support for their child's well-being.