A worried mother of a 4-year-old boy describes attacks of inconsolable crying and prefers to play alone. The MOST appropriate action is

Correct Answer: B

Rationale: Further history is needed to rule out behavioral or psychological issues.

Correct Answer: C

Rationale: The most appropriate response by the nurse is option C, "This type of surgery rarely affects the ability to have an erection or ejaculation." This response is accurate and provides reassurance to the patient while acknowledging his concerns. Transurethral resection of the prostate (TURP) is a common procedure for managing benign prostatic hyperplasia (BPH), and it typically does not have a significant impact on sexual function. By providing this information, the nurse can help alleviate the patient's fears and encourage him to proceed with the necessary treatment.

Correct Answer: B

Rationale: Dilated pupils can cause increased sensitivity to light, leading to discomfort or visual disturbances. Wearing sunglasses can help protect the eyes from bright light and reduce potential discomfort for the patient. This safety instruction is important to promote the patient's comfort and prevent any potential harm due to light sensitivity.

Correct Answer: D

Rationale: Minimizing disturbances (clustering care) helps prevent infection and allows the infant to conserve energy before surgical repair.

Correct Answer: A

Rationale: HPV type 6 is typically associated with low-grade lesions and genital warts, not cervical carcinoma.