The parents of a 2-year-old child with a history of febrile seizures are being taught by the healthcare provider. Which statement by the parents indicates a need for further teaching?

Correct Answer: B

Rationale: In this scenario, option B, "We should place our child in a cool bath during a seizure," indicates a need for further teaching by the healthcare provider. Placing a child in a cool bath during a seizure is not recommended as it can lead to hypothermia and does not effectively manage the seizure itself. Option A, "We should give our child acetaminophen when they have a fever," is a correct statement as acetaminophen can help reduce fever in children. Option C, "We should call 911 if the seizure lasts longer than 5 minutes," is also correct as prolonged seizures require immediate medical attention. Option D, "We should try to keep our child's fever under control," is a valid statement as controlling fever can help prevent febrile seizures. From an educational standpoint, it is crucial to teach parents proper first aid measures during a seizure, such as ensuring a safe environment, placing the child on their side to prevent choking, and timing the seizure for medical evaluation. Educating parents on appropriate responses to febrile seizures empowers them to provide effective care for their child in such critical situations.

Correct Answer: B

Rationale: The nurse's priority action should be to inspect the child's ears for drainage. This immediate assessment can provide valuable information about the presence of infection or fluid accumulation, which can directly impact the child's hearing. By identifying any signs of drainage, the nurse can promptly address any current issues affecting the child's ear health and hearing abilities.

Correct Answer: C

Rationale: The correct recommendation for reducing symptoms of gastroesophageal reflux (GER) in infants is to keep the infant upright for 30 minutes after feeding. This position helps prevent the backflow of stomach contents, alleviating symptoms of reflux. Placing the infant in a prone position or providing larger, less frequent feedings may worsen symptoms, while offering only formula thickened with rice cereal is not the first-line intervention for GER.

Correct Answer: C

Rationale: In the case of a 2-year-old child admitted with severe dehydration due to gastroenteritis, the assessment finding that indicates the child's condition is improving is option C) Increased urine output. This is because increased urine output signifies that the kidneys are functioning well and able to concentrate urine, which is a positive sign of hydration status improving. Option A) Decreased heart rate is not a reliable indicator of improvement in dehydration as it can be a sign of cardiac compromise in severe cases. Option B) Sunken fontanelle is a sign of dehydration and would not indicate improvement. Option D) Dry mucous membranes are also a sign of dehydration and would not indicate improvement. Educationally, it is crucial for pediatric nurses to understand the signs and symptoms of dehydration in children and how to assess for improvement in their condition. Increased urine output is a key indicator of hydration status in pediatric patients and plays a vital role in monitoring their response to treatment. Nurses should prioritize assessing and monitoring urine output in dehydrated children to gauge their progress accurately.

Correct Answer: B

Rationale: Administering the scheduled dose is appropriate in this scenario as the heart rate of 128 bpm falls within the acceptable range for a two-year-old child with heart failure. It indicates that the child may benefit from the therapeutic effects of digoxin. Monitoring the heart rate closely after administration is essential to ensure the medication's effectiveness and safety.