Which is an appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler?

Correct Answer: D

Rationale: In the context of pediatric nursing, minimizing separation anxiety in hospitalized toddlers is crucial for their emotional well-being and recovery. The correct answer, "D) Encourage parents to room-in," is the most appropriate nursing intervention for several reasons. Rooming-in allows the child to have familiar faces and comforting presence nearby, which can significantly reduce feelings of fear and anxiety associated with separation from parents. This practice promotes a sense of security, continuity of care, and supports the child's emotional needs during a stressful hospitalization period. Option A, "Explain procedures and routines," while important for providing information and structure, may not directly address the emotional distress caused by separation from parents. Children at this age are more likely to seek comfort and reassurance from familiar caregivers rather than understanding complex procedures. Option B, "Encourage contact with children the same age," is beneficial for social interaction and peer support, but it may not effectively address the immediate needs of a toddler experiencing separation anxiety from their parents. Option C, "Provide for privacy," is not directly related to addressing separation anxiety in a hospitalized toddler. Privacy is important for dignity and respect, but it may not alleviate the child's distress related to parental separation. In an educational context, understanding the emotional needs of pediatric patients is fundamental for nursing care. By choosing the correct intervention of encouraging parents to room-in, nurses can create a supportive environment that prioritizes the emotional well-being of hospitalized toddlers. This approach not only helps in managing separation anxiety but also fosters a sense of security and comfort for the child during a challenging healthcare experience.

Correct Answer: B

Rationale: The correct answer is B) Febrile seizures may occur with a fever of 100.5°F (38°C) or higher. This statement is accurate because febrile seizures are commonly associated with rapid temperature elevation in children, typically occurring with fevers above 100.4°F. It is important for parents to understand this threshold to be vigilant and prepared in case their child experiences a febrile seizure. Option A is incorrect because febrile seizures are not always indicative of a serious underlying condition. They are often benign and do not necessarily imply a severe medical issue. Option C is incorrect as febrile seizures, though frightening to witness, usually do not cause permanent neurological damage. Option D is also incorrect as it is not recommended to restrain a child during a febrile seizure; instead, the child should be placed on a safe surface and monitored to prevent injury. In an educational context, teaching parents about febrile seizures is crucial as it empowers them to respond appropriately if their child experiences one. Understanding the triggers, signs, and management of febrile seizures can help alleviate parental anxiety and ensure the safety and well-being of the child during such an episode.

Correct Answer: D

Rationale: In caring for a child with cystic fibrosis, addressing the finding of increased cough with thick mucus is the priority for the nurse. This is because thick mucus in the airways is a hallmark of cystic fibrosis, leading to airway obstruction, decreased lung function, and increased risk of respiratory infections. By addressing this symptom, the nurse can help improve the child's respiratory status and overall quality of life. Difficulty in gaining weight is a common issue in cystic fibrosis due to malabsorption, but addressing respiratory symptoms takes precedence as it directly impacts the child's breathing and oxygenation. Loose, fatty stools are characteristic of cystic fibrosis due to pancreatic insufficiency, but they are not immediately life-threatening compared to respiratory complications. Educationally, understanding the priority of addressing respiratory symptoms in cystic fibrosis is crucial for nurses caring for pediatric patients with this condition. By grasping the significance of managing respiratory manifestations promptly, nurses can enhance patient outcomes and provide holistic care to children with cystic fibrosis.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Increase the child's calorie intake. In cystic fibrosis, a child has increased energy needs due to the malabsorption of nutrients and increased work of breathing. Therefore, it is crucial to encourage parents to increase the child's calorie intake to meet their energy demands and promote growth and development. Adequate nutrition also supports the immune system, helps maintain a healthy weight, and improves overall health outcomes in children with cystic fibrosis. Option B) Administer oxygen therapy regularly is incorrect because oxygen therapy is not a routine treatment for cystic fibrosis. Oxygen therapy is typically used in respiratory conditions where there is a deficiency in oxygen saturation, which is not a primary feature of cystic fibrosis. Option C) Limit physical activity is incorrect because regular physical activity is important for overall health and well-being, including in children with cystic fibrosis. Exercise can help improve lung function, cardiovascular health, and overall quality of life in these children. Option D) Provide small, frequent meals is incorrect because while it is beneficial to provide easy-to-digest, small, and frequent meals for some children with cystic fibrosis who may have pancreatic insufficiency, the primary focus should be on increasing the overall calorie intake to meet the child's energy needs. Educational Context: Understanding the specific care needs of children with cystic fibrosis is essential for nurses caring for pediatric patients with this condition. By emphasizing the importance of increasing the child's calorie intake, nurses can help parents optimize their child's nutritional status and overall health outcomes. Providing comprehensive education to parents can empower them to actively participate in the management of their child's cystic fibrosis and promote better health outcomes for the child.

Correct Answer: C

Rationale: In caring for a child with a seizure disorder, option C, which is placing a soft object under the child's head, is the correct intervention. This is important because it helps to prevent injury to the child during the seizure episode by providing cushioning and support for the head. Placing a soft object under the head can also help maintain proper alignment of the airway, which is crucial for adequate oxygenation during the seizure. Options A, B, and D are incorrect interventions for a child having a seizure. Inserting an oral airway during a seizure (option A) can potentially cause injury to the child's mouth or teeth due to involuntary jaw clenching. Turning the child onto their back (option B) can lead to airway obstruction or aspiration if the child vomits. Restraining the child (option D) during a seizure may increase the risk of injury and is not recommended as it can also lead to increased agitation and potential harm. In an educational context, understanding the appropriate interventions during a seizure in a child with a seizure disorder is crucial for nurses caring for pediatric patients. Proper training and knowledge in managing seizures can help prevent complications and ensure the safety and well-being of the child during such episodes. It is essential for healthcare providers to stay updated on best practices and guidelines for managing pediatric patients with seizure disorders to deliver safe and effective care.