A 2-year-old child is reported to be a “picky eater” by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? (Select all that apply)

Offer small portions of 1 to 2 teaspoons to the child.

Do not use sweets as a reward for cleaning their plate.

Feed the toddler before the rest of the family.

Food jags need to be addressed and not given in to.

Mealtime for a toddler should not exceed 20 minutes.

Answer and Explanation

Correct Answer : A,B,E

Choice A reason: Offering small portions (1-2 teaspoons) reduces overwhelm for a picky eater, encouraging trying new foods without pressure. This aligns with pediatric nutrition strategies for toddlers, minimizing mealtime stress, making it a correct pointer for the father to implement effectively for his 2-year-old.

Choice B reason: Avoiding sweets as rewards prevents reinforcing unhealthy eating habits and reduces mealtime battles. This promotes intrinsic motivation for eating, aligning with pediatric feeding guidelines, making it a correct strategy to minimize stress for a 2-year-old picky eater during meals with the family.

Choice C reason: Feeding the toddler before the family may disrupt social eating and does not address picky eating directly. Small portions and avoiding rewards are more effective, making this incorrect, as it does not minimize stress or encourage healthy mealtime behaviors in toddlers in a family setting.

Choice D reason: Food jags (preferring one food) are normal in toddlers and should be accommodated, not resisted, to avoid stress. Forcing variety escalates conflicts, making this incorrect compared to strategies like small portions that reduce mealtime tension for picky eaters in early childhood.

Choice E reason: Limiting mealtime to 20 minutes prevents prolonged battles, reducing stress for a picky eater. Short meals respect the toddler’s attention span, aligning with pediatric feeding recommendations, making it a correct pointer to help the father manage mealtime effectively for his 2-year-old child.

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Correct Answer is A

Explanation

Choice A reason: Burn fluid replacement follows the Parkland formula, with half the total volume (24 ounces = 12 ounces) given in the first 8 hours. From 10:00 AM to 6:00 PM (8 hours), the child receives 12 ounces, aligning with pediatric burn care protocols, making this the correct choice.

Choice B reason: By 4:00 PM (6 hours), the child receives less than half the 24 ounces, as half (12 ounces) is given over 8 hours. The 12-ounce mark is reached by 6:00 PM, making this incorrect, as it overestimates fluid delivery in the shorter timeframe for burn treatment.

Choice C reason: 18 ounces by 4:00 PM (6 hours) exceeds the standard rate, as only half (12 ounces) of 24 ounces is given in 8 hours. The correct amount is 12 ounces by 6:00 PM, making this incorrect for burn fluid replacement timing in the pediatric patient’s treatment.

Choice D reason: 18 ounces by 6:00 PM (8 hours) is incorrect, as only half the total (12 ounces) is administered in the first 8 hours per burn protocols. The correct volume is 12 ounces, making this incorrect for the standard fluid replacement schedule in pediatric burn care.

A. Gown, handwashing, and gloves B. Handwashing and gloves C. Mask and handwashing D. Gown, gloves, and mask

Correct Answer is C

Explanation

Choice A reason: Gown, handwashing, and gloves are used for contact precautions, not droplet precautions, which require a mask to prevent respiratory droplet transmission. Pneumonia spreads via droplets, making gowns and gloves excessive, and this combination incorrect for the specific infection control needed in this scenario.

Choice B reason: Handwashing and gloves protect against contact transmission but do not address respiratory droplets in pneumonia, which requires a mask. Droplet precautions prioritize airway protection, making this incomplete and incorrect for the nurse’s protective measures in caring for a child with pneumonia.

Choice C reason: Droplet precautions for pneumonia require a mask to block respiratory droplets and handwashing to prevent fomite transmission. This combination aligns with infection control guidelines for droplet-borne infections, making it the correct choice for the nurse’s protective measures in this clinical scenario.

Choice D reason: Gown, gloves, and mask are used for airborne or contact precautions, not droplet precautions. Pneumonia requires only a mask and handwashing, as droplets are the primary transmission mode, making this excessive and incorrect for the specific precautions needed for this child’s care.

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A 2-year-old child is reported to be a “picky eater” by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is reviewing a client’s chart and notes that the child is in droplet precautions for pneumonia. What protection would she need to take in caring for the child?

Correct Answer is C

Explanation

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