A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?

Engages in parallel play

Builds a tower of 3 blocks

Walks with assistance

Speaks at least 10 words

Answer and Explanation

The Correct Answer is C

A.   This is typical behavior for an 18-month-old toddler. They often play alongside others without interacting directly.
B.   This is a normal developmental milestone for an 18-month-old child.
C.   An 18-month-old child should be able to walk independently. Difficulty walking with assistance could indicate a potential developmental delay.
D.   While vocabulary varies, most 18-month-olds can say a few words. This is within the normal range.

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Correct Answer is B

Explanation

A. A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B. Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C. A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D. An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.

A. Witness the adolescent's signature on the informed consent form. B. Notify the provider who is scheduled to perform the procedure. C. Request assistance from the anesthesiologist to clarify the misunderstanding. D. Explain the procedure to the adolescent and their guardian.

Correct Answer is B

Explanation

A. While witnessing the signature is part of the process, addressing the guardian's lack of understanding is more important at this point.
B. The provider who will perform the procedure is best equipped to explain the medical necessity of the cardiac catheterization to the guardian. They can address the guardian's concerns and ensure informed consent.
C. While the anesthesiologist is part of the care team, they may not be as knowledgeable about the specific reasons for the procedure as the performing provider.
D. Nurses should not provide medical diagnoses or explanations for procedures. This is the role of the healthcare provider.

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A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?

Correct Answer is B

Explanation

A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, "I don't understand why they need to do this procedure." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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