A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?
Playing with an imaginary friend
Playing with a large plastic truck
Playing with dress-up clothes
Playing with a jump rope
The Correct Answer is B
A) Playing with an imaginary friend: While imaginative play does begin to develop in toddlers, having an imaginary friend is more typical in older preschool-aged children, around 3 to 4 years old. Therefore, this activity may not be expected in a 30-month-old child.
B) Playing with a large plastic truck: At 30 months old, children are typically engaged in parallel play and are interested in toys that promote gross motor skills and imaginative play. Playing with a large plastic truck is developmentally appropriate, as children at this age enjoy manipulating vehicles and may engage in simple pretend play related to driving or racing.
C) Playing with dress-up clothes: Although some children may enjoy dress-up, this activity tends to be more prominent in slightly older toddlers and preschoolers. A 30-month-old may show interest in dressing up but may not engage in it as frequently or with as much understanding of role play as older children.
D) Playing with a jump rope: Jump rope activities require a level of coordination and motor skills that are typically beyond what a 30-month-old child can achieve. At this age, children are still developing basic motor skills and would not yet be proficient in using a jump rope effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) "Increased erythrocyte sedimentation rate.": An increase in the erythrocyte sedimentation rate (ESR) indicates inflammation or the presence of disease but does not reflect a response to epoetin alfa, which aims to increase red blood cell production.
B) "Increased neutrophil count.": Epoetin alfa primarily stimulates erythropoiesis (red blood cell production) and does not significantly affect neutrophil counts. Therefore, an increased neutrophil count is not a relevant therapeutic response.
C) "Increased platelet count.": Epoetin alfa is not directly aimed at increasing platelet counts. While it can have some indirect effects on platelets due to increased hematocrit, a higher platelet count alone does not indicate a therapeutic response to this medication.
D) "Increased hemoglobin level.": An increased hemoglobin level is the primary therapeutic target of epoetin alfa. This medication is used to treat anemia, particularly in patients with chronic kidney disease or those undergoing chemotherapy, by stimulating the production of red blood cells and thus raising hemoglobin levels.
Correct Answer is A
Explanation
A. "Offer to take pictures of the newborn for the client.": This is a compassionate and supportive action. Offering to take pictures can help the parents create memories and can be an important part of the grieving process, allowing them to acknowledge their loss.
B. "Assure the client that she can have additional children.": While this may be intended to provide comfort, it can minimize the current loss and may not be what the client needs to hear in the moment. It’s important to validate their feelings of grief first.
C. "Avoid talking to the client about the newborn.": Avoiding the topic can make the client feel isolated in their grief. Open discussions about the newborn can help the parents process their emotions and acknowledge their loss.
D. "Discourage the client from allowing friends to see the newborn.": This is not supportive. Allowing friends and family to see the newborn can provide comfort and support to the grieving parents, and should not be discouraged unless there are specific concerns about health or safety.
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