A nurse is caring for a 4-year-old child who has pneumonia due to varicella zoster. The parent asks the nurse what types of activities are available for the child. Which of the following play activities should the nurse recommend?
Watching cartoons in the unit activity room with peers
Pulling a wagon of stuffed animals in the hallway
Writing a short letter to send to a friend
Playing an alphabet flash card game with the parent
The Correct Answer is D
Rationale:
A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.
B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.
C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.
D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: By the age of 7, most children have a grasp of days and dates as part of their routine. However, not being able to verbalize the date does not necessarily indicate a developmental delay, as it could be related to the child's learning environment or educational opportunities.
B: Counting backwards is a skill that develops with age and practice. A 7-year-old may struggle with this task due to various reasons such as lack of practice, but it is not a definitive sign of a developmental delay.
C: Making change involves complex cognitive skills including math, understanding of money value, and transactions, which may still be developing in a 7-year-old. This skill varies widely among children and is influenced by their experiences with money.
D: The ability to distinguish right from left is a developmental milestone typically achieved by the age of 5 to 6 years. Persistent difficulty in telling the difference between right and left at the age of 7 could suggest a developmental delay in spatial awareness.
Correct Answer is B
Explanation
Rationale:
A) A hemangioma is a benign vascular tumor commonly found in infants and is not indicative of physical maltreatment.
B) A burn with splash marks, especially in a patterned distribution, raises suspicion of physical abuse and should be reported immediately for further evaluation.
C) A large, irregular, brownish-blue area on the infant's buttock may indicate bruising, but further assessment is needed to determine the cause.
D) An abrasion on the back of the infant's arm may be due to accidental injury and does not necessarily indicate physical maltreatment, although it warrants further assessment and documentation.
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