A nurse is caring for a child with known cognitive impairment. Which of the following is the nurse’s highest priority in the assessment of a child with cognitive impairment?
Speech and communication abilities
Physical mobility and safety measures
Cognitive development and educational needs
Social and emotional well-being
The Correct Answer is B
A. Speech and communication abilities are important, but physical safety must come first to prevent accidents or injuries.
B. Safety measures are the highest priority, as children with cognitive impairments may have physical or developmental limitations that increase the risk of falls, accidents, or other harm.
C. Cognitive development and educational needs are important but should be addressed after ensuring
the child’s physical safety.
D. Social and emotional well-being are essential aspects of care, but the immediate focus should be on preventing harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Otitis externa, or swimmer's ear, is an infection of the outer ear canal, typically caused by water exposure, and usually presents with itching, discomfort, or drainage rather than fever and ear pain.
B. Otitis media, an infection of the middle ear, is common in children and often presents with symptoms such as fever, ear pain, and irritability. The child’s behavior of crying and rubbing the ear is consistent with this condition.
C. A viral sore throat usually presents with throat pain, fever, and sometimes coughing or congestion, but ear pain is less commonly associated.
D. A sinus infection may cause facial pain, nasal congestion, and discharge but is less likely to present with ear pain and rubbing.
Correct Answer is C
Explanation
A. Fruit juice is high in sugar and does not provide the same hydration as water. It is important to limit juice intake to avoid overconsumption of sugars and to encourage water as the primary fluid.
B. Allowing a toddler unlimited sweets and snacks is not advisable, as it can lead to poor nutritional habits and imbalanced diet. Picky eating should be addressed with nutritious alternatives, not by offering sweets.
C. Offering a variety of foods from different food groups ensures a balanced diet that includes essential nutrients for growth and development. This is the correct approach for toddler nutrition.
D. Dairy products are an important source of calcium and vitamin D for toddlers. Avoiding them without a medical reason can result in nutritional deficiencies.
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