A nurse is caring for a toddler with difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?
Turn off the room light.
Provide bedtime rituals.
Encourage play exercises in the evening.
Explain the source of the toddler's fears.
The Correct Answer is B
A. Turn off the room light: Turning off all lights can sometimes increase anxiety in toddlers unfamiliar with their surroundings. A dim nightlight is often better to comfort them and reduce fear of the dark.
B. Provide bedtime rituals: Bedtime routines like reading a book or singing help toddlers feel secure, especially in unfamiliar environments like hospitals. Consistency supports sleep readiness and reduces stress.
C. Encourage play exercises in the evening: Stimulating activity before bed can delay sleep onset and make it harder for toddlers to settle down. Active play is best reserved for earlier in the day.
D. Explain the source of the toddler's fears: Toddlers have limited cognitive understanding and may not be reassured by explanations. Comfort and routine are more effective for easing nighttime fears.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Drinks from a cup: By age 2, toddlers typically develop the fine motor skills necessary to drink from an open cup with minimal assistance. This reflects growing independence and coordination.
B. Engages in associative play with other children: Associative play generally emerges around 3–4 years of age. Two-year-olds are more likely to engage in parallel play, where they play beside rather than with peers.
C. Walks independently: Most toddlers begin walking independently between 12 and 18 months. By age 2, this ability is well established and includes improvements in balance and coordination.
D. Speaks up to 20 words: By 24 months, toddlers typically have a vocabulary of about 50 or more words, with some variation. Speaking at least 20 words is an expected developmental milestone at this age.
E. Feeds themselves with a spoon: Using a spoon is a common self-help skill developed around 18–24 months, supporting a toddler’s drive for autonomy and self-feeding abilities.
Correct Answer is C
Explanation
A. Bring the child to the office for a rapid infusion of deferoxamine: Deferoxamine is the antidote for iron poisoning, but it is reserved for cases confirmed by serum iron levels or clinical severity. Immediate office visits may delay urgent poison center guidance.
B. Give the child syrup of ipecac: Syrup of ipecac is no longer recommended due to poor efficacy and risk of complications such as aspiration or delayed definitive care. Its use is largely abandoned in favor of activated charcoal or gastric lavage in specific situations, guided by poison control.
C. Contact the poison control center: The poison control center provides expert, immediate, evidence-based recommendations tailored to the substance and amount ingested, ensuring proper triage and care.
D. Provide a high-carbohydrate meal. A high-carb meal does not prevent iron absorption or mitigate toxicity. Dietary measures are ineffective once ingestion has occurred and should not delay appropriate treatment.
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