A nurse is caring for a year-old child who has a new diagnosis of diabetes mellitus and is distressed.
The nurse recognizes that which of the following therapeutic actions will help improve the child’s cooperation?

A period of play in the playroom.

A needleless syringe and a doll.

A storybook about a cat who has diabetes.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While a period of play in the playroom can be a good distraction and provide a sense of normalcy for a child in a hospital setting, it may not specifically improve cooperation in a child distressed about a new diagnosis of diabetes mellitus.

Choice B rationale

A needleless syringe and a doll can be useful tools for explaining procedures and reducing fear in children. However, they might not directly address the distress caused by a new diagnosis of diabetes.

Choice C rationale

A storybook about a cat who has diabetes can be an effective therapeutic action. It can help the child understand their condition in a non-threatening way, see that they are not alone, and learn how to manage diabetes in daily life. This can improve their cooperation with their new routine of diabetes management.

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Correct Answer is A

Explanation

Choice A rationale

Supervising the child in outdoor, fenced play areas is a key safety measure for toddlers. At this age, children are exploring their environment and may not be aware of potential dangers.

Fenced play areas provide a safe space for the child to play while still being under the watchful eye of the parents. This demonstrates an understanding of the child’s safety needs.

Choice B rationale

Allowing a toddler to cross the street with a 6-year-old sibling is not a safe practice. Children at this age do not have the cognitive ability to understand the dangers of traffic and cannot make safe decisions about when to cross the street. Therefore, this action does not demonstrate an understanding of the child’s safety needs.

Choice C rationale

Using an automobile booster seat with a lap belt is not appropriate for an 18-month-old toddler. According to safety guidelines, children under the age of 2 should be in a rear-facing car seat, and children between the ages of 2 and 4 should be in a forward-facing car seat with a harness. Booster seats are typically used for older children who have outgrown their forward- facing car seats. Therefore, this action does not demonstrate an understanding of the child’s safety needs.

Choice D rationale

Teaching a toddler about swimming and water safety is important, but it is not enough to ensure the child’s safety. Toddlers should always be supervised around water, even if they have had swimming lessons. Drowning is a leading cause of death in toddlers, and it can happen quickly and silently. Therefore, while teaching water safety is a good step, it needs to be combined with other safety measures.

A. The infant’s intake was adequate. B. The infant’s output was adequate. C. The infant’s lab results were within normal limits. D. The infant’s lab results indicated dehydration.

Correct Answer is D

Explanation

Choice A rationale

Adequate intake is crucial for hydration, but the information provided does not specify the infant’s intake.

Choice B rationale

Adequate output is a good sign of hydration, but the information provided does not specify the infant’s output.

Choice C rationale

Normal lab results could indicate adequate hydration, but the information provided does not specify the infant’s lab results.

Choice D rationale

The infant was admitted with dehydration, and without information on improved intake or output, it is reasonable to conclude that the infant’s lab results indicated dehydration.

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A nurse is caring for a year-old child who has a new diagnosis of diabetes mellitus and is distressed.The nurse recognizes that which of the following therapeutic actions will help improve the child’s cooperation?

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A nurse is caring for a year-old child who has a new diagnosis of diabetes mellitus and is distressed.
The nurse recognizes that which of the following therapeutic actions will help improve the child’s cooperation?