A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

Allow the toddler to handle the equipment.

Completely undress the toddler.

Thoroughly explain each procedure to the toddler.

Start the examination with routine immunizations.

Answer and Explanation

The Correct Answer is A

A.   Correct. Allowing the toddler to explore and handle the equipment can help build trust and reduce anxiety during the examination.
B.   Completely undressing the toddler might cause anxiety and discomfort.
C.   Thorough explanations are more suitable for older children, as toddlers might not fully understand.
D.   Starting with immunizations might create anxiety, and it's better to establish rapport before introducing potentially distressing procedures.

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Correct Answer is A

Explanation

A. Correct.

Option A, reminding the client of the day and time often, aligns with this goal. Orienting the individual to time and place can help reduce confusion and disorientation commonly associated with delirium.
B. Incorrect. Offering the client several choices at mealtimes, might not directly address the issue of orientation and may potentially overwhelm the individual, exacerbating their confusion.

C. Incorrect. Discussing the client's fears and addressing their concerns is important for providing appropriate care and support.
D. Incorrect. Alternating daily caregivers may increase confusion for the client experiencing delirium. Consistency in care providers can be beneficial.

A. "I should keep my baby rear-facing in the car seat until she is 2 years old." B. "I should position the car seat's retainer clip at the level of my baby's belly button." C. "I should place my baby in the car seat at a 90-degree angle." D. "I should enable the airbag when my baby is in the front seat of the car."

Correct Answer is A

Explanation

A. Correct. The American Academy of Pediatrics (AAP. recommends keeping infants rear-facing in their car seats until at least the age of 2, or until they reach the maximum weight and height limits recommended by the car seat manufacturer. This is to ensure optimal safety for the child's head, neck, and spine.
B. Incorrect. The retainer clip should be positioned at armpit level to ensure proper fit of the harness straps.
C. Incorrect. While it's important to ensure the proper recline angle of the car seat, the specific angle may vary based on the car seat manufacturer's instructions.
D. Incorrect. It is not safe to enable the airbag when a baby is in the front seat, as airbags can be dangerous for infants due to their size and vulnerability.

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A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?

Nursing Test Bank

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