A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
Allowing the toddler to button up their own shirt
Asking the toddler questions that have "yes" or "no" answers
Providing the toddler with opportunities to share toys with others
Making sure the toddler has at least one nap during the day
The Correct Answer is D
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Rationale:
A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.
B. While supporting the cast correctly is important, it is not the priority immediately following the application.
C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.
D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.
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