A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?

The child is able to answer simple questions.

The child engages in conversation.

The child knows to stays away from danger.

The child adheres to rules.

Answer and Explanation

The Correct Answer is A

A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.

B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.

C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.

D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.

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Correct Answer is ["C","D"]

Explanation

A. Application of scented lotions. Scented lotions often contain fragrances and chemicals that can irritate the skin, worsening atopic dermatitis. Fragrance-free, hypoallergenic moisturizers should be used instead.

B. Frequent use of sunscreen. While sun protection is important, some sunscreens contain chemicals that may trigger irritation in children with atopic dermatitis. Mineral-based sunscreens (zinc oxide or titanium dioxide) are a better choice.

C. Identification of triggers. Common triggers include allergens (pollen, pet dander), irritants (soaps, detergents), weather changes, and certain foods. Identifying and avoiding triggers helps prevent flare-ups.

D. Use of topical corticosteroids. Low-to-moderate potency topical corticosteroids are the first-line treatment for controlling inflammation and reducing itching during flare-ups.

E. Scrubbing of the affected area. Scrubbing can damage the skin barrier, increase irritation, and worsen symptoms. Gentle cleansing with mild, fragrance-free cleansers is recommended instead.

A. Liver enzymes should be checked before starting B. Consult the prescriber for any dose adjustments. C. Do not take with anti-anxiety medications. D. Do not take the medication longer than a week. E. An increased risk of suicide is associated with this medication.

Correct Answer is ["A","B","E"]

Explanation

A. Liver enzymes should be checked before starting. Some anticonvulsants, such as valproic acid and carbamazepine, can affect liver function. Baseline liver enzyme testing is recommended before starting therapy to monitor for potential hepatotoxicity.

B. Consult the prescriber for any dose adjustments. Anticonvulsants require careful dose titration based on the child's response, side effects, and therapeutic drug levels. The prescriber should be consulted for any necessary adjustments.

C. Do not take with anti-anxiety medications. While caution is needed when combining CNS depressants, anticonvulsants can sometimes be used alongside anti-anxiety medications if prescribed and monitored by a healthcare provider. The statement is too restrictive and does not apply universally.

D. Do not take the medication longer than a week. This is incorrect. Anticonvulsants prescribed for chronic pain management may be used for extended periods under medical supervision. Discontinuing the medication too soon can reduce effectiveness and may require a gradual taper.

E. An increased risk of suicide is associated with this medication. Certain anticonvulsants, including gabapentin, pregabalin, and carbamazepine, carry an FDA warning for an increased risk of suicidal thoughts and behaviors. Monitoring for mood changes, depression, or suicidal ideation is important.

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A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 7-year-old client who has atopic dermatitis, Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

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Explanation

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