A nurse is contributing to the care plan of an infant who has pneumonia.
Which of the following toys should the nurse select for the child's play activity?

Choice A rationale

Allowing the toddler to inspect the stethoscope helps to reduce anxiety and build trust during the examination. This approach can make the child feel more comfortable and cooperative, facilitating a smoother and more thorough assessment.

Choice B rationale

While removing outer clothing is necessary for certain examinations, it should be done in a manner that respects the toddler's comfort and privacy. Gradually introducing the examination process is often more effective.

Choice C rationale

Performing traumatic procedures first can increase the toddler's anxiety and resistance to further examination. It is better to start with less invasive procedures to build trust and cooperation.

Choice D rationale

Allowing the toddler to sit in the parent's lap can provide comfort and reduce anxiety during the examination. This approach supports a more positive experience for the child.

Choice A rationale

Ibuprofen should be clarified before administration to a 5-month-old infant. Ibuprofen is not recommended for infants younger than 6 months due to the risk of adverse effects on the kidneys and gastrointestinal tract. Infants have immature renal function, and administering ibuprofen can increase the risk of nephrotoxicity. Additionally, ibuprofen can cause gastric irritation and increase the risk of gastrointestinal bleeding. The nurse should verify the safety and appropriateness of this medication with the prescribing healthcare provider before administration.

Choice B rationale

Acetaminophen is generally considered safe for use in infants to reduce fever and alleviate pain. It is often the preferred antipyretic for infants younger than 6 months due to its favorable safety profile. Acetaminophen does not have the same risks of nephrotoxicity and gastrointestinal irritation as ibuprofen, making it a suitable choice for managing fever in this age group.

Choice C rationale

The heart rate of 84/min is within the normal range for a 5-month-old infant. Heart rate itself is not a medication and does not require clarification. Instead, it is a vital sign that should be monitored to assess the infant's overall condition and response to treatment.

Choice D rationale

Temperature itself is not a medication and does not require clarification. It is a vital sign that indicates the body's response to infection or inflammation. The nurse should monitor the infant's temperature and provide appropriate interventions, such as antipyretics like acetaminophen, to manage fever. .