A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?

Modeling clay

Brightly-colored mobile

100-piece jigsaw puzzle

Checkerboard and checkers

Answer and Explanation

The Correct Answer is A

A. Modeling clay: Correct. This is appropriate for a 4-year-old, helping with fine motor skills and creativity.

B. Brightly-colored mobile: Incorrect. More suitable for infants who are visually stimulated by simple, moving objects.

C. 100-piece jigsaw puzzle: Incorrect. Too complex for a 4-year-old; age-appropriate puzzles typically have fewer pieces.

D. Checkerboard and checkers: Incorrect. This is better suited for older children who understand rules and strategies.

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Correct Answer is A

Explanation

A. Scoliosis: Scoliosis is characterized by an abnormal lateral curvature of the spine, commonly detected during routine physical exams in school-aged children and adolescents. This is the correct diagnosis for the described symptom.

B. Ankylosis: Ankylosis refers to joint stiffness or immobility due to fusion of the bones, not a lateral curvature of the spine. It is typically associated with conditions like ankylosing spondylitis and does not describe a spinal curvature.

C. Kyphosis: Kyphosis involves an abnormal forward curvature of the spine, often resulting in a hunchback appearance. It is not the same as a lateral curvature and thus does not fit the description given.

D. Lordosis: Lordosis is characterized by an exaggerated inward curve of the lower spine, commonly referred to as swayback. It does not involve lateral curvature and therefore is not relevant to the described condition.

A. The parent reports the child will not keep the arm elevated on the pillow. B. The fingers on the right hand have a capillary refill of 4 seconds. C. The fingertips of the right hand are swollen and bruised. D. The child is not attempting to move her right arm or fingers.

Correct Answer is B

Explanation

A. The parent reports the child will not keep the arm elevated on the pillow: Not a priority. While elevation is important, it is not immediately concerning.

B. The fingers on the right hand have a capillary refill of 4 seconds: Correct. A capillary refill time of more than 2 seconds indicates poor perfusion, which can be a sign of compartment syndrome, a serious complication.

C. The fingertips of the right hand are swollen and bruised: Concerning, but swelling and bruising can be normal post-injury. Immediate concern is perfusion.

D. The child is not attempting to move her right arm or fingers: Concerning, but can be due to pain or fear. Poor perfusion (B) is a more immediate threat.

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A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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