A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Measure head circumference every shift

Admit the client to a private room

Place the client in a semi-Fowler's position

Implement seizure precautions

Answer and Explanation

The Correct Answer is A

A. While monitoring for increased intracranial pressure is important, measuring head circumference every shift may not be necessary unless there is a specific indication or change in the child's condition.

B. Admitting the child to a private room is necessary to reduce the risk of spreading the infection to others.

C. Placing the child in a semi-Fowler's position can help reduce intracranial pressure and promote comfort.

D. Implementing seizure precautions is important, as children with bacterial meningitis are at risk for seizures.

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Correct Answer is C

Explanation

A. The described behaviors, such as sitting quietly and turning away, may suggest the toddler is seeking comfort and self-soothing, which can be indicative of developing autonomy rather than anxiety.

B. Resentment toward the mother is a less likely interpretation of these behaviors, especially considering the age of the toddler.

C. Developing autonomy is a common developmental stage around this age. Toddlers begin to explore their independence and may engage in self-soothing behaviors.

D. Regression is a return to an earlier developmental stage. The behaviors described are more consistent with the development of autonomy rather than regression.

A. Toy hammer and pounding board B. Stuffed animal C. Picture book about hospitals D. Set of building blocks

Correct Answer is B

Explanation

A. A toy hammer and pounding board may not be appropriate in a hospital setting and might not effectively address the child's emotional distress.

B. A stuffed animal can provide comfort and a sense of security for a young child experiencing separation anxiety. It serves as a transitional object, helping the child cope with the absence of the parent.

C. A picture book about hospitals may be informative, but it might not provide the immediate comfort and distraction needed during the tantrum.

D. A set of building blocks may be more suitable for creative play but may not offer the same level of emotional comfort as a stuffed animal in the given situation.

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A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

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Correct Answer is C

Explanation

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child’s stress?

Correct Answer is B

Explanation

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