A parent of a toddler asks the nurse the best way to handle the client's new temper tantrums at home.
What action should the nurse suggest?

Ignore the temper tantrums.

Distract the child with an activity.

Explain temper tantrums are not acceptable.

Place the child in their room.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Ignoring temper tantrums can sometimes be effective, but it may also escalate the behavior if the child feels their needs are not being met. From a psychological standpoint, the child is testing boundaries and seeking attention, and ignoring the behavior can be perceived as a lack of engagement, potentially intensifying the tantrum in an attempt to gain a reaction. This approach doesn't address the underlying developmental need for control and independence.

Choice B rationale

Distraction is a highly effective developmental strategy for toddlers. Toddlers have a short attention span and are easily redirected. By introducing a new, engaging activity, the nurse can shift the child's focus away from the source of frustration that triggered the tantrum. This technique prevents the tantrum from escalating and teaches the child to move on from a distressing situation without a power struggle, which is an important step in emotional regulation.

Choice C rationale

A toddler's cognitive development is not yet at a level where they can fully comprehend complex explanations about social norms or acceptable behavior. Their reasoning skills are still very primitive. Attempting to reason with a toddler during a tantrum is often futile and can even prolong the tantrum by giving the child attention for the negative behavior, thereby reinforcing it.

Choice D rationale

Placing a child in their room, or "time-out," is a discipline technique more appropriate for older children who can understand cause and effect. For a toddler, it can be perceived as abandonment or punishment without a clear connection to their behavior. This approach may not be effective and can cause fear or anxiety, failing to teach the child how to manage their emotions constructively.

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Correct Answer is D

Explanation

Choice A rationale

Painting a picture requires fine motor skills and a level of artistic expression that may be beyond a typical toddler's developmental stage. While some toddlers may enjoy making marks on paper, the structured activity of painting a picture is more appropriate for preschoolers. Toddlers are still developing hand-eye coordination and may become frustrated with a task that requires precision.

Choice B rationale

Playing peek-a-boo is a game typically enjoyed by infants who are learning about object permanence. While a toddler may still find it amusing, it is not the most developmentally appropriate activity for a hospitalized toddler who is developing gross motor skills, independence, and exploring their environment. The game does not support the toddler's need for autonomy and movement.

Choice C rationale

Listening to music can be a soothing and pleasant activity for a toddler, especially in a hospital setting. However, it is a passive activity. The most appropriate play for a toddler is one that engages their newfound gross motor skills, sense of autonomy, and exploration. A passive activity like listening to music does not fully meet the developmental needs of this age group.

Choice D rationale

Playing with a push-pull toy is the most appropriate activity for a toddler. Toddlers are in the developmental stage of mastering walking and running. These toys support the development of gross motor skills, coordination, and balance. The activity also encourages independent exploration and a sense of mastery, which aligns with the toddler's psychosocial stage of autonomy versus shame and doubt.

A. Encourage the client to ambulate. B. Instruct the client to press inward on their abdomen periodically. C. Urge the client to cough and take deep breaths. D. Urge the client not to dislodge the IV fluid line.

Correct Answer is A

Explanation

Choice A rationale

Ambulation is the most effective intervention for preventing thromboembolism. Movement of the lower extremities promotes venous return and blood flow, preventing venous stasis, which is the primary predisposing factor for clot formation. Encouraging the client to get out of bed and walk as soon as medically stable after a cesarean birth reduces the risk of deep vein thrombosis and subsequent pulmonary embolism by a significant margin.

Choice B rationale

Instructing the client to press inward on their abdomen periodically is not an intervention for thromboembolism prevention. This action may cause discomfort and does not promote blood flow in the lower extremities. It is not a scientifically supported method for preventing venous stasis or clot formation in the legs, which are the main concerns for thromboembolism in this population.

Choice C rationale

Urging the client to cough and take deep breaths is an intervention to prevent respiratory complications like atelectasis and pneumonia. While important for post-operative care, this action does not directly address the risk of thromboembolism in the lower extremities. The mechanism of clot formation is related to venous stasis, which is best addressed by movement and not by respiratory exercises.

Choice D rationale

Urging the client not to dislodge the IV fluid line is an important general safety measure to ensure proper hydration and medication administration. However, it is not an intervention specifically aimed at preventing thromboembolism. The risk of thromboembolism is a circulatory issue related to venous stasis, and this action does not impact blood flow or clot formation in the veins. .

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A parent of a toddler asks the nurse the best way to handle the client's new temper tantrums at home. What action should the nurse suggest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a hospitalized toddler. What does the nurse determine is the most appropriate play activity for this client?

Correct Answer is D

Explanation

To prevent thromboembolism following a cesarean birth, which of the following would be the most important intervention to implement?

Correct Answer is A

Explanation

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A parent of a toddler asks the nurse the best way to handle the client's new temper tantrums at home.
What action should the nurse suggest?