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 B

Explanation

Choice A rationale

The average number of deciduous teeth at 2.5 years of age is 20. The first set of teeth, also known as primary or milk teeth, typically begins to erupt around 6 months of age and all 20 are generally present by the time a child is 3 years old. Twelve deciduous teeth would be an expected number for a younger toddler, around 1 to 1.5 years old.

Choice B rationale

A 2.5-year-old child should have a full set of 20 deciduous teeth. These teeth typically erupt in a predictable sequence, starting with the central incisors and ending with the second molars, which usually appear between 2 and 3 years of age. By 30 months, all 20 primary teeth are typically present and functional for chewing and speech development.

Choice C rationale

This combination is incorrect for a 2.5-year-old. The first permanent teeth, the molars, do not typically begin to erupt until around age 6. A 2.5-year-old would only have deciduous teeth, and the number would be 20. The permanent teeth are not yet present at this age, as the jaw is still growing.

Choice D rationale

This combination is incorrect. A 2.5-year-old has a full set of 20 deciduous teeth. The presence of permanent teeth at this age is not typical. The first permanent teeth erupt between ages 6 and 7. The number of deciduous teeth would also be an incorrect count, as 16 deciduous teeth would be present in a younger toddler.

A. A client with a localized area of breast tenderness. B. A 4-hour post-op cesarean section client reporting a pain scale score of 3/10. C. A client with a moderate amount of dark red lochia. D. A client with uterine tenderness, foul-smelling lochia, and a new temperature of 102 degrees

Correct Answer is D

Explanation

Choice A rationale

A localized area of breast tenderness is a potential sign of mastitis, which, while requiring attention, is not an immediate life-threatening condition. The client can be seen after more acute priorities, as mastitis typically develops over days.

Choice B rationale

A pain score of 3/10 in a 4-hour post-op client is an expected finding and can be addressed after more critical clients. This level of pain is not indicative of an acute, unstable physiological state that requires immediate intervention.

Choice C rationale

Moderate, dark red lochia is a normal finding 4 hours postpartum. The lochia is a mixture of blood, tissue, and mucus, and its color and amount are expected to change over time without indicating an immediate danger to the client.

Choice D rationale

Uterine tenderness, foul-smelling lochia, and a new temperature of 102 degrees F are classic signs of postpartum endometritis, a serious uterine infection. This presents a high risk for sepsis and septic shock, making it the highest priority for immediate assessment and intervention. .

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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

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Correct Answer is B

Explanation

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Correct Answer is D

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?