A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Instruct the parents to allow the nurse to do everything for the child to aid in attachment.

Tell the child what is expected of him to help with compliance.

Follow the child’s home routines as much as possible while in the hospital.

Allow the child to dictate when and what they want to do and adhere to their requests.

Answer and Explanation

The Correct Answer is C

Choice A reason: Having the nurse do everything may disrupt the toddler’s trust in parents, hindering adaptation. Following home routines provides familiarity, making this counterproductive and incorrect compared to maintaining continuity to ease the toddler’s transition from home to the hospital environment.

Choice B reason: Telling a toddler expectations assumes cognitive understanding beyond their developmental stage, potentially increasing anxiety. Home routines offer comfort, making this less effective and incorrect compared to the nurse’s focus on familiarity to support the toddler’s hospital adaptation process.

Choice C reason: Following home routines maintains familiarity, reducing stress and aiding a toddler’s adaptation to the hospital. This aligns with pediatric psychosocial care principles, making it the most beneficial action for the nurse to implement to ease the toddler’s transition from home to hospital.

Choice D reason: Allowing a toddler to dictate actions disregards necessary medical routines, potentially compromising care and safety. Home routines provide structure, making this impractical and incorrect compared to the nurse’s role in maintaining familiarity to support the toddler’s hospital adaptation.

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Correct Answer is D

Explanation

Choice A reason: Cartilage is a connective tissue, not stored in bones, which house minerals like calcium. Minerals are critical for bone strength, making this incorrect, as it misidentifies the substances stored in the musculoskeletal system in the nurse’s understanding of bone physiology.

Choice B reason: Vitamins, like vitamin D, are stored in tissues, not bones, which store minerals for structural integrity. Minerals are the primary storage component, making this incorrect, as it does not reflect the physiological role of bones in the nurse’s musculoskeletal knowledge.

Choice C reason: Spinal fluid is contained in the central nervous system, not stored in bones, which hold minerals. Minerals support bone function, making this incorrect, as it confuses bone physiology with unrelated systems in the nurse’s understanding of the musculoskeletal system.

Choice D reason: Bones store minerals like calcium and phosphorus, essential for strength and metabolic functions. This aligns with musculoskeletal physiology, making it the correct answer for the nurse’s recognition of what is stored in bones as part of their anatomical knowledge.

A. Holding the buttocks tightly together for 1 to 2 minutes after insertion. B. Pre-warming the suppository in the hand for 10 to 20 seconds. C. Using the index finger to insert the suppository into the rectum. D. Placing the child on the abdomen for insertion of the suppository.

Correct Answer is A

Explanation

Choice A reason: Holding the buttocks together for 1-2 minutes after suppository insertion prevents expulsion, ensuring the medication is absorbed in a 3-month-old. This aligns with pediatric medication administration protocols, making it the correct intervention to assure effective delivery of the rectal suppository in this infant.

Choice B reason: Pre-warming the suppository is not standard, as it may soften excessively, complicating insertion. Holding the buttocks ensures retention, directly impacting absorption, making this less effective and incorrect compared to the critical step of preventing expulsion in a 3-month-old during suppository administration.

Choice C reason: Using the index finger is inappropriate for an infant, as the pinky finger is safer for their small rectum. Holding the buttocks ensures medication retention, making this unsafe and incorrect compared to the prioritized intervention for effective suppository administration in a 3-month-old child.

Choice D reason: Placing the child on the abdomen may aid positioning but does not ensure suppository retention like holding the buttocks. Retention is critical for absorption, making this less essential and incorrect compared to the direct intervention of securing the suppository in place post-insertion for the infant.

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A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In understanding the physiology of the musculoskeletal system, the nurse recognizes that which of the following are stored in the bones?

Correct Answer is D

Explanation

The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

Correct Answer is A

Explanation

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?

The nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?