Exhibits

A nurse is caring for a toddler in a pediatric clinic. Which of the following referrals should the nurse make?

Nutritionist

Speech therapist

Physical Therapist

Occupational Therapist

Answer and Explanation

The Correct Answer is A

A. Nutritionist. The toddler’s BMI (28) indicates obesity, necessitating a referral for nutritional counseling to guide healthier dietary practices.
B. Speech therapist. The toddler demonstrates age-appropriate speech development, including forming short sentences such as "want go home now."
C. Physical therapist. The toddler meets gross motor developmental milestones such as running, kicking, and throwing a ball.
D. Occupational therapist. The toddler’s ability to feed themselves using finger foods and utensils indicates appropriate fine motor skills.

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Correct Answer is B

Explanation

A. Administer aspirin for pain. Aspirin increases the risk of bleeding and is contraindicated in clients with hemophilia. Acetaminophen is recommended instead.
B. Place knee pads on the child. Protective gear like knee pads can help prevent joint injuries, which are common in toddlers with hemophilia.
C. Perform passive range-of-motion exercises following an acute episode. Active range-of-motion exercises are preferred after an acute episode to prevent joint damage. Passive exercises can exacerbate bleeding.
D. Use a firm-bristled toothbrush for dental care. A soft-bristled toothbrush should be used to minimize gum bleeding.

A. Elevate the child's residual limb for 48 hr. B. Apply a loose-fitting bandage onto the child's residual limb. C. Perform active and isotonic range-of-motion exercises. D. Clean the incision using half-strength hydrogen peroxide every 8 hr.

Correct Answer is C

Explanation

A. Elevate the child's residual limb for 48 hr. Elevation for prolonged periods can cause flexion contractures. Elevation is typically limited to the first 24 hours, if at all.
B. Apply a loose-fitting bandage onto the child's residual limb. A compression bandage, not loose-fitting, is used to shape the residual limb and reduce swelling.
C. Perform active and isotonic range-of-motion exercises. These exercises prevent contractures and maintain muscle strength.
D. Clean the incision using half-strength hydrogen peroxide every 8 hr. Hydrogen peroxide can damage healthy tissue and delay healing. Saline or antiseptic solutions are preferred.

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Exhibits A nurse is caring for a toddler in a pediatric clinic. Which of the following referrals should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is developing a plan of care for the parents of a toddler who has hemophilia A. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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Exhibits

A nurse is caring for a toddler in a pediatric clinic. Which of the following referrals should the nurse make?