The nurse is conducting teaching with the caregivers of a child who is being discharged from the pediatric unit. The care provider has recommended the child have moist heat applications at home. In conducting teaching with this caregiver, the nurse will teach the caregiver to use which of the following to provide the moist heat?

An electric heating pad

Towels dampened and heated in the microwave

A hot water bottle

Towels dampened with hot water

Answer and Explanation

The Correct Answer is D

Choice A reason: An electric heating pad provides dry heat, not moist heat, which is needed for deeper tissue penetration and comfort. Towels dampened with hot water deliver moist heat effectively, making this incorrect for the caregiver’s instruction on providing the recommended therapy at home for the child.

Choice B reason: Microwave-heated towels risk uneven heating and burns, making them unsafe for moist heat application. Towels dampened with hot water ensure controlled, safe moist heat, making this unreliable and incorrect for the caregiver’s home application of moist heat therapy as recommended.

Choice C reason: A hot water bottle provides dry heat, not moist, as it does not involve dampness. Towels dampened with hot water meet the moist heat requirement, making this incorrect, as it fails to deliver the specific type of heat therapy recommended for the child’s home care.

Choice D reason: Towels dampened with hot water provide safe, effective moist heat, penetrating tissues and soothing the child’s condition as recommended. This method aligns with pediatric home care instructions, making it the correct choice for teaching the caregiver about moist heat application at home.

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Correct Answer is A

Explanation

Choice A reason: The infant’s eustachian tube is straighter and wider, increasing susceptibility to infections due to easier pathogen access. This anatomical difference is accurate, aligning with pediatric otolaryngology evidence, making it the most correct statement about children’s ear and hearing development discussed among peers.

Choice B reason: Children’s hearing is acutely developed at birth, not delayed until age 5. Newborns respond to sounds, and hearing matures early. This statement is inaccurate, as it misrepresents the timeline of auditory development, making it incorrect compared to the eustachian tube fact in infants.

Choice C reason: Infants respond to sounds from birth, with noticeable reactions by 1-3 months, not 6 months. This statement underestimates early auditory responsiveness, making it less accurate than the eustachian tube’s anatomical description, which is a key factor in pediatric ear health discussions.

Choice D reason: The eardrum (tympanic membrane) is between the outer and middle ear, not the middle and inner ear. This anatomical error makes the statement incorrect, as the eustachian tube’s structure is the most accurate fact about children’s ear and hearing anatomy in this context.

A. Find a Little League team that encourages participation of kids at all disability levels. B. Modify family activities so they are more sedentary for the child. C. Find an art class that will allow the child to participate without physical exertion. D. Teach the child at home so that the child does not feel overly different.

Correct Answer is C

Explanation

Choice A reason: Little League may be too physically demanding for an 8-year-old with muscular dystrophy, risking fatigue or injury. An art class supports engagement without exertion, making this impractical and incorrect compared to the nurse’s suggestion for a low-physical activity suitable for the child.

Choice B reason: Sedentary family activities limit social and creative stimulation, potentially isolating the child with muscular dystrophy. An art class encourages participation, making this overly restrictive and incorrect compared to the nurse’s recommendation for an engaging, low-exertion activity for the 8-year-old.

Choice C reason: An art class allows the 8-year-old with muscular dystrophy to engage socially and creatively without physical exertion, supporting well-being. This aligns with pediatric chronic illness activity planning, making it the correct suggestion for the caregivers to promote the child’s participation and development.

Choice D reason: Homeschooling may reduce social interaction, increasing feelings of difference for the child with muscular dystrophy. An art class fosters inclusion, making this isolating and incorrect compared to the nurse’s suggestion for an activity that supports social engagement without physical demands.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

Correct Answer is A

Explanation

The caregivers of an 8-year-old child diagnosed with muscular dystrophy are discussing appropriate activities for their child. The nurse might suggest to these caregivers that they take which action in regard to their child’s activities?

Correct Answer is C

Explanation

Which of the following is most correct regarding the gastrointestinal system of the child?

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

The emergency room nurse is caring for a family who lost an adolescent in a violent car accident. Which initial nursing action best helps the family’s grieving process?

A group of nurses is reviewing the cardiovascular system and its function. Which statement by one of the nurses demonstrates an understanding of a child’s cardiovascular system?

The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the client and family that the child should have plenty of fluids. In addition, the nurse would explain to the child’s caregiver that the child may: