The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

"The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height."

"I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height."

"Are most of the adults in your family short? It may be hereditary that your child will be shorter than average."

"Some children are short for their age during the preschool years but usually catch up during early childhood."

Answer and Explanation

The Correct Answer is D

A.   This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B.   While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C.   While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D.   This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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Correct Answer is C

Explanation

A. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.

A. The nurse treats all children the same regardless of their culture. B. The nurse researches the child's culture and provides care based on the findings. C. The nurse negotiates a care plan with the child, and family. D. The nurse provides future-based care for culturally diverse children.

Correct Answer is C

Explanation

A. Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B. Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C. Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D. Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.

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The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a child and his family for a lumbar puncture. Which would be a primary intervention instituted to keep the child safe?

Correct Answer is C

Explanation

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

Correct Answer is C

Explanation

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