Which nursing intervention is most developmentally appropriate for a toddler with a birth injury of a torn brachial plexus that resulted in muscle atrophy and weakness of the right arm?
Feeding the toddler
Dressing the toddler
Offering the toddler a choice of clothing
Asking the toddler if he would like to take his medicine
The Correct Answer is C
Choice A reason: Feeding the toddler is important, but it does not specifically address the development of autonomy or decision-making skills.
Choice B reason: Dressing the toddler is a necessary task, but it does not encourage the child's active participation or independence.
Choice C reason: Offering the toddler a choice of clothing allows the child to make decisions, fostering a sense of control and independence, which is developmentally appropriate and empowering for the toddler.
Choice D reason: Asking the toddler if he would like to take his medicine is a good practice to involve the child in their care, but it is not as impactful on development as offering choices that promote autonomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Maintaining the child NPO is not necessary unless there are other medical reasons for doing so.
Choice B reason: Encouraging fluids is contraindicated in SIADH as it can exacerbate fluid overload.
Choice C reason: This is the correct choice. Fluid restriction is a key component of managing SIADH to prevent further dilutional hyponatremia.
Choice D reason: Turning frequently is important for all hospitalized patients to prevent pressure ulcers but is not specific to the management of SIADH.
Correct Answer is D
Explanation
Choice A reason: Movement of all extremities is expected and does not indicate a shunt malfunction.
Choice B reason: A negative Brudzinski sign is a normal finding and does not suggest a shunt malfunction.
Choice C reason: While incisional pain is common after surgery, it is not a specific indicator of shunt malfunction.
Choice D reason: This is the correct choice. A bulging fontanel can indicate increased intracranial pressure, which may suggest a shunt malfunction.
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