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

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["B","E"]

Explanation

Choice A reason: Tripod positioning is a more severe sign, indicating increased work of breathing.
Choice B reason: This is one of the correct choices. Nasal flaring is a mild symptom of respiratory distress, indicating increased effort to breathe.
Choice C reason: Confusion is a more severe symptom, suggesting hypoxia affecting brain function.
Choice D reason: Cyanosis is a severe sign of respiratory distress, indicating poor oxygenation.
Choice E reason: This is one of the correct choices. Tachypnea, or rapid breathing, is a mild symptom of respiratory distress.

A. Apply a warm, moist pack to the feet. B. Call the healthcare provider to report the edema. C. Elevate the legs on pillows. D. Encourage movement of the toes.

Correct Answer is C

Explanation

Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.

Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.

Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.

Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are mild symptoms of respiratory distress? (Select the two responses that apply)

Correct Answer is ["B","E"]

Explanation

After surgery for the correction of bilateral congenital clubfeet, an infant returns with bilateral long-leg casts. The toes on both feet are edematous, yet there is color, sensitivity, and movement. What is the most appropriate action by the nurse?

Correct Answer is C

Explanation

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

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A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:

Which client in the pediatric intensive care unit (PICU) would most benefit from palliative care?