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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Correct Answer is C

Explanation

Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.

A. Symptoms of infection B. Anaphylaxis C. Pain at the injection site D. Myalgia E. Hyperthermia

Correct Answer is B

Explanation

Choice A reason: While symptoms of infection are important to assess, they are not the immediate priority following vaccine administration.

Choice B reason: Anaphylaxis is a rapid, potentially life-threatening allergic reaction that can occur after vaccination, making it the priority assessment.

Choice C reason: Pain at the injection site is common and expected, but it is not as critical as assessing for anaphylaxis.

Choice D reason: Myalgia, or muscle pain, may occur after vaccination but is not the immediate priority for assessment.

Choice E reason: Hyperthermia, or elevated body temperature, could indicate an adverse reaction; however, anaphylaxis is the most urgent concern to address post-vaccination.

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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

The nurse is preparing an older client for a magnetic resonance imaging (MRI) with contrast. Which laboratory value should the nurse report to the healthcare provider before the scan is performed?

Correct Answer is C

Explanation

What is the priority nursing assessment for the nurse to perform after administering vaccines?

Correct Answer is B

Explanation

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