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 B

Explanation

Choice A reason: Explaining body changes to a toddler may not be effective due to their limited understanding at this developmental stage.

Choice B reason: Maintaining normal routines provides a sense of security and normalcy, which is crucial for a toddler's emotional well-being, especially during a serious illness.

Choice C reason: Allowing the child to talk about the illness can be therapeutic, but toddlers may not have the verbal skills to express complex emotions or understand their condition.

Choice D reason: While encouraging friends to visit can provide social support, it is not as fundamental as maintaining daily routines that offer stability in the child's life. Maintaining normal routines is the most comforting and beneficial intervention for a toddler in this situation.

A. Had an upper respiratory infection with a sore throat about 3 weeks ago. B. Suffered chest trauma with a fractured rib after a bicycle accident 2 weeks ago. C. The child was born with a heart defect that was repaired at 6 months of age. D. Has had a decreasing appetite over the course of several months.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Rheumatic fever is often preceded by an upper respiratory infection caused by group A Streptococcus, which can lead to a sore throat.
Choice B reason: Chest trauma and a fractured rib are not related to the development of rheumatic fever.
Choice C reason: Although a pre-existing heart defect can increase the risk of complications, it is not the cause of rheumatic fever.
Choice D reason: A decreasing appetite over several months is not specifically indicative of rheumatic fever.

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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

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Correct Answer is A

Explanation

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