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 ["A","D","E"]

Explanation

Choice A reason: Administering oxygen helps increase the oxygen saturation during a 'tet' spell.
Choice B reason: The Trendelenburg position is not recommended for 'tet' spells as it does not help alleviate the hypercyanotic episode.
Choice C reason: While important for overall assessment, drawing blood for serum hemoglobin is not an immediate intervention during a 'tet' spell.
Choice D reason: Placing the infant in a knee-chest position increases systemic vascular resistance, which can help improve oxygenation.
Choice E reason: Administering morphine is appropriate as it helps to relax the infant, reducing the work of breathing and improving oxygenation.

A. Limit use of mobility equipment to avoid muscle atrophy. B. Massage joints to relax muscles and decrease pain. C. Substitute natural fruit juices for carbonated drinks. D. Return for periodic liver function studies.

Correct Answer is D

Explanation

Choice A reason: Limiting the use of mobility equipment is not recommended as it can lead to decreased mobility and increased joint stiffness.
Choice B reason: Massaging inflamed joints is not recommended as it can increase pain and inflammation.
Choice C reason: Substituting natural fruit juices for carbonated drinks is a healthy choice but does not directly address the management of gouty arthritis.
Choice D reason: This is the correct choice. Periodic liver function studies are important when taking medications like colchicine and indomethacin, which can affect liver function. Monitoring liver function helps ensure the safety of the medication regimen.

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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

An infant with tetralogy of Fallot is having a hypercyanotic episode ('tet' spell). Which three nursing interventions are appropriate for the nurse to implement for this infant?

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is D

Explanation

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