A nurse is assessing the psychosocial development of a toddler.
The nurse should recognize that this stage is characterized by which of the following?

The correct answer is Choice B.

Choice A rationale

Insulin should be administered subcutaneously, not intramuscularly. Rotating sites is important to prevent lipodystrophy, but the correct technique involves subcutaneous injection.

Choice B rationale

Drawing up the short-acting insulin into the syringe first is correct. This prevents contamination of the short-acting insulin vial with long-acting insulin, ensuring accurate dosing.

Choice C rationale

Wiping off the needle with an alcohol swab is not recommended. The needle should remain sterile, and only the top of the insulin vial should be wiped with an alcohol swab.

Choice D rationale

Administering insulin at a 30-degree angle is incorrect. Insulin should be administered at a 90- degree angle if the person can grasp 2 inches of skin, or at a 45-degree angle if only 1 inch of skin can be grasped.

The correct answer is Choice A.

Choice A rationale

Auscultating the rate and characteristics of the child’s heart sounds is the priority assessment. Acute rheumatic fever can lead to carditis, which affects the heart valves and can cause new or changed heart murmurs.

Choice B rationale

Assessing the client’s erythematous rash is important but not the priority. The rash is a common symptom but does not indicate the severity of the condition.

Choice C rationale

Identifying the degree of parental anxiety is important for providing holistic care but is not the immediate priority in assessing the child’s physical condition.

Choice D rationale

Using a pain-rating tool to determine the severity of joint pain is important for managing symptoms but is not the priority assessment upon admission.