A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

Picture book about hospitals

Set of building blocks

Stuffed animal

Toy hammer and pounding board

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

Walking Well: The ability to walk well typically develops around12 to 15 months. Since the child walks well, we can consider her closer to this age range.

Stating first name: By 24-30 months, most children can identify themselves by name.

Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around15 to 18 months. The child’s language development aligns with this stage.

24 Deciduous Teeth: By the age of2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the2-year-oldmark.

Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by18 months. The fact that it is closed indicates that the child is beyond this age.

Child is most likely 30 months old.

A. At the beginning B. Before examining the head and neck C. At the end D. Before auscultating the chest

Correct Answer is C

Explanation

A. It’s usually best to build trust and rapport first with non-invasive assessments. Starting with a potentially uncomfortable procedure like looking in the ears may cause distress and make the rest of the exam more difficult.

B.Examining the tympanic membrane before the head and neck might still be too early in the assessment and could cause the child to become uncooperative for subsequent steps. If the child becomes upset, it could complicate the rest of the physical exam, making it harder to complete.

C.Performing the ear examination at the end allows the nurse to build trust and rapport throughout the visit. The child is less likely to become distressed too early in the exam, which helps maintain cooperation for as long as possible.If the child does become upset, it is at the end of the visit, and the more critical assessments have already been completed.

D.If the ear exam causes distress, it may make the child uncooperative for important assessments like auscultating the heart and lungs.

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A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

Correct Answer is C

Explanation

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