A nurse is caring for a 3-year-old patient. Which behavior is developmentally appropriate for this patient?

The patient ties his shoelaces.

The patient gives his first and last name.

The patient can tell time.

The patient draws a stick figure with six parts.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

The patient ties his shoelaces. This choice is incorrect as most 3-year-olds lack the fine motor skills required to tie shoelaces independently.

Choice B rationale:

The patient gives his first and last name. This choice is also incorrect, as most 3-year-olds might not have developed language skills to provide their full name accurately.

Choice C rationale:

The patient can tell time. This choice is unrealistic for a 3-year-old, as telling time involves cognitive and conceptual abilities that are not yet developed at this age.

Choice D rationale:

The patient draws a stick figure with six parts. This choice is correct. Around age 3, children usually start drawing simple figures with a head, arms, legs, and possibly facial features, totaling around six parts. This reflects appropriate developmental milestones for a child of this age.

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Correct Answer is A

Explanation

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.

A. "You will be placed in halo traction.". B. "The nurses will use a log-roll technique when you are turned.". C. "You can have nothing by mouth for 72 hours.". D. "You will not be allowed to have visitors for 48 hours.".

Correct Answer is B

Explanation

Choice A rationale:

Placing the patient in halo traction is not applicable for a scoliosis correction surgery with Harrington rods. Halo traction is typically used for cervical spine injuries or deformities, not for scoliosis correction.

Choice B rationale:

The correct answer. After Harrington rod insertion, maintaining proper alignment is crucial to prevent complications. Using a log-roll technique when turning the patient helps maintain spinal alignment and prevent stress on the surgical site.

Choice C rationale:

Keeping the patient nothing by mouth for 72 hours is not typically necessary after scoliosis surgery. Clear fluids and a light diet are usually initiated shortly after surgery.

Choice D rationale:

Restricting visitors for 48 hours is not a standard practice after scoliosis surgery unless there are specific infection control concerns, which are not mentioned in the scenario.

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A nurse is caring for a 3-year-old patient. Which behavior is developmentally appropriate for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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