A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?
Playing with an imaginary friend
Playing with a large plastic truck
Playing with dress-up clothes
Playing with a jump rope
The Correct Answer is B
A) Playing with an imaginary friend: While imaginative play does begin to develop in toddlers, having an imaginary friend is more typical in older preschool-aged children, around 3 to 4 years old. Therefore, this activity may not be expected in a 30-month-old child.
B) Playing with a large plastic truck: At 30 months old, children are typically engaged in parallel play and are interested in toys that promote gross motor skills and imaginative play. Playing with a large plastic truck is developmentally appropriate, as children at this age enjoy manipulating vehicles and may engage in simple pretend play related to driving or racing.
C) Playing with dress-up clothes: Although some children may enjoy dress-up, this activity tends to be more prominent in slightly older toddlers and preschoolers. A 30-month-old may show interest in dressing up but may not engage in it as frequently or with as much understanding of role play as older children.
D) Playing with a jump rope: Jump rope activities require a level of coordination and motor skills that are typically beyond what a 30-month-old child can achieve. At this age, children are still developing basic motor skills and would not yet be proficient in using a jump rope effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Administer 0.9% sodium chloride IV: While fluid replacement is important in managing a thyroid storm, it is not the immediate priority compared to monitoring critical symptoms.
B) Provide a cooling blanket: Hyperthermia is a concern in a thyroid storm, and cooling measures are necessary, but they are secondary to addressing the cardiovascular effects.
C) Obtain the client's blood glucose: Monitoring blood glucose is important, especially in a hypermetabolic state, but it is not the most immediate concern in the context of a thyroid storm.
D) Monitor the client's cardiac rhythm: This is the priority action. Thyroid storm can cause significant cardiovascular complications, including tachycardia and arrhythmias. Continuous monitoring of the cardiac rhythm is essential to detect any life-threatening changes and to provide prompt intervention if necessary.
Correct Answer is D
Explanation
A) Use clothing with buttons and zippers: This may create frustration for clients with dementia, who may struggle with complex clothing. Instead, simpler clothing options, like pull-on pants, may be more suitable.
B) Engage the client in activities that increase sensory stimulation: While some sensory stimulation can be beneficial, overwhelming sensory input may lead to confusion or agitation. It’s important to find a balance that suits the individual’s needs.
C) Discourage physical activity during the day: This is incorrect. Encouraging physical activity during the day can help improve mood, reduce restlessness, and promote better sleep at night.
D) Establish a toileting schedule for the client: This is the correct answer. A consistent toileting schedule can help manage incontinence and reduce anxiety related to bathroom needs, providing a sense of routine and security for clients with dementia.
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