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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) Shaving hairy areas of skin prior to application: While it's important to have a clean area for patch application, shaving can cause irritation and micro-abrasions, potentially leading to increased absorption or skin reactions. Instead, the nurse should clean the area and trim hair if necessary without shaving, to ensure the skin is intact.

B) Wear gloves to apply the patch to the client's skin: Using gloves is essential for infection control and to prevent the nurse from absorbing nicotine through their skin during application. It minimizes the risk of cross-contamination and ensures that the patch is applied safely and effectively.

C) Apply the patch within 1 hr of removing it from the protective pouch: The nicotine patch should be applied immediately after removal from the protective pouch to ensure that it maintains its efficacy. However, there is no strict guideline that requires it to be applied within one hour, making this less critical compared to the importance of proper technique during application.

D) Remove the previous patch and place it in a tissue: Proper disposal of the old patch is important to prevent accidental nicotine exposure. However, the patch should be discarded in a way that minimizes risk, such as folding it upon itself and placing it in a designated waste container rather than just a tissue, which may not secure it adequately.

A. A client who received a Mantoux test 48 hr ago and has an induration. B. A client who is taking warfarin and has started to breastfeed. C. A client who is taking bumetanide and reports an increase in urinary frequency. D. A client who is scheduled for a colonoscopy and is taking sodium phosphate.

Correct Answer is B

Explanation

A. A client who received a Mantoux test 48 hr ago and has an induration: The presence of induration is expected in a positive Mantoux test and does not necessarily require follow-up unless the induration is large, indicating possible tuberculosis exposure.

B. A client who is taking warfarin and has started to breastfeed: This situation requires follow-up care. While warfarin can be used during breastfeeding, careful monitoring is needed due to potential effects on the infant and the necessity of maintaining therapeutic INR levels.

C. A client who is taking bumetanide and reports an increase in urinary frequency: This is a normal side effect of bumetanide, a diuretic, and does not require follow-up unless there are additional concerning symptoms.

D. A client who is scheduled for a colonoscopy and is taking sodium phosphate: This is a common preparation for a colonoscopy, and while electrolyte balance should be monitored, it does not inherently indicate a need for follow-up care unless there are specific issues reported.

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A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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