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 A
Explanation
A) Have the child take a tub bath each morning:Warm tub baths can help alleviate morning stiffness and improve joint mobility in children with juvenile idiopathic arthritis. This intervention can be soothing and help the child start the day with less discomfort, promoting better overall function and quality of life.
B) Encourage the child to take naps during the day:While rest is important, excessive napping can lead to decreased physical activity, which may worsen joint stiffness and reduce muscle strength. It is more beneficial to encourage regular, gentle exercise and activity throughout the day.
C) Apply splints to the child’s extremities during the day:Splints are typically used at night to prevent joint deformities and maintain proper alignment. During the day, it is important for the child to remain active and use their joints to maintain mobility and strength.
D) Keep the child on bedrest as long as pain persists:Prolonged bedrest can lead to muscle atrophy and joint stiffness, which can worsen the child’s condition. Encouraging gentle movement and activity, even when experiencing pain, is crucial for managing juvenile idiopathic arthritis effectively.
Correct Answer is A
Explanation
A. Take a hot shower every day: This is a beneficial nonpharmacological pain management technique for clients with osteoarthritis. Warm water can help relax muscles and soothe joint stiffness, providing relief from pain.
B. Limit dietary intake of phosphorus: This is not directly related to pain management in osteoarthritis. While managing overall nutrition is important, phosphorus specifically does not need to be limited unless there are other underlying health conditions.
C. Place a large pillow under the knees when sleeping: This instruction may not be optimal. While some support can be helpful, using a pillow under the knees can cause misalignment of the spine. A more neutral sleeping position is generally recommended.
D. Place an ice pack directly on the skin of the affected joints: Applying ice directly to the skin can cause frostbite or skin damage. It's better to use a cloth or towel as a barrier when applying an ice pack to avoid direct contact and protect the skin.
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