A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days.
After the toddler’s mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb.
When the nurse approaches the crib, the toddler turns away from the nurse.
The nurse should understand that these behaviors indicate which of the following developmental reactions?
Developing autonomy.
Resentment toward the mother.
Anxiety reaction.
Regression.
The Correct Answer is D
The correct answer is Choice D.
Choice A rationale
Developing autonomy is a normal developmental milestone for toddlers. However, the behaviors described in the question (sitting quietly, sucking thumb, turning away) are more indicative of regression rather than autonomy.
Choice B rationale
Resentment toward the mother is not a typical developmental reaction for an 18-month-old toddler. The behaviors described are more indicative of regression due to the stress of hospitalization.
Choice C rationale
Anxiety reaction can occur in toddlers who are hospitalized, but the behaviors described (sitting quietly, sucking thumb, turning away) are more indicative of regression.
Choice D rationale
Regression is a common reaction in toddlers who are hospitalized. The behaviors described (sitting quietly, sucking thumb, turning away) are typical signs of regression, where the child reverts to earlier developmental behaviors as a coping mechanism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Budesonide via dry-powder inhaler is a corticosteroid used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice B rationale
Cromolyn via metered-dose inhaler is a mast cell stabilizer used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations.
Choice C rationale
Albuterol via jet nebulizer is a short-acting beta-adrenergic agonist that provides rapid bronchodilation. It is the medication of choice for immediate relief of acute asthma exacerbations.
Choice D rationale
Montelukast orally is a leukotriene receptor antagonist used for long-term control of asthma. It is not effective for immediate relief of acute asthma exacerbations. .
Correct Answer is ["200"]
Explanation
Step 1 is (100 mL ÷ 0.5 hr) = 200 mL/hr. The nurse should set the pump to deliver 200 mL/hr.
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