A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
Allowing the toddler to button up their own shirt
Asking the toddler questions that have "yes" or "no" answers
Providing the toddler with opportunities to share toys with others
Making sure the toddler has at least one nap during the day
The Correct Answer is D
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Placing the child in a forward-facing car seat before the appropriate age and size increases the risk of injury.
B) Placing the child in the front seat, even in a rear-facing car seat, is not recommended due to the risk of airbag deployment.
C) Booster seats are used for older children who have outgrown their forward-facing car seats, but are not yet big enough to use the seat belt properly. Booster seats should be used until the child is at least 4 feet 9 inches tall and between 8 and 12 years old.
D) Placing the child in a rear-facing car seat until age 2 is recommended by safety guidelines to provide optimal protection for the child's head, neck, and spine.
Correct Answer is A
Explanation
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
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