A nurse is planning care for a 24-month-old child. Which of the following developmental characteristics should the nurse consider when planning care for the child?

Shares toys with others readily

Has an imaginary playmate

Demonstrates parallel play

Asks many questions

Answer and Explanation

The Correct Answer is C

A. Sharing toys readily is more common in older preschoolers and school-age children.
B. Having an imaginary playmate typically occurs in children slightly older than 24 months.
C. Parallel play, where children play alongside each other without interacting, is typical for toddlers around 24 months.
D. Asking many questions is more characteristic of preschool-aged children.

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Correct Answer is C

Explanation

A. Swelling in a dependent position is expected due to gravity and should reduce with elevation.
B. Pain following range-of-motion exercises can be normal after a fracture, but persistent or severe pain should be monitored.
C. Coolness of the toes indicates impaired circulation, which can be a sign of compartment syndrome or cast tightness and requires immediate medical attention.
D. Pruritus under the cast is a common complaint and can be managed with appropriate measures but does not require urgent reporting.

A. "I will restrict my child's fluid intake for the next 48 hours." B. "My child will need to stay out of school for 3 to 4 weeks." C. "My child will have drainage at the catheterization site for 3 to 5 days." D. "I will not let my child take a bath for the next 3 days."

Correct Answer is D

Explanation

A. Restricting fluid intake is not recommended; instead, increasing fluids helps flush out the contrast dye used during the procedure and aids in kidney function.
B. Children typically can return to school within a few days to a week, not 3 to 4 weeks, unless otherwise directed by the physician. Prolonged absence is generally unnecessary unless complications arise.
C. The catheterization site should not have drainage for 3 to 5 days. Any drainage could indicate an infection or other complication and should be evaluated by a healthcare provider.
D. Avoiding baths for the first 3 days helps prevent infection at the catheterization site. Sponge baths are recommended to keep the site clean and dry during the initial healing period.

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A nurse is planning care for a 24-month-old child. Which of the following developmental characteristics should the nurse consider when planning care for the child?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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