A nurse is speaking to the parent of a 22-month-old child who states the child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly, then later wants to be held. How should the nurse best interpret this toddler's behavior?

This is normal behavior for a two-year-old child.

The toddler isn't effectively coping with the stress.

This behavior suggests the need for further assessment.

The toddler's need for affection isn't being met.

Answer and Explanation

The Correct Answer is A

A.   It is normal for toddlers to exhibit defiance, say "no" often, and become upset when scolded as part of the development of autonomy and independence. Seeking comfort afterward is also typical.

B.   While the toddler may be struggling with emotional regulation, this behavior is typical and does not necessarily indicate ineffective coping.
C.   There is no indication that further assessment is necessary unless other concerns arise. This behavior is normal for the developmental stage.
D.   The toddler's behavior is not necessarily due to unmet affection; it is more likely part of the developmental process.

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Correct Answer is C

Explanation

A. Assessing vital signs, including temperature and oxygen saturation, is appropriate for monitoring the child's condition and identifying any signs of respiratory distress or infection.
B. Gathering necessary supplies for possible intubation is a proactive measure in case the child experiences airway obstruction. Acute epiglottitis can lead to rapid deterioration in the child's airway.
C. Assessing the child's throat using a tongue blade can trigger airway obstruction in a child with acute epiglottitis, which is a medical emergency. The throat should not be examined visually due to the risk of causing a spasm or obstruction.
D. Reporting an elevated white blood count is a normal part of managing acute infections, such as epiglottitis, and should be done to inform the healthcare provider of the patient's condition.

A. Using cotton tipped swaps B. Frequent viral infections C. Playing in, the pool D. Cleaning the ears with vinegar

Correct Answer is A

Explanation

A. Using cotton-tipped swabs can push earwax deeper into the ear canal, increasing the risk of infection and otitis media.
B. Frequent viral infections may contribute to upper respiratory issues, but they are not the primary risk factor for otitis media.
C. Playing in the pool is a potential risk for outer ear infections, not otitis media.
D. Cleaning the ears with vinegar is not associated with an increased risk of otitis media.

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A nurse is speaking to the parent of a 22-month-old child who states the child says "no" to everything. When scolded, the toddler becomes angry and starts crying loudly, then later wants to be held. How should the nurse best interpret this toddler's behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse on a pediatric unit is observing a newly licensed nurse provide care for a child diagnosed with acute epiglottis. Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene?

Correct Answer is C

Explanation

A pediatric nurse is assessing a child with otitis media that has frequent ear problems. The nurse recognizes that which of the following risk factors are associated with otitis media?

Correct Answer is A

Explanation

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