The practical nurse (PN) observes an infant searching for a fallen toy. According to Piaget, which additional finding should the PN correlate with this developmental stage?
Comprehension of simple commands.
Exploration beyond caregiver presence.
Visible or audible separation anxiety.
Ability to place objects in a container.
The Correct Answer is B
Choice A: Comprehension of simple commands is an earlier developmental stage and not directly related to the infant's ability to search for a fallen toy.
Choice B: Exploration beyond caregiver presence is a key characteristic of the sensorimotor stage in Piaget's theory. During this stage, infants develop object permanence and begin to explore their environment independently.
Choice C: Visible or audible separation anxiety is common during the early stages of infancy and is not specific to the sensorimotor stage.
Choice D: The ability to place objects in a container is more related to later developmental stages when fine motor skills are more developed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Offering water to the client hourly is an important intervention, especially for older clients who may be prone to dehydration. Confusion can sometimes be a symptom of dehydration, so ensuring adequate hydration is essential.
Choice B: Reviewing the intake and output record is important for assessing the client's fluid balance but may not directly address the client's current confusion.
Choice C: Increasing daily sodium intake would not be appropriate without a specific indication, and it may not address the client's confusion.
Choice D: Reducing dairy product intake is not a standard intervention for confusion and may not be appropriate unless there is a specific dietary restriction or allergy in place.
Correct Answer is A
Explanation
Choice A: Uremic frost is a symptom of advanced kidney disease and can result in deposits of urea crystals on the skin. This can cause itching and discomfort, making it difficult for the client to maintain good hygiene and self-care. Therefore, addressing hygiene self-care deficit related to uremic frost is a priority in the plan of care for a client with renal osteodystrophy.
Choice B: This is not directly related to renal osteodystrophy and is more related to the presence of a catheter.
Choice C: This is not typically associated with renal osteodystrophy unless there are specific mobility issues related to bone problems.
Choice D: This may be relevant for clients with CKD, but it is not specific to renal osteodystrophy, which primarily involves bone mineral imbalances.
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