NURSING 4710 Toddler Prep U

NURSING 4710 Toddler Prep U Question 1 See full question 17s A caregiver tells the nurse that the 22-month-old client says no to everything. When scolded, the client gets angry and starts crying loudly but then immediately wants to be held. What is the best interpretation of this behavior? You Selected:  This behavior is normal in a 2-year-old. Correct response:  This behavior is normal in a 2-year-old. Explanation: Toddlers are confronted with the conflict of achieving autonomy yet relinquishing their much-enjoyed dependence on — and affection of — others. Therefore, their negativism is a necessary assertion of self-control and should be considered a normal behavior. Nothing about this behavior indicates that the child is under stress, is not receiving sufficient affection, or requires counseling. Add a Note Question 2 See full question 22s A child with a tracheostomy suddenly becomes diaphoretic and has an increased heart rate, an increased work of breath, and a decreased oxygen saturation level. What should the nurse do first? You Selected:  Suction the tracheostomy. Correct response:  Suction the tracheostomy. Explanation: Diaphoresis, increased heart rate, increased respiratory effort, and decreased oxygen saturation are signs that mucus is partially occluding the airway. Therefore, the nurse should suction the tracheostomy first to prevent full occlusion. Turning the client to a side-lying position won't remove mucus from the airway. The cleint may require pain medication after the airway has been cleared if the client's condition warrants it. Chest physiotherapy will help drain excess mucus from the lungs but not from a tracheostomy. Add a Note Question 3 See full question 16s A parent calls the Poison Control Center because her 3-year-old has eaten 10 to 12 chewable acetaminophen tablets. What should the nurse instruct the parent to do? You Selected:  Take the child to the emergency department. Correct response:  Take the child to the emergency department. Explanation: Acetaminophen ingestion can cause severe liver disease. The child should be evaluated in the emergency department. The child should not be offered any fluids, and the parents should not attempt to induce vomiting. Assessing the child's respirations for 24 hours will delay needed emergency treatment. Add a Note Question 4 See full question 10s Which child should be referred for further assessment regarding language development? You Selected:  a 4-year-old is whose speech is understood 50% of the time Correct response:  a 4-year-old is whose speech is understood 50% of the time Explanation: At age 4 a child’s speech should be understood most of the time even by people who do not know the child. According to the Denver Developmental Screening Examination, a child age 2 years should have a vocabulary of 300 words, be able to combine two or three words, and ask for what he or she wants by name. By age 3, the child should have a vocabulary of 900 words and can use a complete sentence of three or four words. A 1-year-old has a vocabulary of at least eight words and can reference people and objects. Add a Note Question 5 See full question 1m 36s The nurse is conducting a on a school-age child. Which parent statement would suggest to the nurse that a child may have celiac disease? You Selected:  "His stools are large and smelly." Correct response:  "His stools are large and smelly." Explanation: Celiac disease is a disorder involving intolerance to the protein gluten, which is found in wheat, rye, oats, and barley. The stools of a child with celiac disease are characteristically malodorous, pale, large (bulky), and soft (loose). Excessive flatus is common, and bouts of diarrhea may occur. Dark urine is commonly associated with concentrated urine, such as when a child has dehydration. The belly of a child with celiac disease, a malabsorption disorder, typically is protuberant. A small belly may be associated with a child who is thin. Short stature is not associated with this malabsorption disorder. .....Continued....