AND CORRECT DETAILED ANSWERS |VERIFIED ANSWERS |PASS
GUARANTEED.
On a home visit following discharge from the hospital after treatment
for severe gastroenteritis, the parent tells the nurse that a toddler
answers "No!" and is difficult to manage. After discussing this further
with the parent, the nurse explains that the child's behavior is most
likely the result of which factor?
a) expression of individuality
b) inherited personality trait
c) usual lack of interest in everything
d) beginning leadership skills - ANSWER -expression of individuality
Correct
Explanation:
The "no" behavior demonstrated by a toddler is typical of this age
group as the child attempts to be self-assertive as an individual. The
negativism does not demonstrate an inherited personality trait or
disinterest. Rather, it reflects the developmental task of establishing
autonomy. The toddler is attempting to exert control over the
environment
During assessment of a child with celiac disease, the nurse should
most likely note which physical finding?
,a) periorbital edema
b) protuberant abdomen
c) tender inguinal lymph nodes
d) enlarged liver - ANSWER -protuberant abdomen
Correct
Explanation:
The intestines of a child with celiac disease fill with accumulated
undigested food and flatus, causing the characteristic protuberant
abdomen
The nurse is caring for a child whose mother is deaf and untrusting of
staff. She frequently cries at the bedside, but refuses intervention
from social work or the chaplain. Which issue is most important for
the nurse to address with the mother to promote a trusting
relationship?
a) The mother's fear that the staff do not respect her
b) The mother's feelings of loss of control over her child
c) Lack of knowledge about the child's illness and treatment
d) Communication barriers between the mother and staff - ANSWER -
Communication barriers between the mother and staff
Correct
Explanation:
The communication barrier is the most significant and would require
immediate attention. Strategies need to be implemented that include
taking the time to share information via the written word with all new
members of the healthcare team and the mother.
,A parent of a toddler brings the child to the emergency department
because the child has accidentally been scalded by hot water spilling
from the stove. In order to differentiate the burn from potential abuse,
the nurse first should assess the child:
a) on the buttocks.
b) for a circular pattern.
c) on the front of the body.
d) on the back of the body. - ANSWER -on the front of the body.
Explanation:
Accidental scaldings are usually splash-related and occur on the front
of the body. Any burns on the back of the body or in a well-defined
circular or glove pattern may indicate physical abuse.
A 2-year-old child is brought to the emergency department with
suspected croup. Which assessment finding reflects increasing
respiratory distress?
a) Flushed skin
b) Decreased level of consciousness (LOC)
c) Intercostal retractions
d) Bradycardia - ANSWER -Intercostal retractions
Correct
Explanation:
, Clinical manifestations of respiratory distress include tachypnea,
tachycardia, restlessness, dyspnea, intercostal retractions, and
cyanosis.
When teaching a mother of a 17-month-old about toilet training, which
instruction would initially be most appropriate?
a) Remove the diaper and use training pants to begin the process.
b) Offer a reward every time the child has a bowel movement in the
potty chair.
c) Place the toddler on the potty chair every 2 hours for 10 minutes.
d) Be sure the child is ready before starting to toilet train. - ANSWER -
Be sure the child is ready before starting to toilet train.
Correct
Explanation:
All of the instructions are appropriate, but knowing whether the child
is ready to toilet train is initially most appropriate. Many 17-montholds
do not have the neuromuscular control to be able to be trained.
Waiting a few more months until the child is closer to age 2 years
allows the child to develop more control. The mother should be
taught the signs of readiness for toilet training.
A nurse on the pediatric floor is caring for a toddler refusing to take
liquid acetaminophen for fever. What would be the best option?
a) Give it up and try again in a couple hours.