How do activity observation and analysis support pediatric occupational therapy intervention?
- A. Grading is based on standard protocols for the specific activity.
- B. Preparatory activities are selected to efficiently build specific skills without the need for further design considerations.
- C. Activity synthesis integrates the results to identify alternate ways of performing activities.
- D. Usual modifications for the identified activity are implemented.
Correct Answer: C
Rationale: Activity observation and analysis support pediatric occupational therapy intervention by synthesizing information obtained through observation to identify alternative methods of performing activities. This process assists in intervention planning by exploring different approaches to help children achieve their occupational therapy goals effectively.
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When teaching a parent of a child with contact dermatitis, which instruction should the nurse include?
- A. Apply a thick layer of antibiotic ointment to the affected area.
- B. Rub the skin vigorously with a towel to dry it.
- C. Keep the child's skin dry.
- D. Apply a thin layer of corticosteroid cream to the affected area.
Correct Answer: D
Rationale: The correct instruction for a child with contact dermatitis is to apply a thin layer of corticosteroid cream to the affected area. Corticosteroid cream helps reduce inflammation and itching associated with contact dermatitis. It is important to avoid using antibiotic ointment or rubbing the skin vigorously, as these can worsen the condition. Keeping the child's skin dry is generally a good practice, but in the case of contact dermatitis, corticosteroid cream application is more beneficial.
Which of the following is MOST likely considered a risk factor for extraneural metastasis in primary brain tumors?
- A. age less than 10 year
- B. female gender
- C. ventriculoperitoneal (VP) shunt insertion
- D. supratentorial tumor
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?
- A. Elevate the head of the child's bed
- B. Insert a large-bore IV catheter for the child
- C. Determine the allergen that caused the child's reaction
- D. Administer IM epinephrine to the child
Correct Answer: D
Rationale: In the management of anaphylaxis, the priority action for the nurse is to administer IM epinephrine to the child. Epinephrine is the first-line treatment for anaphylaxis as it helps reverse the severe manifestations of the reaction by constricting blood vessels, relaxing airway muscles, and decreasing hives and swelling. Elevating the head of the child's bed may be beneficial for respiratory distress but is not the priority over administering epinephrine. Inserting a large-bore IV catheter may be necessary for fluid resuscitation but is not the initial priority. Identifying the allergen is important for prevention and future management but is not the immediate action needed in the acute phase of an anaphylactic reaction.
The healthcare provider is assessing abdominal girth for a pediatric client who presents with abdominal distension. Which nursing action is appropriate?
- A. Measuring the girth just below the umbilicus
- B. Measuring the girth just below the sternum
- C. Measuring the girth just above the pubic bone
- D. Measuring the girth around the largest portion of the abdomen
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A nurse is providing discharge teaching to the parent of a child who has juvenile idiopathic arthritis. Which of the following statements should the nurse include?
- A. Encourage the child to sleep for 8 hours each night.
- B. Perform range-of-motion exercises once per week.
- C. Give your child NSAIDs on a regular schedule.
- D. Apply heat to the child's affected joints twice daily.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.