Nokea
To encourage autonomy in a 4-year-old, the nurse should instruct the mother to:
- A. Discourage the child's choice of clothing.
- B. Button the child's coat and blouse.
- C. Praise the child's attempts to dress herself.
- D. Tell the child when the combination of clothes is not appropriate.
Correct Answer: C
Rationale: Praising efforts fosters autonomy by encouraging independence.
You may also like to solve these questions
The parent of a child with spastic cerebral palsy and a communication disorder tells the nurse, 'He seems so restless. I think he is in pain.' The nurse should:
- A. Assess the child for pain using the Faces, Legs, Activity, Cry, Consolability (FLACC) scale.
- B. Assess the child using the pediatric FACES scale.
- C. Administer the pain medication which is ordered to be given as needed and assess the response.
- D. Notify the primary care provider of the change in behavior.
Correct Answer: A
Rationale: The FLACC scale is appropriate for assessing pain in children with communication disorders, as it relies on observable behaviors rather than verbal reports.
The nurse is evaluating a child’s skills in self-administering insulin (see fi gure). The nurse should:
- A. Have the child use both hands on the syringe.
- B. Ask the child to place the needle at a 45 degreeangle
- C. Tell the child to use a site lower on her thigh.
- D. Remind the child to rotate sites.
Correct Answer: D
Rationale: The child is using correct injection technique, and the nurse can remind the child to rotate sites. The nurse should also reinforce that the child has used correct technique and praise the child for doing so. If the child can manipulate the plunger of the syringe with one hand, this is appropriate. Insulin is administered at a 90 degree angle as shown. The child should identify appropriate sites on the thighs as one handbreadth below the hip and above the knee; the child is using appropriate sites.
When teaching the parents of an infant how to perform back slaps to dislodge a foreign body, which of the following should the nurse tell the parents to use to deliver the blows?
- A. Palm of the hand.
- B. Heel of the hand.
- C. Fingertips.
- D. Entire hand.
Correct Answer: B
Rationale: The heel of the hand is used to deliver back slaps in infants to effectively dislodge a foreign body without causing injury.
A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate?
- A. Although the testes should have descended by now
- B. it is not a cause for worry.
- C. The testes often do not descend until age 6 months
- D. but let's check to see whether the testes are present.
- E. The testes are present in the scrotal sac at birth
- F. but surgery can remedy the situation.
- G. Although the testes normally descend by 1 year of age
Correct Answer: B
Rationale: Testes often descend by 6 months of age; however, if they haven't, surgical intervention may be necessary.
The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction?
- A. Restrict the child's fluid intake to less than 1 quart per day.
- B. Start up a 1½ quarts of fluids per day.
- C. Stay away from other teenagers.
- D. Avoid physical activity.
Correct Answer: B
Rationale: Adequate hydration (1½ quarts daily) prevents blood viscosity, reducing the risk of sickle cell crisis. Other options are incorrect or overly restrictive.