PrepU: CH 29, 30, 31, 37 (Ricci Book-Developmental)

A nurse is assisting the health care provider with suturing a laceration on a preschool-age child's leg. What distraction methods can the nurse perform to promote atraumatic care? Select all that apply. a. Have the child blow bubbles. b. Ask the child to squeeze the nurse's hand. c. Sing a song and have the child sing along. d. Allow the child to play with surgical instruments. e. Let the child suture a doll.

a. Have the child blow bubbles. b. Ask the child to squeeze the nurse's hand. c. Sing a song and have the child sing along.

The parent of an adolescent diagnosed with iron-deficient anemia asks the nurse for help with incorporating more iron into the adolescent's diet when packing lunches and snacks for school. Which foods would be good sources of iron that could be easily incorporated into the diet when taking lunches and snacks to school? Select all that apply. a. Peanut butter b. Nuts c. Eggs d. Oranges e. Strawberries

a. Peanut butter b. Nuts c. Eggs e. Strawberries

What information should be included in the teaching plan for a child with varicella? a. Remind the child not to scratch the lesions. b. Administer aspirin for fever. c. Utilize salt solutions to assist in healing oral lesions. d. Place the child in a warm bath for skin discomfort.

a. Remind the child not to scratch the lesions

The nurse is working with an interpreter to meet the health needs of a family with limited skills in the dominant language. Which action is not recommended? a. Talking one-on-one with the interpreter at numerous points throughout the session with the family present. b. Pausing after approximately 30 seconds of speaking so the interpreter can translate. c. Having the interpreter review printed information with the family. d. Looking at the family while speaking. e. Meeting with the interpreter beforehand, and having the family present, to provide some background information.

a. Talking one-on-one with the interpreter at numerous points throughout the session with the family present.

A 16-year-old adolescent is talking with the nurse at a local health clinic about skin care. Which comments by the teen does the nurse determine require additional conversation? Select all that apply. a. "My mom had melanoma so she always makes me wear a sunscreen with an SPF of 30." b. "I only tan before going on spring break to get a base tan so I won't burn." c. "The more exposure and burns I get now will toughen my skin so I won't get skin cancer when I'm older." d. "Our coach makes us wear sun-protective clothes when we practice outside on the weekends." e. "My favorite time of day to be outside is the middle of the day, around noon."

b. "I only tan before going on spring break to get a base tan so I won't burn." c. "The more exposure and burns I get now will toughen my skin so I won't get skin cancer when I'm older." e. "My favorite time of day to be outside is the middle of the day, around noon."

A couple with infertility has decided to adopt an infant and receive a call several months later that an infant is available. The social worker gives them the history of the biological mom, a teenager who tried to conceal her pregnancy by dieting and taking laxatives. However, at 26 weeks' gestation, the teenager shared her pregnancy with the family and received prenatal care. Given this history, the couple should be counseled to observe the infant for which possible abnormality? a. Potential eating disorder as a teenager b. Abnormal neurologic development c. Excess swelling related to kidney problems e. Risk for autism following immunizations

b. Abnormal neurologic development

A client has confided in a nurse that her 13-year-old daughter has recently changed dramatically in her social interactions with others. What is a social behavior most likely to be exhibited by a girl at this age? a. Hanging out with girls but maintaining her own unique style b. Banding together with other girls and dressing like them c. Hanging out primarily with boys her own age d. Banding together with boys and girls but maintaining her own unique style

b. Banding together with other girls and dressing like them

A nurse is attending to a group of boys at a school. The nurse is required to document the sexual development in boys on a regular basis. The nurse would anticipate which clients having the highest incidence of nocturnal emissions? a. Clients who have reached adulthood b. Clients who are showing pubertal changes c. Clients in the age group of 18 to 20 years d. Clients with strong, muscular appearance

b. Clients who are showing pubertal changes

According to Erikson, the adolescent develops his or her own sense of being an independent person with individual thoughts and goals. This stage is referred to as: a. Industry vs. inferiority. b. Identity vs. role confusion. c. Autonomy vs. doubt and shame. d. Intimacy vs. isolation.

b. Identity VS. Role Confusion

When planning to teach a toddler about coughing and deep breathing, which would be most effective? a. Demonstrating the technique b. Playing a game with coughing and breathing c. Showing an audio-visual d. Discussing the importance of coughing

b. Playing a game with coughing and breathing

Parents bring their 9-year-old child to the clinic for a well-child visit. They are concerned because several children in the neighborhood have developed Lyme disease and ask for suggestions on what to do to reduce their child's risk. What would be appropriate for the nurse to suggest? Select all that apply. a. Dressing the child in dark clothing when going outdoors. b. Wearing protective clothing when playing in wooded areas. c. Inspecting the skin closely for ticks after the child plays in wooded areas. d. Contacting the health care provider if there is any area of inflammation that might be a bite. e. Removing ticks by rubbing them away from the skin with a credit card.

b. Wearing protective clothing when playing in wooded areas. c. Inspecting the skin closely for ticks after the child plays in wooded areas. d. Contacting the health care provider if there is any area of inflammation that might be a bite.

During a well-check for a 2-year-old client, the nurse notes the client's vaccinations are not up to date. The caregiver states, "It is hard to make it to all the appointments, but my child will get caught up before going to school." Which response by the nurse is most appropriate? a. "I understand it is a lot of visits; however, your child's health is worth it." b. "Your child will need to get all the vaccines before starting school." c. "To prevent serious illnesses, it is vital your child receive all vaccines as scheduled." d. "As long as you keep your child away from crowded public areas, I think things will be okay."

c. "To prevent serious illnesses, it is vital your child receive all vaccines as scheduled."

The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort? a. Administer infant aspirin every 4 hours as necessary for comfort. b. Discuss with the child the importance of not scratching lesions. c. Apply cool compresses to the skin to stop local itching. d. Dress the child warmly to bring out the rash so that it fades quickly.

c. Apply cool compresses to the skin to stop local itching.

During a developmental screening, the nurse notes the toddler is not meeting expected developmental milestones. What is the best action by the nurse? a. Tell the parents they should monitor the child closely for changes over the next year. b. Ask the family if they have a preference of hospitals for an overnight stay for further evaluation. c. Discuss the delay in milestones with the primary care provider and family. d. Encourage the family to provide specific developmental tasks to correct the delay.

c. Discuss the delay in milestones with the primary care provider and family.

The school nurse is preparing health promotion presentations regarding unintentional injuries for a high school health fair. On which topic should the nurse place as the priority when preparing the presentation? a. Poison prevention b. Water sports injuries c. Motor vehicle safety d. Drug and alcohol use prevention

c. Motor vehicle safety

The nurse is counseling a pregnant adolescent about the health benefits associated with breastfeeding. Which statement by the client indicates understanding? a. "Breastfeeding my baby will provide lifelong immunity against certain diseases." b. "Breastfeeding my baby will help to stimulate my baby's immune system to activate." c. "Breastfeeding my baby will pass on a type of active immunity." d. "Breastfeeding my baby will pass on passive immunity."

d. "Breastfeeding my baby will pass on passive immunity."

The nurse manager is mentoring a newly licensed nurse in the health clinic, talking with the single mother of an infant. The mother was 10 minutes late to the appointment and is concerned the clinic will not allow the health visit to be conducted today. Which statement by the newly licensed nurse would alert the nurse manager to provide additional teaching? a. "I know work schedules can make getting to appointment on time difficult; I am glad you are here now." b. "Follow me into the private exam room so we can discuss any concerns you have about your baby." c. "It is important to be current with your baby's progress, so we will see her today." d. "Why don't you plan to have your retired neighbor bring the baby next time since having the parent with the baby isn't necessary?"

d. "Why don't you plan to have your retired neighbor bring the baby next time since having the parent with the baby isn't necessary?"

The nurse is interacting with several families with children during their health visits. Which child would the nurse prioritize to receive a hearing screening? a. The 6-month-old who attempts to mimic sounds the parents make b. The 3-month-old whose mother reports the child turns his head to noises c. The 8-week-old who had an initial hearing screening reported as negative d. The 3-week-old infant who was discharged without a hearing screening

d. The 3-week-old infant who was discharged without a hearing screening

A young girl arrives at the emergency room after being bitten by a neighbor's dog. The mother is concerned her daughter will get rabies. The nurse carefully examines and treats the bite and questions the mother and daughter about the details surrounding the dog biting her. What information would most strongly indicate a risk for rabies infection in this client? a. The dog belonged to a neighbor b. There have been no other reported instances in the area c. The dog was properly immunized for rabies d. The dog was unprovoked when he bit the girl

d. The dog was unprovoked when he bit the girl

The father of a child hospitalized after a fire questions the use of therapeutic play. He reports he does not understand the purpose. What information can be provided to him? a. All children like to play. b. Playing provides the child with a way to expend some energy during the hospitalization. c. Therapeutic play lets the nursing staff observe the child's developmental level. d. This type of play gives the child an outlet to deal with stress.

d. This type of play gives the child an outlet to deal with stress.