The nurse is collecting data from the parents of a 2-year-old child. While attempting to get information from the parents, the child starts to cry, scream, and lash out every time the nurse tries to pick up the child from the mother's arms
Based on this observation, what conclusion would best be considered by the nursing about this 2-year-old child? A) The nurse recognizes that the child is displaying normal toddler development.
B) The nurse needs to contact the primary care provider for further psychological assessment of the child and family members.
C) The nurse recognizes that the child is being very manipulative and should immediately be taken away from the parents to be further assessed by a nurse practitioner.
D) The nurse recognizes that the child is exhibiting development regression.
A
Feedback:
Like infants, toddlers may display signs of anxiety when confronted with strangers, such as a nurse. On separation from loved ones, children may cry, scream, lash out physically at others, and call for the missed person. Because this is normal toddler behavior, further assessment or the child being removed from the parents is not appropriate. The child is not exhibiting signs of development regression to an earlier age group with this behavior.
You might also like to view...
A patient is to be administered an immunization. The serum contains aluminum phosphate. What route is most appropriate to administer this immunization?
A) Intramuscularly B) Subcutaneously C) Intravenously D) Orally
A patient has been treated with opioids for a year to manage back pain. After successful surgery, the patient's pain is greatly improved
The patient reports, "I stopped taking my pain medication when I got home from the hospital, but I got very sick with diarrhea and generalized pain." Se-lect the nurse's best response. a. "This is a common idiosyncratic effect. Over-the-counter antidiarrheals and non-steroidal agents will help you ride it out." b. "Restart the pain medication. It is now required for life because you have toler-ance toward opioids." c. "You are experiencing toxicity from the drugs used during the hospitalization and will need to be rehospitalized." d. "Your reaction is associated with physical dependence on opioids. We will design a tapering dose schedule to avoid the withdrawal symptoms."
Aminogycocides are safe to dispense to patients with renal insufficiency.
a. true b. false
Following an assessment of a patient, the nurse identifies the nursing diagnosis Activity Intolerance r/t Increased Weight Gain and Inactivity. The physician wants the patient to improve her endurance and increase activity. Which of the following is an outcome identified by the nurse?
A) Resting heart rate will be 90-100/minute B) Blood pressure will be maintained between 140/80 and 160/90 C) Exercise will be performed 3 times per day over the next 2 weeks D) Accommodation will be made for excess weight and fatigue