A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?

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Burns Pediatric Primary Care Test Bank Questions

Question 1 of 5

A nurse is preparing to perform a physical assessment on a toddler. Which approach should the nurse use for this child?

Correct Answer: C

Rationale: When performing a physical assessment on a toddler, it is important for the nurse to use minimal physical contact initially. Toddlers are in a stage of development where they may be wary of strangers and new situations. By starting with minimal physical contact, such as by engaging the child in conversation or play first, the nurse can help establish trust with the toddler. This approach can help reduce the child's anxiety and resistance during the physical assessment, making the process smoother and more effective. It is essential to build rapport and establish a sense of safety and security before proceeding with the assessment to ensure the toddler's cooperation and comfort.

Question 2 of 5

The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is guiding parents in selecting a daycare facility for their infant. Which is especially important to consider when making the selection?

Correct Answer: A

Rationale: When selecting a daycare facility for an infant, it is crucial to consider the health practices of the facility. The health and safety of the infant are of utmost importance, as they are more susceptible to illnesses and infections. Ensuring that the daycare facility follows proper hygiene practices, has clean and sanitized environments, implements illness policies, and promotes healthy habits is essential in protecting the infant's well-being. Additionally, the presence of trained staff who can handle medical emergencies and provide proper care in case of illness is also a key factor to consider. By prioritizing the health practices of the facility, parents can help create a safe and nurturing environment for their infant while they are in daycare.

Question 4 of 5

A nurse makes the decision to apply a topical anesthetic to a child's skin before drawing blood. Which ethical principle is the nurse demonstrating?

Correct Answer: B

Rationale: The nurse is demonstrating the ethical principle of beneficence by applying a topical anesthetic to the child's skin before drawing blood. Beneficence refers to the obligation to act in the best interest of the patient, promoting their well-being and preventing harm. In this case, the nurse is taking proactive steps to minimize the child's discomfort and potential pain during the blood draw procedure, thus upholding the principle of beneficence.

Question 5 of 5

Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears her school-age siblings tell her, "We are sick of Mom always sitting with you in the hospital and playing with you. It isn't fair that you get everything and we have to stay with the neighbors." Which is the nurse's best assessment of this situation?

Correct Answer: B

Rationale: Jealousy and resentment are common reactions among siblings when one child requires more attention due to illness or hospitalization. It is natural for siblings to feel left out, overlooked, or envious of the extra attention the sick child is receiving. These feelings do not necessarily indicate immaturity or being spoiled but rather a normal emotional response to a challenging family situation. It is important for healthcare providers to recognize and address these feelings to support the entire family in coping with the chronic illness of one of their members.

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