The healthcare provider is assessing a child for neurological soft signs. Which finding is most likely demonstrated in the child's behavior?

Correct Answer: C

Rationale: Neurological soft signs in children often manifest as poor coordination and a sense of position. These signs can indicate underlying neurological issues and are important to assess in pediatric patients. Choices A, B, and D are less likely to be associated with neurological soft signs in children. Inability to move the tongue in a specific direction may suggest a cranial nerve dysfunction rather than general neurological soft signs. Presence of vertigo is more related to inner ear disturbances or vestibular issues. Loss of visual acuity may indicate problems with the eyes rather than general neurological soft signs.

Correct Answer: D

Rationale: The correct response is option D: "A reaction of anger is your child's attempt to cope with this loss." This response is the best because it acknowledges the child's emotions and provides insight into the psychological process of coping with a significant loss like an amputation. By validating the child's feelings of anger and linking it to the grieving process, the nurse can help the mother understand that her child's reaction is a normal part of the adjustment to such a life-altering event. Option A is incorrect because immediately suggesting a psychiatric consult may not be warranted at this stage without first exploring and addressing the emotional response within the context of the situation. Option B is incorrect because while acting out behavior can be common in adolescents, it is essential to recognize and address the specific underlying emotions and causes in this situation. Option C is incorrect because solely focusing on the child's needs without acknowledging and addressing the emotional turmoil and coping mechanisms may not effectively support the child through this challenging time. In an educational context, it is crucial for pediatric nurses to understand the complex emotional responses of children and adolescents facing serious health issues. By providing empathetic and informed support, nurses can help both the child and their family navigate the emotional challenges associated with significant medical interventions.

Correct Answer: D

Rationale: The correct answer is D. Wearing long sleeves and pants helps prevent tick bites, which can transmit Lyme disease. Ticks carrying Lyme disease are often found in wooded or grassy areas, so covering exposed skin can reduce the risk of being bitten by an infected tick. Choices A, B, and C do not address the specific mode of transmission of Lyme disease through tick bites, making them incorrect.

Correct Answer: C

Rationale: In pediatric basic life support, for an unresponsive infant who is not breathing normally, the correct action is to give two breaths that make the chest rise. This helps provide oxygen to the infant's body and is a crucial step in resuscitation efforts for infants in distress. Choices A, B, and D are incorrect. Palpating the femoral pulse or feeling the carotid pulse is not indicated in this scenario where the infant is unresponsive and not breathing. Delivering cycles of chest compressions and breaths is not the immediate action to take; the priority is to provide two breaths to help with oxygenation.

Correct Answer: B

Rationale: Administering the scheduled dose is appropriate in this scenario. The nurse obtained an apical heart rate of 128 bpm, which is within the expected range for a 2-year-old child. Therefore, there is no immediate concern to withhold the scheduled dose of digoxin. Determining the pulse deficit is not necessary as the heart rate is appropriate. Calculating the safe dose range is not needed as the current dose is within the therapeutic range. Reviewing the serum digoxin level may be indicated later for monitoring but is not urgent based on the heart rate assessment. Administering the scheduled dose of digoxin is the correct action at this time.