The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?

Correct Answer: C

Rationale: The correct answer is C: A pillow on the abdomen. Placing a pillow on the abdomen can provide support and gentle pressure, which can help reduce pain and discomfort during ambulation post-appendectomy without the risk of thermal injury or exacerbating inflammation. Heating pads (choice A) and warm, moist packs (choice B) can increase blood flow and potentially worsen inflammation. Ice packs (choice D) are not recommended post-appendectomy due to the risk of vasoconstriction and delayed healing.

Correct Answer: C

Rationale: Step 1: Permanent teeth typically start coming in around age 6-7, so waiting until then for a dental checkup is incorrect. Step 2: Dental care for toddlers should start early to prevent cavities and establish good oral hygiene habits. Step 3: Regular dental checkups are essential to monitor oral health and detect any issues early. Step 4: Choices A, B, and D all demonstrate understanding of dental care practices for toddlers, making them correct. Summary: Choice C is incorrect as it shows a lack of understanding of the importance of early dental care for toddlers. Choices A, B, and D are correct as they demonstrate appropriate dental care practices for toddlers.

Correct Answer: B

Rationale: The correct answer is B because congestive heart failure (CHF) is typically a consequence of an underlying cardiac defect, such as hypertension or coronary artery disease, leading to impaired cardiac function. This choice accurately reflects the cause-and-effect relationship between CHF and an existing cardiac issue. Choice A is incorrect because CHF itself is not a disease related to cardiac defects but a condition resulting from them. Choice C is incorrect as CHF is not primarily an inherited disorder. Choice D is incorrect as CHF is not a result of diminished workload but rather an inability of the heart to effectively pump blood.

Correct Answer: B

Rationale: The correct answer is B because it emphasizes the importance of social development and play for the child's overall well-being. Playing with peers helps the child develop social skills, emotional regulation, and physical abilities. It also promotes a sense of belonging and normalcy. The other choices are incorrect because: - A: Parents meeting all the child's needs may lead to overprotection and hinder the child's independence. - C: Constant parental supervision may limit the child's autonomy and hinder their social interactions. - D: Telling the child that peers' activities are too strenuous may create unnecessary fear and isolation.

Correct Answer: C

Rationale: The correct answer is C: Have someone notify the emergency medical services (EMS) system. This is the most appropriate action because the child's lack of movement in response to requests indicates a potential serious injury that requires immediate medical attention. Calling EMS ensures that the child receives prompt and appropriate care from trained medical professionals. Choice A (Wait for the child’s parents to arrive) is incorrect because in an emergency situation like this, time is crucial, and waiting for parents may delay necessary medical intervention. Choice B (Move the child out of the parking lot) is incorrect because moving the child without proper assessment and stabilization could worsen any potential spinal cord or other injuries. Choice D (Help the child stand to return to play) is incorrect as it ignores the seriousness of the situation and risks further harm to the child. In summary, notifying EMS is the best course of action to ensure the child's safety and well-being in this emergency scenario.