When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?

Correct Answer: D

Rationale: The correct answer is D: Rules. When discussing play in school-aged children, rules are essential as they help in structuring games and social interactions. Rules provide a framework for play, ensuring fairness and cooperation among children. Choice A, recreation, is too broad and doesn't specifically address the importance of rules in play. Choice B, ritualism, is unrelated to the concept of play in school-aged children. Choice C, physical activity, is important for overall health but doesn't capture the specific aspect of rules that are crucial in the play of school-aged children.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) All of the above. Failure to thrive (FTT) in infants is a serious condition characterized by inadequate weight gain and growth. Infants with FTT may exhibit signs such as fear of strangers, minimal smiling, and avoidance of eye contact. These behavioral and social cues can be indicative of underlying issues affecting the infant's growth and development. Option A) Fear of strangers is relevant because infants with FTT may display heightened anxiety and fear around unfamiliar individuals due to the lack of consistent nurturing and attachment. Option B) Minimal smiling is significant as infants typically smile in response to positive interactions and stimuli. In cases of FTT, the infant's limited engagement and lack of joy may signal underlying concerns impacting their emotional well-being. Option C) Avoidance of eye contact is also pertinent as it can indicate difficulties in forming secure attachments and bonding with caregivers, which are crucial for healthy social and emotional development in infants. Educationally, understanding the assessment findings associated with FTT is vital for nurses caring for pediatric patients. Recognizing these behavioral cues can prompt early intervention and appropriate support services to address the underlying factors contributing to FTT in infants. By identifying and addressing these signs early, healthcare providers can work towards promoting optimal growth, development, and well-being in infants at risk for FTT.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) All are correct. When caring for a 10-month-old child diagnosed with failure to thrive, it is crucial for the nurse to implement a comprehensive approach. Being persistent (Option A) is important because feeding difficulties can be common in children with FTT, and the nurse needs to persevere in trying different feeding strategies to ensure adequate nutrition intake. Introducing new foods slowly (Option B) is essential to monitor for any adverse reactions or sensitivities the child may have to certain foods. Maintaining a calm, even temperament (Option D) is crucial in creating a positive feeding environment as stress and anxiety can negatively impact a child's feeding behavior. The incorrect options can be ruled out as they do not address the comprehensive care required for a child with FTT. Educational context here emphasizes the importance of a holistic approach in caring for children with specific health conditions, ensuring their safety, comfort, and optimal health outcomes.

Correct Answer: B

Rationale: In this question about potential causes of colic in infancy, the correct answer is B) All are applicable. The educational rationale behind this answer is that colic in infants can have multiple contributing factors, and it is often a multifactorial issue. Overeating can lead to digestive discomfort which can contribute to colic. Frequent burping helps release trapped gas which can alleviate colic symptoms. Parental smoking exposes infants to harmful chemicals that can irritate their sensitive systems and exacerbate colic. Option A, overeating, is a common misconception as infants typically have regulated feeding patterns. Option C, frequent burping, is important for relieving gas but is not the sole cause of colic. Option D, parental smoking, is a significant risk factor for colic due to exposure to secondhand smoke. Educationally, this question emphasizes the importance of understanding the various factors that can contribute to colic in infants. It highlights the need for comprehensive teaching to parents on how to address and prevent colic by considering multiple aspects of infant care, including feeding, burping techniques, and environmental factors like parental smoking.

Correct Answer: B

Rationale: The most appropriate nursing action in this scenario is to direct the father to seek immediate medical treatment (Option B). Visine eye drops contain tetrahydrozoline, which when ingested can lead to serious consequences like decreased heart rate, decreased body temperature, respiratory depression, seizures, coma, and even death, especially in young children. Seeking medical treatment promptly is crucial to prevent these adverse effects and ensure proper management. Reassuring the father that Visine is harmless (Option A) is incorrect as it conveys a dangerous message that could lead to delayed treatment. Recommending inducing vomiting with ipecac (Option C) is not recommended due to the risks associated with ipecac use and the potential for aspiration. Advising to dilute Visine by giving the daughter several glasses of water (Option D) is also not appropriate as it does not address the potential serious effects of tetrahydrozoline ingestion. In an educational context, it is important for nurses to recognize the potential dangers of household items like eye drops and to provide accurate and timely information to parents and caregivers. This scenario highlights the importance of quick assessment and appropriate action in cases of potential poisoning, emphasizing the critical role nurses play in promoting patient safety and advocacy.