What does a nurse identify as the priority short-term goal for a toddler with dehydration
caused by diarrhea?
1
Improvement of fluid balance
2
Continuation of an antidiarrheal diet
3
Preservation of perianal skin integrity
,4
Retention of weight appropriate for height
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1
Rehydration and correction of electrolyte imbalances are the priorities; diarrhea
causes loss of fluid and electrolytes that can be life threatening. Antidiarrheal
diets are no longer prescribed for children with diarrhea. Oral rehydration therapy
is the treatment of choice. Although maintaining skin integrity in the presence of
diarrhea is important, the risk of disrupted skin integrity is not life threatening, nor
is it the priority when a young child is dehydrated. There are no data to indicate
that the child is overweight or underweight.
Which statement is true regarding the importance of play for children?
1
Pretend play hampers the cognitive development of children.
2
Playing is important because it helps children to release frustration.
3
Children should be introduced to reality if they have imaginary playmates.
4
Children should completely avoid television, electronic games, and computer programs.
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2
Playing serves as a medium for children to release frustration. Pretend play allows
children to learn to understand others' points of view, develop skills in solving
social problems, and become more creative. Some children have imaginary
playmates. Imaginary playmates are a sign of health and help children to
distinguish between reality and fantasy. Television, videos, electronic games, and
computer programs support development and the learning of basic skills. There
should be limited use of these for preschoolers, but these need not be
completely avoided. On the other hand, television, electronic games, and
, computer programs have lasting negative effects on a toddler's language
development, reading skills, and short-term memory.
The mother of a 2-year-old child tells the nurse that she is concerned about her child's vision.
What behavior when the child is tired leads the nurse to suspect strabismus?
1
One eyelid droops.
2
Both eyes look cloudy.
3
One eye moves inward.
4
Both eyes blink excessively.
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3
An inward moving eye (tropia) is one form of strabismus. A drooping eyelid is
called ptosis; it may be congenital or caused by trauma. Cloudy eyes are
associated with congenital cataracts. Blinking may be a tic.
A nurse in the pediatric clinic is examining a toddler with suspected enterobiasis (pinworm
infestation). For which first sign of an infestation should the nurse assess the child?
1
Anal itching
2
Scaly skin patches
3
Maculopapular rash
4
Bald spot on the head
, Give this one a go later!
1
In enterobiasis the adult pinworm lays her eggs around the anal opening,
producing itchy irritation. Scaly skin patches are commonly seen with eczema or
dermatitis. A maculopapular rash may be seen with hookworm (Necator
americanus), not pinworm (Enterobius vermicularis), infestation. A bald spot is
produced by ringworm of the scalp (tinea capitis), a fungal infection of the skin.
Which statement is true about the diet plan for toddlers?
1
Refrain from serving finger foods.
2
Toddlers need 4 to 6 cups of milk per day.
3
Low-fat or skimmed milk should be given until the child is 2 years old.
4
Milk should be supplemented with solid food items like vegetables and fruits.
Give this one a go later!
4
In toddlers, the parents should be supplementing the child's intake of milk with
solid foods items, ensuring a balanced diet for adequate growth. Serving finger
foods to toddlers allows them to eat by themselves and to satisfy their need for
independence and control. The intake of milk should be limited to 2 to 3 cups
because the consumption of more than a quart of milk per day tends to decrease
the child's appetite for essential solid foods and results in inadequate iron intake.
Children below 2 years of age should not be given low-fat or skimmed milk
because the fat is important for the physical and intellectual growth of the child.
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