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A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the nurse anticipate that the practitioner will recommend? Ans- *Myringotomy* is a surgical opening into... the eardrum to permit drainage of accumulated fluid associated with otitis media. Ear drops are not used because they will obscure the view of the tympanic membrane. Removal of the mastoid will not relieve pressure within inflamed ears. Antibiotics, not steroids, are used for an infectious process. What does the nurse state is the cause of frequent upper respiratory tract infections in toddlers? Ans- Immature immune system A toddler on the pediatric unit is required to have temporary dietary restrictions after colorectal surgery. What is the best way for the nurse to promote adherence to the restrictions? AnsToddlers are ritualistic and do not tolerate change well; *any change in diet should be done matter of factly.* age range for toddler years Ans- 12-36mos While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. What does the nurse conclude about this behavioral interaction? Ans- It is a typical expression of toddlers' social development. As part of the socialization process, toddlers enjoy playing beside other children (parallel play). A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac disease. The nurse expects the mother to indicate what about her toddler? Ans- *Steatorrhea (fatty, foul-smelling, frothy, bulky stools)* occurs with celiac disease because of an intolerance to gluten; toxic substances, which can damage the intestinal mucosal cells, accumulate and cause diarrhea. What is the priority nursing care in the immediate postoperative period for a toddler with a newly applied hip spica cast? Ans- *Checking the toddler's peripheral circulation*. Priority nursing care for any cast application includes checking the color and temperature of the area surrounding the cast to ensure that the cast is not too tight. A tight cast compresses arteries and veins, thereby impairing circulation. The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate several multivitamins with iron. What should the nurse say to the parent? Ans- "Call the Poison Control Center." The Poison Control Center will provide the best guidance for treatment of excess ingestion of a substance; enemas, lavage, or chelation therapy with deferoxamine (Desferal), a heavy metal antagonist, may be recommended, depending on the amount ingested and the child's age and response. A nurse in the daycare center is teaching several aides about the play behavior of 2-year-old toddlers. What is this type of play called? Ans- *Parallel*: Toddlers play independently but beside other children; they are aware of the other children, often grabbing toys from them, but do not socially interact with them. Elbow restraints are prescribed for an 18-month-old toddler who just had surgery for a cleft palate. The nurse explains to the parents that the restraints are used to keep the child from doing what? Ans- The suture lines in the mouth must be protected. Because the toddler uses the mouth to explore the environment, elbow restraints are needed to keep the child from placing fingers or objects in the mouth. During which health maintenance visit for a toddler-age client should the nurse assess the ability to throw a ball overhand without losing balance? Ans- 18mos While obtaining the health history of a 15-month-old toddler, the child of a migrant worker, a nurse learns that the infant recently had a fever, runny nose, cough, and white spots in the mouth lasting 3 days. A rash started on the face and spread to the whole body. What communicable disease does the nurse suspect the infant suffered from? Ans- White spots in the mouth (Koplik spots) and the rash, combined with increased mucus secretions (coryza), are indicative of measles *(rubeola)*. The nurse discusses discipline with parents of a 4-year-old child. Which parental statement regarding time-out reflects an appropriate application of this method of discipline? AnsExplaining the reason for the time-out before and after reinforces the child's association of the time-out with the undesirable behavior, allowing the child to work to control those behaviors. The nurse is caring for a young child diagnosed with lead poisoning. Which finding indicates that the client has suffered from high-dose exposure to lead? Ans- Blindness indicates that the client is suffering from encephalopathy as a result of high-dose exposure to lead. The nurse is providing education to the parents of a preschool-age client who is experiencing a severe fear of the dark. Which treatment option should the nurse share with the parents during the teaching session? Ans- Repe [Show More]

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