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A nurse is caring for a toddler who is having difficulty sleeping during hospitalization.
Which of the following actions should the nurse take to promote sleep?

A.

Encourage play exercises in the evening.

B.

Turn off the room light.

C.

Provide bedtime rituals.

D.

Explain the source of the toddler's fears.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Encouraging play exercises in the evening can lead to overstimulation, which can make it harder for the toddler to fall asleep. Physical activity should generally be done earlier in the day to help with sleep later on.

 

Choice B rationale

Turning off the room light can create a dark environment conducive to sleep, but it doesn’t address the need for a calming routine, which is essential for young children’s sleep. Some children also feel safer with a nightlight.

 

Choice C rationale

Providing bedtime rituals can help signal to the toddler that it is time to wind down and sleep. Consistent rituals, such as reading a story or singing a lullaby, provide a sense of security and comfort.

 

Choice D rationale

Explaining the source of the toddler’s fears may be beyond the cognitive ability of a toddler and does not directly promote sleep. It’s better to provide comfort and reassurance through routine.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

This choice offers the toddler control and options within boundaries. By allowing the child to choose between two cups, it reduces the power struggle inherent in negativism, where the child often says "no" to assert independence.

Choice B rationale

This choice presents a direct option of now or later, which may still lead to refusal due to the toddler's negativism. Toddlers often respond better to choices that are less direct.

Choice C rationale

Asking if the child can take the medicine is likely to result in a "no" due to the nature of negativism at this developmental stage. It does not give the toddler a sense of control or choice.

Choice D rationale

Asking the child to be "good" places a moral judgment on taking the medicine, which is not developmentally appropriate and may lead to resistance.

Correct Answer is ["A"]

Explanation

Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.

Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.

Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.

Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.

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