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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 B

Explanation

Choice A rationale

Constructing a model airplane may require smaller parts and more intricate work, not ideal for a 4-year-old child.

Choice B rationale

Putting together a large-piece puzzle is suitable for fine motor skills development and can be done while in isolation.

Choice C rationale

Playing in the hallway would expose the child to other areas and people, defeating the purpose of airborne precautions.

Choice D rationale

Watching a video game in the playroom is not feasible as it would require leaving the isolation area.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Keeping the diaper loose in the front helps avoid pressure on the circumcision site, promoting healing and reducing discomfort for the infant.

Choice B rationale

A yellow crust or exudate forming on the circumcision site is a normal part of the healing process and should not be a cause for alarm. It is not an indication to call the doctor immediately unless other signs of infection or complications are present.

Choice C rationale

Notifying the healthcare provider in the case of significant bleeding is crucial. Excessive bleeding can indicate a complication that requires prompt medical attention to ensure the infant's safety and proper healing.

Choice D rationale

Applying petroleum jelly with each diaper change helps to protect the circumcision site from sticking to the diaper, promoting healing and reducing discomfort.

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