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A nurse is planning care for a 4-year-old child who requires isolation and airborne precautions.
Which of the following activities should the nurse plan for this child?

A.

Constructing a model airplane.

B.

Putting together a large-piece puzzle.

C.

Playing in the hallway.

D.

Watching a video game in the playroom.

Answer and Explanation

The Correct Answer is B

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.


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Correct Answer is D

Explanation

Choice A rationale

Examining the tympanic membrane at the beginning may cause distress to the child and make the rest of the exam difficult.

Choice B rationale

Before auscultating the chest and abdomen, the child needs to be calm and cooperative, which might not be the case if their ear is examined first.

Choice C rationale

Examining the tympanic membrane before the head and neck could lead to increased anxiety and uncooperativeness in the child during the rest of the exam.

Choice D rationale

Examining the tympanic membrane at the end allows for a more accurate and complete examination without causing the child to become distressed early in the process.

Correct Answer is B

Explanation

Choice A rationale

Placing a baby’s crib next to a heater can pose a risk of overheating or burns. Newborns should be kept at a safe distance from heaters to prevent accidents.

Choice B rationale

Removing extra blankets from the crib is recommended to reduce the risk of suffocation and sudden infant death syndrome (SIDS). This choice reflects an understanding of crib safety.

Choice C rationale

Padding the mattress can pose suffocation risks and is not recommended. A firm mattress without any padding is the safest option for newborns.

Choice D rationale

Placing a baby on their stomach to sleep increases the risk of SIDS. The recommended sleeping position for newborns is on their back, as this significantly reduces the risk.

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