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?
Constructing a model airplane.
Putting together a large-piece puzzle.
Playing in the hallway.
Watching a video game in the playroom.
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 A
Explanation
Choice A rationale
Proximodistal development refers to growth from the center of the body outward to the extremities. An infant grabbing with their whole hand (palmar grasp) before developing a
pincer grasp demonstrates this pattern, as they gain control of arm movements before fine motor skills in the fingers.
Choice B rationale
Cephalocaudal development refers to growth from head to toe, such as gaining control over head and neck muscles before the limbs. This does not directly explain the grasping
behavior described.
Choice C rationale
Distoproximal is not a recognized term in developmental science and does not describe a growth pattern.
Choice D rationale
Top-to-bottom is another way of describing cephalocaudal development but does not specifically address the described behavior in grasping development. .